Question 1

MonaLisa Touch

Accepted Answer

MonaLisa Touch is a virtually painless procedure that delivers laser energy to the vaginal wall to promote optimum vaginal health. It is a 15-20 minute procedure that requires no anesthesia and has no post-treatment downtime. MonaLisa Touch restores vaginal health and treats painful intercourse. Vulvovaginal atrophy (called VVA) and other issues of vaginal health are commonly seen in post-menopausal women with vaginal dryness, in young women with incontinence or pelvic floor laxity, and in women who would want vaginal rejuvenation. This treatment restores the entire length of vaginal tissue. For women who want to minimize or avoid hormone use, this non-invasive alternative is an ideal therapy. MonaLisa Touch therapy has also improved incontinence and has been used for vaginal wall tightening. Learn more about MonaLisa Touch.

Question 2

PRP Treatments for Sexual Function Enhancement

Accepted Answer

Platelet Rich Plasma (PRP) therapy is like getting an autologous blood transfusion; it is a treatment made from your own concentrated blood growth factors. PRP has been introduced into many medical settings to treat conditions of functional impairment, particularly joint and arthritic conditions. PRP can also be used in the clitoral and anterior vaginal “G-spot” regions to improve sexual function. The PRP activates when injected. Over the next few days, the injected platelets release growth factors that stimulate cells to regenerate tissue, form new blood vessels and restore nerve endings. Patients may experience mild, temporary bruising or redness at the injection site. Most women will experience a response approximately 6 weeks after injection, though some report a more rapid response. Results can last up to 18 months. Most women will have a second treatment after about 12 weeks for more robust results. PRP therapy can improve of arousal, lubrication and orgasm; in the bladder and upper vaginal regions, it can improve urinary incontinence and heal vaginal conditions such as vulvovaginal atrophy (VVA). Learn more about PRP.

Question 3

Labiaplasty

Accepted Answer

Labiaplasty therapy is a surgical procedure to treat the inner labia minora or the outer labia majora folds of the vulva. While there are normal variations in color, shape and size, some women suffer with genetic anatomic abnormalities, or changes due to aging or childbirth that they wish to be corrected. Depending on your physical condition significant improvements can be achieved. The procedures can often be performed with local numbing, and others will require more anesthesia.

Question 4

Labial Minora Plasty

Accepted Answer

Labiaplasty therapy is a surgical procedure to treat the inner labia minora of the vulva. In some cases the folds have become very elongated, or asymmetrical and the procedures can change the shape and contour of the labia to achieve a more normal appearance. In some cases medical conditions have fused the tissue to the labia majora and this may need medical correction. In other cases skin conditons have made the tissue sensitive to touch or tearing and treatments can improve this as well.

Question 5

Labia Majora Plasty

Accepted Answer

Labiaplasty therapy is a surgical procedure to treat the outer labia majora folds of the vulva. In most cases women who have these procedures have excess bulky tissue which either is cumbersome or the appearance is bothersome. In some cases women have tears from rings or studs that need to be treated.

Question 6

Labial Fillers

Accepted Answer

In some cases sex is painful as the tissue has become so thin with weight loss or aging that the pelvic bone is effectively bruised with exercise or sex. There are cases that have been successfully treated with hyaluronic acid fillers. Complications are possible and it's important to understand your alternatives.

Question 7

Treatment of Vaginismus

Accepted Answer

In some cases sex is impossible due to the forceful and involuntary contraction of the vaginal muscles. This is a condition called vaginismus. The causes are multifactorial and we would suggest a gynecologic work up to determine if there are medical causes of the condition that would first be treated. Nurotoxin therapy, such as with Botox, has been successful at helping women overcome these conditons and this may be an alternative for you.

Question 8

Excessive Genital Sweating

Accepted Answer

Women may have excessive sweating of the underarms, the palms, the breasts, or the genital regions such as the groin or vulva. This may or may not be accompanied by skin, metabolic, or hormonal conditions that could be treated. In some cases the sweating becomes so profuse that there is skin breakdown, or inability to workout. Neurotoxin therapy, such as Botox, which has been commonly used in the underarm area can treat excessive genital sweating as well.

Question 9

Hymenoplasty and Plastic Procedures of the Hymen

Accepted Answer

Hymenoplasty (hymenorrhaphy) is the surgical reconstruction of the hymen to make the patient's vaginal opening appear virginal and/or repair the hymen after an injury. The hymenoplasty uses the hymenal tags to repair the tissue for cultural, religious, or for the re-virginization of the tissue. We are also able to offer a variety of medical therapies on the hymen to address issues of uncomfortable hymenal tags, painful intercourse, reduction of the hymen for women who have no perforation, unable to use a tampon, or have scaring that makes intercourse or tampon use painful.

Question 10

Clitoral Hood Reduction

Accepted Answer

In women with excess clitoral hood tissue, this tissue can be removed. It is healthy to have an appropriate tissue covering to the sensitive clitoris and we do not perform female circumcisions or clitoral removal. In other cases women have scaring or thickening of the clitoral hood that is interfering with sex and in those women we recommend being evaluated for topical or systemic therapies.

Question 11

Perineoplasty

Accepted Answer

The perineum is the tissue between the vagina and the opening of the anus. It may have become thin or the muscle layers damaged in childbirth. Perineoplasty is a surgical correction of the layers that may improve sex and bowel function.

Question 12

Female Bladder Treatments

Accepted Answer

There are many options for bladder therapy whether your complaint is incontinence, urinary frequency, painful urination or infections. We have the ability to do medical evaluations, medication therapy, and surgical treatments, when appropriate. In addition we can enhance those therapies with non-invasive MonaLisa Touch therapy, or Platelet Rich Plasma (PRP) or Radiofrequency Treatments with non-invasive nerve stimulation (PTNS). Other therapies may be appropriate for those with stress incontinence, urge incontinence or a combination of those two issues.

Question 13

Customized Pessary Fittings

Accepted Answer

The pessary is an inert silicone device that can be used to correct pelvic floor problems. Using a pessary can help uterine prolapse, cystoceles, rectoceles, and incontinence. We welcome the opportunity to evaluate the pelvic floor and your bladder function through examination and cystometric testing to see if this therapy would be beneficial for you. The proper use of a pessary can prevent unnecessary surgery. We offer customizable therapy for women who have not been successful with pessary use in the past but wish to consider the use of a pessary in the future. The use of MonaLisa touch vaginoplasty therapy has allowed women to receive a virtually painless therapy that will then enable them to comfortably use the pessary. We can also order customized modifications to a pessary to address your personal needs.

Question 14

Fecal Incontinence

Accepted Answer

Women should feel comfortable in discussing this seldom brought up issue of fecal incontinence. It may be one consequence of childbirth that may indeed require surgical intervention. We do offer both evaluation and therapies such as pelvic floor exercises, medication management, non-invasive laser therapy, and radiofrequency treatments that have all had successful management of this condition.

Question 15

Percutaneous Nerve Stimulation

Accepted Answer

The tibial nerve can be stimulated painlessly through the application of radiofrequency energy at a a specific place in the lower inner leg. Women who have failed medical therapy, or unable to tolerate medical therapy may be candidates for this treatment if they have urinary pelvic complaints. It may be appropriate for some patients with fecal incontinence as well.

Question 16

Participate in Clinical Trials

Accepted Answer

The Clinical Research Division of Women’s Health Practice participates in many clinical trials. Please visit the home page of www.womenshealthpractice.com and search under research for more information, or call the clinical research nurse at 217-356-3736.

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