Sexual Health


Miranda Zuhlke, PA-C, completed postgraduate training from the University of Michigan in sexual health counseling and education. She is working towards her national certification as a sex educator and counselor through AASECT. She will be offering services for sexual health counseling, arousal disorder, decreased desire, pelvic floor dysfunction, pelvic pain, and menopause transition.

I provide counseling to individuals and couples of all orientations and genders with the following concerns: 

  • Desire discrepancies between partners.
  • Navigating and/or improving low or absent sexual desire.
  • Difficulty having orgasms.
  • Peri-menopausal and post-menopausal sexual concerns.
  • Reviving a sexual relationship after separation or divorce.
  • Navigating sexual activity post-surgery.
  • Effects of negative self-image on sexual activity.
  • Life-style choices and their impact on sex.
  • Vaginal pain/dryness.
  • Navigating changes and sexual activity after childbirth.


Sexual counselors are solution-focused practitioners that act in an advisory role to help you achieve a more satisfying sexual life. As a medical provider, Miranda can diagnose and treat many health issues that negatively affect sexual activity. Sexual therapists do not diagnose or treat medical problems but instead focus on behavioral and mental health problems. Miranda’s counseling practice focuses on helping you clarify your goals and develop a realistic plan to achieve them. At VI, we do not provide long-term psychotherapy to patients with complex or chronic mental health issues. If necessary, the patient will be referred to a colleague or another appropriate practitioner from our sex therapy network.