A specialized concierge gynecology practice in Silicon Valley, nicknamed the “Billionaires’ Vagina Club,” is drawing the region’s wealthiest women with services focused on sexual wellness and personalized menopause care, with annual fees exceeding $30,000.
Concierge gynecologist Sally Greenwald, also an assistant clinical professor at Stanford, coined the nickname for her practice, which caters to the wives of billionaires, executives, and philanthropists. While the term was reportedly not appreciated by all of her high-profile patients, it highlights the elite clientele seeking advanced treatments.
Greenwald's annual membership fees start above $10,000 and can reach over $30,000 for top-tier care. This highest level includes extended appointments, 24/7 physician access, customized treatment plans, and coordination with other specialists, according to The New Yorker.
Notable patients and attendees at events hosted by Greenwald include Gisel Kordestani, wife of former Twitter chairman Omid Kordestani, and Nicole Lacob, who manages the Golden State Warriors’ philanthropic foundation and is married to majority owner Joe Lacob. Priscilla Chan, wife of Mark Zuckerberg, has hosted events where Greenwald has spoken, and former Meta executive Sheryl Sandberg has publicly praised Greenwald and is writing a blurb for her forthcoming book.
Greenwald emphasizes a concept she calls “sexspan,” aiming to increase the number of years women remain sexually healthy and active, rather than solely focusing on lifespan. She advocates that improved sexual health contributes to better sleep, reduced stress, stronger relationships, and overall well-being, aligning with a Silicon Valley ethos of optimization, often termed “healthmaxxing.”
The practice's approach extends beyond traditional gynecology. Patients undergo extensive hormone monitoring, advanced blood tests, wearable health tracking, full-body MRIs, and individualized treatment plans. These can include hormone replacement therapy, testosterone treatments, menopause management, and personalized sexual health coaching.
Appointments at Greenwald's practice can last an hour or more. She offers availability from early morning until late evening and has reportedly met patients arriving on private jets or made house calls for urgent medical needs.
Greenwald stated her belief that women have historically been underserved in areas of menopause and sexual health by conventional medicine. Her goal is to shift the focus from disease treatment to proactive quality-of-life improvement.
Earlier this year, Greenwald faced scrutiny after appearing on longevity physician Peter Attia’s podcast. Attia’s name later surfaced in documents released by the U.S. Department of Justice related to Jeffrey Epstein, leading to renewed online criticism of the episode. Greenwald declined to comment on Attia but reiterated her commitment to promoting the message that “sexual health is health” across various platforms.
Demand for Greenwald's services continues to grow, resulting in a significant waiting list for affluent women seeking access to her specialized care.