Our doctors

Toby F. Handler
MD, FACS

Carl Gerardi
MD, FACS

Sarah K. Girardi
MD, FACS

Michele J. Powers
MD
WOMEN'S HEALTH
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Anal Skin Tags
Anal skin tags are small, benign growths of excess skin around the anus that can result from various factors such as hemorrhoids, friction, or chronic conditions, and while often harmless, they may cause discomfort or hygiene issues for some individuals.
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Fecal Incontinence
Fecal incontinence, which affects about 1 in 3 people who see a primary health care provider, is more common in women and can often result from childbirth-related injuries to the anal muscles or nerves controlling them.
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Painful Sex
While sex is meant to be a pleasurable experience for both men and women, for some people, sex can be uncomfortable or even painful.
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Low Libido
Libido is a person’s sexual drive or appetite. It is motivated by many factors, including hormones, brain functions, learned behavior, stress, lifestyle choices, and more.
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Menopause Care for Women
Menopause care involves a personalized approach combining lifestyle changes, hormone therapy, and non-hormonal treatments to manage symptoms and improve quality of life.
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Arousal disorders
Women who have recurrent problems with sexual response, desire, orgasm, or pain may have an arousal disorder.
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Vaginal Health
Vaginal health is a vital part of a woman’s overall health. Problems involving the vagina can negatively impact fertility, the desire for sex, and the ability to reach orgasm.
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Bioidentical Hormone Replacement Therapy (BHRT)
Bioidentical hormone replacement therapy (BHRT) uses plant-derived hormones that are chemically identical to those produced by the human body, potentially offering relief from menopausal symptoms with fewer side effects compared to synthetic hormones.
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Systemic Hormone Therapy
Systemic hormone therapy involves administering hormones that enter the bloodstream and circulate throughout the body, typically through pills, skin patches, or injections, to manage menopausal symptoms such as hot flashes and osteoporosis.
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Vaginal Hormone Therapy
Vaginal hormone therapy involves the direct application of low-dose estrogen to the vaginal area, effectively treating local menopausal symptoms such as dryness, itching, and pain during intercourse, while minimizing systemic absorption and associated risks.
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MONALISA®
The MonaLisa Touch® vaginal rejuvenation treatment uses laser energy to improve vaginal dryness, vaginal laxity, mild urinary incontinence, and more.
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THERMIVA®
ThermiVa® is a non-surgical procedure for vaginal rejuvenation and tightening.
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PLATELET RICH
PLASMA (PRP)PRP therapy uses your own blood to regenerate vaginal tissue to improve sexual enjoyment, vaginal dryness, urinary leakage, and more.
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O-SHOT®
The O-Shot®, also called the orgasm shot, uses PRP harvested from your own blood to stimulate tissue growth and improve the health of your sexual organs.
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CLITORAL HOOD
REDUCTIONFor individuals who have large clitoral hoods with excess tissue, reaching sexual climax can be more difficult, or excess tissue may cause irritation.
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THERMISMOOOTH® FACE
ThermiSmooth® Face revitalizes the skin with radiofrequency energy designed to stimulate and contract collagen. Tighten and lift the skin to reverse aging signs and achieve a more youthful appearance.
MEN'S HEALTH
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Anal Skin Tags
Anal skin tags are small, benign growths of excess skin around the anus that can result from various factors such as hemorrhoids, friction, or chronic conditions, and while often harmless, they may cause discomfort or hygiene issues for some individuals.
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Erectile Dysfunction (ED)
Erectile dysfunction (ED) is a common condition affecting millions of men worldwide, characterized by the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual intercourse, often resulting from various physical, psychological, or lifestyle factors.
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Hypogonadism
Hypogonadism is a condition characterized by reduced production of sex hormones by the gonads, which can lead to a range of symptoms including decreased libido, infertility, and changes in physical characteristics, depending on when it develops and its underlying cause.
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Lethargy
Lethargy is a complex symptom characterized by a significant decrease in energy, motivation, and mental alertness, often accompanied by drowsiness and sluggishness, which can be caused by various physical or psychological conditions, lifestyle factors, or medications.
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Low Libido
Libido is a person’s sexual drive or appetite. It is motivated by many factors, including hormones, brain functions, learned behavior, stress, lifestyle choices, and more.
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Peyronie's Disease
Peyronie’s disease is a condition characterized by the formation of fibrous scar tissue (plaque) in the penis, resulting in curved, painful erections, potential shortening or narrowing of the penis, and possible erectile dysfunction.
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TESTOSTERONE REPLACEMENT THERAPY (TRT)
Many men will experience a premature decline in sexual function and bodily changes as they age. Fortunately, Testosterone Replacement Therapy can help reverse the effects of decreased testosterone and restore your manhood.
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Biote® Hormone Therapy (Pellets)
Over time, men and women lose vital hormones that affect the way they feel and function. Biote Hormone Therapy can help you manage the effects of hormone imbalance, giving you control over your life again.
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Pulse Wave Therapy
Lingering pain after an injury or as you age can negatively impact your day-to-day life. PulseWave can non-invasively treat your pain by encouraging the natural healing process and strengthening circulation.
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P-Shot
Every man experiences erectile dysfunction at one point or another, but when symptoms become chronic, it becomes a concern. Tideline proudly offers the P-Shot—a PRP treatment that promotes stronger erections and healthier penile tissues.
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ThermiSmooth® Face
ThermiSmooth® Face revitalizes the skin with radiofrequency energy designed to stimulate and contract collagen. Tighten and lift the skin to reverse aging signs and achieve a more youthful appearance.
VIRTUAL CONSULTATION
$300
Would you feel more comfortable discussing your most intimate women’s issues in the privacy of your own home? We understand and have made that option available. Schedule your 30-minute virtual consultation for only $300 and take the first step toward understanding your feminine health better.
Consult with a Tideline Doctor
30 Minute Appointment


about us
At Tideline Center for Health & Aesthetics, our team of physicians provides outstanding care regarding intimate health issues. We pride ourselves on our understanding and discreet bedside manner to ensure that each of our patients is comfortable and satisfied with their care.
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Our Trusted Hormone Balancing Solutions
Unlock the secrets to a more fulfilling and vibrant life through our cutting-edge biote hormone balancing treatments. We specialize in personalized care for both men and women, addressing intimate health concerns with precision and expertise. Reclaim the vitality you deserve—experience the transformative power of biote therapy today.
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