Expert Care in Sexual Health, Aesthetics & Wellness

Located in Columbia, Maryland, we offer expert-led Sexual Health, Hormone Therapy, and Facial Rebalancing services—including PRP, Shockwave Therapy, Penile Filler, Botox, and Dermal Fillers—to help you look, feel, and perform your best.

Expert Care in Sexual Health, Aesthetics & Wellness

Expert Care in Sexual Health, Aesthetics & Wellness

Located in Columbia, Maryland, we offer expert-led Sexual Health, Hormone Therapy, and Facial Rebalancing services—including PRP, Shockwave Therapy, Penile Filler, Botox, and Dermal Fillers—to help you look, feel, and perform your best.

Located in Columbia, Maryland, we offer expert-led Sexual Health, Hormone Therapy, and Facial Rebalancing services—including PRP, Shockwave Therapy, Penile Filler, Botox, and Dermal Fillers—to help you look, feel, and perform your best.

Climax Aesthetic Surgery in Columbia, Maryland, combines advanced sexual wellness, hormone therapy, and aesthetic medicine with medical expertise to deliver the ultimate in confidence-focused care for both men and women. Our clinic is designed to provide a private, supportive, and judgment-free environment where patients feel comfortable discussing their goals. Every experience is guided by personalized attention and medical excellence.

Our treatments—including O-Shot, P-Shot, Penile Filler, Shockwave Therapy, Hormone Therapy, Botox, and Dermal Fillers—are performed by experienced providers using the latest technology and evidence-based techniques. These advanced services are carefully selected to enhance both appearance and sexual performance. Each treatment plan is tailored to your unique anatomy, health, and aesthetic goals, with flexible payment plans available to make care more accessible.

Our goal is not only to enhance how you look and feel, but also to support your overall well-being, intimacy, and self-confidence through personalized care in a welcoming and professional environment. We focus on long-term results, not quick fixes, so patients can enjoy lasting improvements in both health and confidence. At Climax, every visit is designed to be informative, empowering, and truly transformative.

Climax Aesthetic Surgery in Columbia, Maryland, combines advanced sexual wellness, hormone therapy, and aesthetic medicine with medical expertise to deliver the ultimate in confidence-focused care for both men and women. Our clinic is designed to provide a private, supportive, and judgment-free environment where patients feel comfortable discussing their goals. Every experience is guided by personalized attention and medical excellence.

Our treatments—including O-Shot, P-Shot, Penile Filler, Shockwave Therapy, Hormone Therapy, Botox, and Dermal Fillers—are performed by experienced providers using the latest technology and evidence-based techniques. These advanced services are carefully selected to enhance both appearance and sexual performance. Each treatment plan is tailored to your unique anatomy, health, and aesthetic goals, with flexible payment plans available to make care more accessible.

Our goal is not only to enhance how you look and feel, but also to support your overall well-being, intimacy, and self-confidence through personalized care in a welcoming and professional environment. We focus on long-term results, not quick fixes, so patients can enjoy lasting improvements in both health and confidence. At Climax, every visit is designed to be informative, empowering, and truly transformative.

Climax Aesthetic Surgery is led by expert, board-certified providers, giving you peace of mind that you are always in trusted hands. We proudly serve patients at three convenient locations: New York City, NY, Virginia Beach, VA, and Columbia, MD, delivering advanced aesthetic and sexual wellness care.

Climax Aesthetic Surgery is led by expert, board-certified providers, giving you peace of mind that you are always in trusted hands. We proudly serve patients at three convenient locations: New York City, NY, Virginia Beach, VA, and Columbia, MD, delivering advanced aesthetic and sexual wellness care.

About Us

Climax Aesthetic Surgery in Columbia, Maryland, combines advanced sexual wellness, hormone therapy, and aesthetic medicine with medical expertise to deliver the ultimate in confidence-focused care for both men and women.

Our treatments—including O-Shot, P-Shot, Penile Filler, Shockwave Therapy, Hormone Therapy, Botox, and Dermal Fillers—are performed by experienced providers using the latest technology and evidence-based techniques. Each treatment plan is tailored to your unique anatomy, health, and aesthetic goals, with flexible payment plans available.

Climax Aesthetic Surgery is led by expert, board-certified providers, giving you peace of mind that you are always in trusted hands. We proudly serve patients at three convenient locations: New York City, NY, Virginia Beach, VA, and Columbia, MD.

Conditions We Treat

Conditions We Treat

Climax

Support stronger arousal, improved sensitivity, enhanced pleasure, and intimate confidence for both women and men with advanced regenerative care designed to improve blood flow, tissue health, and sexual performance.

O-Shot & P-Shot

Penile Filler (UroFill)

Aesthetic

Smooth wrinkles, restore volume, enhance facial balance, and boost confidence for women and men with advanced aesthetic care designed to lift, contour, and rejuvenate your skin and features.

Botulinum Toxin

Dermal Fillers

Wellness

Relieve menopause symptoms, hormonal imbalance, low libido, and fatigue with hormone therapy or shockwave care designed to support circulation, sensitivity, and overall sexual wellness.

Hormone Therapy

Shockwave Therapy

Climax

Support stronger arousal, improved sensitivity, enhanced pleasure, and intimate confidence for both women and men with advanced regenerative care designed to improve blood flow, tissue health, and sexual performance.

O-Shot & P-Shot

Penile Filler (UroFill)

Aesthetic

Support stronger arousal, improved sensitivity, enhanced pleasure, and intimate confidence for both women and men with advanced regenerative care designed to improve blood flow, tissue health, and sexual performance.

O-Shot & P-Shot

Penile Filler (UroFill)

Wellness

Relieve menopause symptoms, hormonal imbalance, low libido, and fatigue with hormone therapy or shockwave care designed to support circulation, sensitivity, and overall sexual wellness.

Hormone Therapy

Shockwave Therapy

Smooth wrinkles, restore volume, enhance facial balance, and boost confidence for women and men with advanced aesthetic care designed to lift, contour, and rejuvenate your skin and features.

Botulinum Toxin

Dermal Fillers

Aesthetic

Smooth wrinkles, restore volume, enhance facial balance, and boost confidence for women and men with advanced aesthetic care designed to lift, contour, and rejuvenate your skin and features.

Botulinum Toxin

Dermal Fillers

Wellness

Relieve menopause symptoms, hormonal imbalance, low libido, and fatigue with hormone therapy or shockwave care designed to support circulation, sensitivity, and overall sexual wellness.

Hormone Therapy

Shockwave Therapy

About Our Virtual Consultations

Our Virtual Consultations are designed to give you direct access to one of our experienced medical providers at no cost. During your virtual visit, your provider will answer your main questions, explain what to expect from your desired treatment, and pre-screen whether you may be a good candidate.

After your virtual consultation, we recommend an in-person visit for a complete medical evaluation, where your provider will assess your needs and create a personalized treatment plan. The in-person consultation has a $250 fee, which is applied toward your treatment when you proceed.

About Our Virtual Consultations

Our Virtual Consultations are designed to give you direct access to one of our experienced medical providers at no cost. During your virtual visit, your provider will answer your main questions, explain what to expect from your desired treatment, and pre-screen whether you may be a good candidate.

After your virtual consultation, we recommend an in-person visit for a complete medical evaluation, where your provider will assess your needs and create a personalized treatment plan. The in-person consultation has a $250 fee, which is applied toward your treatment when you proceed.

Treatments We Offer in Columbia, MD

Treatments We Offer in Columbia, MD

Treatments We Offer in Columbia, MD

O-Shot

A regenerative treatment for

women that uses platelet-rich

plasma to enhance sensitivity,

improve intimacy, and support

vaginal health.

P-Shot

A natural, PRP-based treatment

for men that improves erectile

function, boosts sensation,

and supports overall sexual wellness.

Penile Filler (UroFill)

A medical, filler-based

treatment for men that adds supportive volume, improves firmness, and enhances sexual confidence.

Botulinum Toxin

A medical, neurotoxin-based
treatment that relaxes
overactive facial muscles,
smooths fine lines, and
refreshes your appearance.

Dermal Fillers

A medical, gel-based
treatment for facial
rebalancing that restores
volume, contour, and
natural-looking symmetry.

Hormone Therapy

A medical, hormone-based
treatment that restores
balance, boosts energy,
supports libido, and
improves overall wellness.

Shockwave Therapy

A non-invasive, wave-based
treatment that improves
blood flow, enhances
sensitivity, and supports
sexual performance.

ALL WE

OFFER

Looking for something else?

Visit our main website to

discover all of our services.

O-Shot

A regenerative treatment for women that uses platelet-rich plasma to enhance sensitivity, improve intimacy, and support vaginal health.

P-Shot

A natural, PRP-based treatment for men that improves erectile function, boosts sensation,

and supports overall sexual wellness.

Penile Filler (UroFill)

A medical, filler-based treatment for men that adds supportive volume, improves firmness, and enhances sexual confidence.

Botulinum Toxin

A medical, neurotoxin-based treatment that relaxes overactive facial muscles,
smooths fine lines, and refreshes your appearance.

Dermal Fillers

A medical, gel-based treatment for facial
rebalancing that restores volume, contour, and natural-looking symmetry.

Hormone Therapy

A medical, hormone-based treatment that restores balance, boosts energy, supports libido, and improves overall wellness.

Shockwave Therapy

A non-invasive, wave-based treatment that improves blood flow, enhances sensitivity, and supports sexual performance.

ALL WE OFFER

Looking for something else? Visit our main website to discover all of our services.

Transformations

You Can Trust

Penile Filler - Before & After

Natural-looking results that feel just as natural. Every treatment is personalized to your anatomy and goals, creating balanced enhancement and renewed confidence.

Facial Rebalancing - Before & After

Natural-looking Botox and Dermal Filler results designed to enhance facial balance, soften lines, and refresh your appearance while preserving your natural expressions.

Transformations

You Can Trust

Penile Filler - Before & After

Natural-looking results that feel just as natural. Every treatment is personalized to your anatomy and goals, creating balanced and renewed confidence.

Facial Rebalancing - Before & After

Natural-looking Botox and Dermal Filler results designed to enhance facial balance, soften lines, and refresh your appearance while preserving your natural expressions.

Payment Plans

Payment Plans

  • Monthly plans, including 0% APR for eligible patients;

  • Simple application with no impact on credit score;

  • Instant access to funds upon approval;

  • Manage payments through Cherry’s patient portal;

  • Pay in smaller installments for better cash flow control.

Discover flexible payment plans, 0% APR options, and the simple application process by visiting our main website.

  • Convenient monthly payments tailored to your budget;

  • Special financing options for healthcare services;

  • Use CareCredit for health, wellness, and personal care;

  • Promotional financing for purchases of $200+;

  • Flexible payment plans for recommended treatments.

Click here to explore all financing details, benefits, and how to apply for CareCredit on our main website.

Appointment deposits are non-refundable and serve to reserve our providers, medical staff, and our equipment specifically for you and your appointment. If an appointment is cancelled without rescheduling, a deposit will become a credit and is good for 6 months from the date of payment.

Meet Our Providers

Mary Ojo-Carons, MD

Dr. Mary is a board-certified Cosmetic Gynecological Surgeon and Sexual Medicine Physician with over 15 years of experience. She is the founder of Climax Aesthetic Surgery and a recognized expert in sexual medicine, hormone therapy, menopausal care, gynecology, and reproductive science.

Akin Ojo-Carons, MD

Dr. Akinwunmi Ojo-Carons is Chief Financial Officer and Men’s Wellness Expert at Climax Aesthetic Surgery. A board-certified urologist and UroFill-certified provider, he specializes in advanced treatments for sexual health, confidence, and performance.

Pamela Ikem, RN

Pamela Ikem is the Chief Operations Officer, Facial Rebalancing Specialist, and Nurse Injector at Climax Aesthetic Surgery. With a BSN, RN licensure, and an MBA, she blends clinical skill and leadership to deliver compassionate, patient-centered care.

Meet Our Providers

Mary Ojo-Carons, MD

Dr. Mary is a board-certified Cosmetic Gynecological Surgeon and Sexual Medicine Physician with over 15 years of experience. She is the founder of Climax Aesthetic Surgery and a recognized expert in sexual medicine, hormone therapy, menopausal care, gynecology, and reproductive science.

Akin Ojo-Carons, MD

Dr. Akinwunmi Ojo-Carons is Chief Financial Officer and Men’s Wellness Expert at Climax Aesthetic Surgery. A board-certified urologist and UroFill-certified provider, he specializes in advanced treatments for sexual health, confidence, and performance.

Pamela Ikem, RN

Pamela Ikem is the Chief Operations Officer, Facial Rebalancing Specialist, and Nurse Injector at Climax Aesthetic Surgery. With a BSN, RN licensure, and an MBA, she blends clinical skill and leadership to deliver compassionate, patient-centered care.

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Are your treatments safe?

Yes. All treatments are medically guided and performed using evidence-based protocols and FDA-cleared technology in a clinical setting.

How soon will I see results?

Results vary by treatment and individual, but many patients begin noticing improvements within weeks, with continued enhancement over time.

Do you offer financing or payment plans?

Yes. We offer flexible payment plans to make treatment more accessible.

Are your treatments safe?

Yes. All treatments are medically guided and performed using evidence-based protocols and FDA-cleared technology in a clinical setting.

How soon will I see results?

Results vary by treatment and individual, but many patients begin noticing improvements within weeks, with continued enhancement over time.

Do you offer financing or payment plans?

Yes. We offer flexible payment plans to make treatment more accessible.

Blog & Articles

Woman standing calmly in the ocean, reflecting confidence and emotional balance during menopause.

The Feeling of Being “Broken” During Menopause: Understanding the Emotional Reality No One Talks About

March 30, 20266 min read

Why So Many Women Feel Lost—and How They Can Find Their Way Back

There is a moment many women experience during menopause that is difficult to explain, and even harder to admit out loud. It is not just about hot flashes or sleep changes. It is deeper than that. It is the quiet, persistent feeling that something inside you has shifted—and that you are no longer the same person you used to be.

Many describe it as feeling “broken.”

Not physically broken in an obvious way, but emotionally, mentally, and sometimes even spiritually disconnected from who they once were.

What makes this experience so powerful is that it often happens without warning.

The Emotional Reality Behind Menopause

Menopause is often described as a natural phase of life, but for many women, it feels anything but simple. The transition—especially during perimenopause—is often described as an emotional roller coaster.

Hormonal fluctuations, particularly the decline in estrogen and progesterone, have a direct effect on brain chemistry. These hormones influence serotonin and other neurotransmitters that regulate mood, which means that changes in hormone levels can lead to anxiety, irritability, sadness, and even depression.

For some women, this manifests as mood swings or emotional sensitivity. For others, it feels much heavier.

Studies show that around 38% of women in late perimenopause experience depressive symptoms, including fatigue, irritability, and emotional instability . Other research suggests that more than half of women report increased depressive symptoms during this transition .

This is not a rare experience. It is incredibly common.

And yet, it is rarely spoken about openly.

“I Don’t Feel Like Myself Anymore”

One of the most common things women say during menopause is:

“I just don’t feel like myself anymore.”

This feeling can be difficult to articulate because it is not tied to one single symptom. It is a combination of many subtle changes happening at once.

There may be moments of unexpected sadness, irritability that feels out of character, or anxiety that appears without a clear reason. Some women describe a loss of confidence or a sense of disconnection from their identity.

According to health sources, menopause can bring symptoms such as loss of self-esteem, low mood, anxiety, and reduced confidence . These emotional shifts are often intensified by sleep disturbances, fatigue, and physical discomfort.

Even cognitive changes can play a role. What many women call “brain fog”—difficulty concentrating, forgetfulness, or feeling mentally slower—is reported by a large percentage of women during menopause .

Individually, each of these changes may seem manageable. Together, they can create a powerful sense that something is “off”.

Why the Feeling of Being “Broken” Happens

The feeling of being broken does not come from weakness. It comes from disruption.

Menopause represents one of the most significant hormonal transitions in a woman’s life. It is often compared to puberty or postpartum in terms of its impact on the brain and body.

Experts describe these life stages as “windows of vulnerability,” where rapid hormonal changes increase the likelihood of emotional challenges such as anxiety and depression .

At the same time, menopause often coincides with major life transitions. Children may be leaving home, careers may be evolving, relationships may be shifting, and the body itself is changing in ways that can feel unfamiliar.

It is not just one change—it is many changes happening at once.

And when those changes affect how you think, feel, sleep, and function, it can feel like you have lost control over yourself.

The Silence Around It

One of the most difficult parts of this experience is how isolating it can feel.

Many women do not talk about the emotional side of menopause, even with close friends or family. There is often a sense that they should be able to handle it quietly or that what they are feeling is not valid enough to share.

This silence creates a dangerous cycle.

Women begin to believe that they are alone in their experience, when in reality, they are part of a very large group of people going through the same thing.

Research shows that almost half of menopausal women report feelings of anxiety or depression, yet many never seek support .

The lack of open conversation reinforces the idea that something is “wrong” with them, rather than recognizing that what they are experiencing is a normal response to a major biological transition.

When It Feels Like You’re Losing Yourself

Perhaps the most difficult aspect of menopause is not the physical symptoms, but the sense of identity loss.

Women who have always felt strong, capable, and in control may suddenly find themselves struggling with emotions they cannot fully understand. They may feel less confident, less motivated, or less connected to the person they used to be.

This can lead to a deep internal question:

“Where did I go?”

It is important to understand that this feeling does not mean you are broken.

It means you are changing.

And change—especially one driven by biology, hormones, and life transitions—can feel overwhelming.

The Role of Sleep, Stress, and the Body

Menopause does not happen in isolation. Physical symptoms often intensify emotional ones.

Sleep disturbances are one of the most significant factors. Insomnia and night sweats are common, and poor sleep can dramatically increase the risk of depression and anxiety .

Fatigue, brain fog, and physical discomfort can make even simple daily tasks feel more difficult, which adds to the emotional burden.

This combination of physical and emotional symptoms creates a cycle where each one reinforces the other.

The Most Important Truth: You Are Not Broken

Despite how it feels, the most important message is this:

You are not broken.

What you are experiencing is a complex interaction between hormones, brain chemistry, life changes, and physical symptoms.

It is real.
It is valid.
And it is shared by millions of women around the world.

There Is a Way Forward

One of the most empowering shifts happening today is the growing awareness that menopause is not something women simply have to endure.

There are options.

Support can come in many forms, including medical care, hormone therapy, mental health support, lifestyle changes, and aesthetic treatments that help women feel more like themselves again.

At Climax Aesthetic Surgery, providers such as Dr. Mary Ojo-Carons work closely with women to address not only the physical changes of menopause, but also the emotional and psychological impact.

The goal is not just to treat symptoms, but to help women reconnect with themselves—to feel balanced, confident, and in control again.

Reframing the Experience

Menopause is often framed as an ending. But for many women, it can also be a beginning.

A beginning of deeper self-awareness.
A beginning of prioritizing health and well-being.
A beginning of understanding the body in a new way.

The feeling of being broken is not the final chapter.

It is part of a transition.

Final Thoughts

The emotional experience of menopause is one of the most misunderstood aspects of women’s health. The feelings of sadness, anxiety, irritability, and disconnection are not signs of weakness—they are reflections of a profound biological and life transition.

If you feel like you are not yourself, you are not alone.

If you feel overwhelmed, there is nothing wrong with you.

And if you feel broken, it is important to know that you are not.

There is support. There are solutions. And there is a path forward.

The most important step is recognizing that your experience is real—and that you deserve to feel like yourself again.

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blog author image

Dr. Mary Ojo-Carons

Dr. Mary Ojo-Carons is a Cosmetic Gynecological Surgeon, Sexual Medicine Physician, Healthcare Expert, Researcher, Author, and Consultant in the areas of Sexual Medicine, Hormone Therapy, Menopausal Medicine, Gynecology, and Reproductive Science. As a board-certified physician and surgeon, she has 15+ years of experience and is the founder of Climax Aesthetic Surgery. Dr. Ojo-Carons completed her Cosmetic Gynecology training with the International Society of Cosmetic Gynecologists in New Jersey and the Cosmetic Gynecology Center of San Antonio in Texas. She completed her residency at The Mount Sinai Hospital in New York. During her tenure at Mount Sinai, Dr. Ojo-Carons was presented with the Outstanding Teacher of Obstetrics and Gynecology Award. Her educational approach to patient care was also recognized as the recipient of the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award. Prior to residency, Dr. Ojo-Carons earned her Doctor of Medicine from Georgetown University School of Medicine in Washington, DC. Her academic diligence earned her the Georgetown University National Medical Association Dean’s Award and the Georgetown University Hospital Obstetrics and Gynecology Department Award. Dr. Ojo-Carons received a Master of Biomedical Science from Rutgers University (formerly The University of Medicine and Dentistry of New Jersey) and a Bachelor of Science in Chemistry from Wofford College in Spartanburg, South Carolina Dr. Ojo-Carons still serves her academic community as an Assistant Professor of Ob/Gyn at Eastern Virgina Medical School and as a Georgetown University Alumni liaison, helping the next generation of graduating physicians. Her other memberships include The American College of Obstetrics and Gynecology, The International Society for CosmetoGynecologists, The International Society for the Study of Women’s Sexual Health, The Sexual Medicine Society of North America, The International Society of Sexual Medicine, The American Medical Spa Association, The American Medical Association, North American Menopause Society. A believer in patient advocacy Dr. Ojo-Carons utilizes her daily platform to provide revolutionary care. Highly rated by patients as an excellent communicator, Dr. Ojo-Carons enjoys educating women and men about their bodies. She believes it is important to impart knowledge in a way that is easily retained and comprehended.

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Contact Us

(410) 505-7319

8955 Guilford Rd STE 120, Columbia, MD 21046

Office Hours

Monday – Friday
Telephone Availability 9 am – 5pm
In office services – By appointment
Saturday – By appointment only
Sunday – Closed

Columbia, Maryland

8955 Guilford Rd STE 120,

Columbia, MD 21046

(410) 505-7319

(410) 505-7319

8955 Guilford Rd STE 120, Columbia, MD 21046

Contact Us

(410) 505-7319

8955 Guilford Rd STE 120, Columbia, MD 21046

Office Hours

Monday – Friday
Telephone Availability 9 am – 5pm
In office services – By appointment
Saturday – By appointment only
Sunday – Closed

Copyright 2026. Climax Aesthetic Surgery

Copyright 2026. Climax Aesthetic Surgery