The Journal of the American Medical Association reports that sexual dyfunction, often considered worse in women than in men, can lead to a lowered sense of well-being that negatively affects the relationships with our sex partners and can contribute to the disintegration of the family. Sexual disorders not only take the fun out of sex, but better sex also leads to greater energy, more creativity, increased confidence, less depression and improved overall health.
Q: Once I have thinned and lost volume, is there anything we can do?
A: There are multiple ways to improve the function and appearance of the vagina.
One way is using radiofrequency.
I treat each labial area, majora and minora, and I also treat the perineal area, to encourage rejuvenation and plumping of supporting structures which would help tighten the vagina. The treatment is pretty much painless- just the heat sensation. The aim is to maintain a surface temperature of 40-42 oC to allow for the collagen remodeling. In terms of using radiofrequency in this area, it’s an emerging approach to management. We know what heat does to collagen, and therefore know how we can manipulate the effect of RF on the tissues to get the required result.
Another way is using PRP.
PRP for vaginal rejuvenation is an upcoming treatment that uses a sample of your blood to create a special serum. This serum contains a concentration of growth factors, stem cells, and other healing elements that can restore the firmness of the skin.
PRP may stimulate stem cells to grow healthier vaginal tissue. The whole procedure for processing the blood and injecting the growth factors takes less than 20 minutes in the doctor’s office!
Hyaluronic acid (HA) is another compound that the body produces naturally. Many people have successfully used HA injectables (fillers) to restore the youthful appearance of facial skin. Doctors have also combined hyaluronic acid with PRP injections for better pain relief and mobility. HA is a natural lubricating agent and for this reason, it can plump up and restore flexibility to the skin. Adding HA can make results happen sooner, and be more long lasting.
Q: In summary what are all of my options?
A: Some people try more than one thing to reverse years of changes.
- Hormones alone or in combination with a procedure
- Radiofrequency to stimulate collagen production
- Vaginal prolotherapy (injecting substances that are not PRP or fillers)
- PRP injections alone
- PRP plus a hyaluronic acid filler
- Hyaluronic filler injections alone
- Instead of PRP, use an injection of amniotic fluid, exosomes, or cord blood
Q: Too bad my husband can’t have this stuff… now that I am better, can he be helped?
A: Yes, PRP, exosomes, and cord blood products are used in men also. After all, they are growth factors…
Q: How do I make an appointment?
A: Call (281) 367-4700 for pricing and to set an appointment.
Tamyra Comeaux, MD 
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