Add The California Post on Google The “Billionaires’ Vagina Club” has become the cheeky nickname for an exclusive Silicon Valley concierge gynecology practice where some of the region’s wealthiest women are paying more than $30,000 a year to “healthmaxxx” their sex lives.
The nickname was coined by concierge gynecologist Sally Greenwald, an assistant clinical professor at Stanford, to describe her fast-growing practice, which caters to billionaire wives, executives and philanthropists seeking personalized menopause care, hormone therapy and sexual wellness treatments.
She later stopped using the term after some of her billionaire patients reportedly found it unamusing.
Greenwald’s annual memberships now start above $10,000 and can exceed $30,000 for her highest tier of care, which includes lengthy appointments, around-the-clock physician access, personalized treatment plans and coordination with specialists, according to a profile by The New Yorker.
Among those who have turned to Greenwald are tech entrepreneur and philanthropist Gisel Kordestani, wife of former Twitter chairman Omid Kordestani, who recently hosted the physician at the couple’s Atherton mansion for a private gathering of patients.
The guest list also included Nicole Lacob, who runs the Golden State Warriors’ philanthropic foundation and is married to majority owner Joe Lacob.
Greenwald has also attracted fans, including the wife of Mark Zuckerberg, Priscilla Chan, who has hosted private events where the physician has spoken, while former Meta executive Sheryl Sandberg praised her as “brilliant, energetic, passionate” and is writing a blurb for Greenwald’s upcoming book.
Rather than focusing only on extending lifespan, Greenwald encourages patients to increase what she calls their “sexspan” — the number of years they remain sexually healthy and active.
She argues that better sexual health can improve sleep, reduce stress, strengthen relationships and boost overall health, embracing Silicon Valley’s obsession with optimization through what has become known as “healthmaxxing.”
Her concierge model goes beyond a traditional gynecology visit. Patients often undergo extensive hormone monitoring, advanced blood testing, wearable health tracking, full-body MRIs and individualized treatment plans that can include hormone replacement therapy, testosterone, menopause management and personalized sex coaching.
Unlike most gynecology practices, Greenwald gives patients appointments that can last an hour or more, remains available by phone from early morning until late evening and, according to the magazine, has even met patients arriving on private jets and made house calls for urgent medical concerns.
Greenwald said she believes women have long been underserved by traditional medicine, particularly when it comes to menopause and sexual health, and wants to shift the focus from treating disease to proactively improving quality of life.
“I am always, like, ‘What’s next? What’s better? Why don’t we try this?’” she told the magazine.
Greenwald also briefly found herself caught up in an unrelated controversy after appearing on longevity physician Peter Attia’s podcast.
Months later, Attia’s name surfaced in documents released by the U.S. Department of Justice related to Jeffrey Epstein, prompting renewed scrutiny of the episode and online criticism.
Greenwald declined to comment on Attia but said she remains willing to appear on a wide range of platforms to promote her message that “sexual health is health.”
Demand for Greenwald’s practice has continued to soar, leaving the physician with a lengthy waiting list as affluent women seek access to the exclusive care that inspired the “Billionaires’ Vagina Club” moniker.