Question 1

What conditions are treated under sexual wellness care?

Accepted Answer

Sexual wellness care addresses a wide range of concerns:

• Vaginal dryness or irritation
 • Painful penetration or intercourse
 • Vaginal atrophy
 • Decreased vaginal elasticity or sensation
 • Lichen sclerosus and chronic vulvar skin conditions
 • Pelvic floor muscle spasm
 • Changes in sexual response such as difficulty reaching orgasm or low intensity orgasm

Question 2

How do hormones affect sexual wellness?

Accepted Answer

Hormones play a central role in vaginal health and sexual function. Declining estrogen and testosterone levels, particularly during perimenopause and menopause, can lead to thinning of vaginal tissues, decreased lubrication, increased sensitivity or pain, and changes in arousal and orgasm. Optimizing hormonal health is often the foundation of effective sexual wellness treatment.

Question 3

How is vaginal dryness treated?

Accepted Answer

Vaginal dryness is most commonly related to hormonal changes, particularly declining estrogen levels, but tissue health, blood flow, and elasticity also play an important role. Treatment is individualized and may include one or more of the following:

• Vaginal estrogen therapy
The cornerstone of treatment for vaginal dryness related to menopause or hormonal deficiency. Vaginal estrogen helps restore moisture, improve tissue thickness and elasticity, and reduce irritation and discomfort with daily activities and intercourse.
 • Diva vaginal laser treatment
A minimally invasive laser therapy that stimulates collagen production and improves blood flow within the vaginal walls, helping restore moisture, elasticity, and overall tissue health.
 • Morpheus8 microneedling with radiofrequency
Used to improve vulvar and vaginal tissue quality by promoting collagen remodeling and strengthening thinning or fragile tissues, particularly helpful in cases of atrophy or chronic skin conditions.
 • EmFemme 360 treatments
Gentle radiofrequency therapy that improves blood flow, tissue hydration, and elasticity, helping reduce dryness and discomfort, especially when combined with hormonal optimization.

For most women, addressing hormonal health is the foundation of effective treatment, with energy-based therapies used to enhance tissue response and improve long-term comfort.

Question 4

What treatments are available for painful penetration or painful sex?

Accepted Answer

Painful penetration or painful sex can have multiple contributing factors, including hormonal changes, vaginal atrophy, pelvic floor muscle spasm, inflammation, or decreased tissue elasticity. Effective treatment focuses on identifying and addressing the underlying cause and may include:

• Hormonal therapy
Vaginal estrogen and, when appropriate, systemic hormonal optimization help restore tissue health, lubrication, and elasticity, reducing pain related to atrophy or hormonal deficiency.
 • Pelvic floor physical therapy
Addresses pelvic floor muscle tension, spasm, or coordination issues that commonly contribute to painful penetration and discomfort with intercourse.
 • Vaginal Botox injections
Used in carefully selected patients with pelvic floor muscle spasm or high-tone pelvic floor dysfunction, vaginal Botox helps relax overactive muscles, reduce pain, and improve comfort, often enhancing the effectiveness of physical therapy.
 • Diva vaginal laser treatment
Stimulates collagen production and improves blood flow within the vaginal walls, helping improve elasticity, moisture, and comfort with penetration.
 • Morpheus8 microneedling with radiofrequency
Improves vulvar and vaginal tissue quality by promoting collagen remodeling and strengthening thinning or fragile tissues, particularly helpful in cases of atrophy, chronic irritation or conditions like lichen sclerosis.
 • EMFemme 360 treatments
Gentle radiofrequency therapy that improves blood flow, tissue elasticity, and vaginal comfort, which can help reduce pain associated with dryness or tissue sensitivity.

Most patients benefit from a combination approach, with hormonal optimization as the foundation and targeted therapies selected based on symptoms and exam findings.

Question 5

What is vaginal Botox used for?

Accepted Answer

Vaginal Botox is used in carefully selected patients with pelvic floor muscle spasm or high-tone pelvic floor dysfunction that contributes to painful penetration or intercourse. By relaxing overactive muscles, vaginal Botox can reduce pain and improve comfort.

Question 6

How does Diva vaginal laser treatment work?

Accepted Answer

Diva vaginal laser treatment is a minimally invasive procedure designed to improve vaginal tissue health, elasticity, and moisture by stimulating collagen production and improving blood flow within the vaginal walls.

Question 7

What is Morpheus8 used for in sexual wellness?

Accepted Answer

Morpheus8 microneedling with radiofrequency energy is used to improve skin quality and tissue health in vulvar and vaginal tissues. It can be particularly helpful for lichen sclerosus, vulvar atrophy, and tissue thinning.

Question 8

Can EmFemme 360 help with painful sex?

Accepted Answer

Yes. EmFemme 360 uses gentle radiofrequency energy to improve blood flow, tissue elasticity, and vaginal comfort, and can be helpful for women experiencing painful sex related to dryness or tissue sensitivity.

Question 9

Is sexual wellness treatment only for postmenopausal women?

Accepted Answer

No. Sexual wellness concerns can affect women of all ages. While many symptoms arise during perimenopause and menopause, younger women may experience issues related to childbirth, hormonal imbalances, pelvic floor dysfunction, or medical conditions.

Sexual Wellness