A specialized concierge gynecology practice in Silicon Valley, informally known as the “Billionaires’ Vagina Club,” is charging some of the region’s wealthiest women upwards of $30,000 annually for advanced sexual wellness treatments and personalized care.
Concierge gynecologist Sally Greenwald, an assistant clinical professor at Stanford, coined the nickname to describe her practice, which focuses on personalized menopause care, hormone therapy, and sexual wellness for affluent wives, executives, and philanthropists. While Greenwald eventually stopped using the term after some patients found it unamusing, her annual membership fees now begin above $10,000 and can exceed $30,000 for comprehensive care packages. These packages include extended appointments, 24/7 physician access, customized treatment plans, and coordination with other medical specialists.
Notable figures who have engaged with Greenwald’s services or hosted related events 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 spoke, and former Meta executive Sheryl Sandberg has praised Greenwald and is contributing to her upcoming book.
Greenwald's approach emphasizes increasing one's “sexspan”—the duration of sexual health and activity—rather than solely focusing on lifespan. She advocates that improved sexual health can lead to better sleep, reduced stress, stronger relationships, and overall enhanced well-being, aligning with a broader trend of “healthmaxxing” or optimizing health through intensive interventions.
The practice’s model extends beyond conventional gynecology, incorporating extensive hormone monitoring, advanced blood testing, wearable health tracking, full-body MRIs, and tailored treatments such as hormone replacement therapy, testosterone, and menopause management. Appointments can last an hour or more, and Greenwald offers availability from early morning to late evening, sometimes meeting patients on private jets or making house calls for urgent needs.
Greenwald expressed a belief that traditional medicine has historically underserved women, particularly concerning menopause and sexual health. She aims to shift the medical focus from disease treatment to proactive quality-of-life improvement, stating, “I am always, like, ‘What’s next? What’s better? Why don’t we try this?’”
Greenwald also faced brief scrutiny after appearing on longevity physician Peter Attia’s podcast, which later led to online criticism when Attia’s name surfaced in documents related to Jeffrey Epstein. Greenwald declined to comment on Attia but reaffirmed her commitment to promoting the message that “sexual health is health.”
Demand for Greenwald's services continues to be high, resulting in a significant waiting list for affluent women seeking access to her specialized care.