YOU ALREADY KNOW...
Your sex drive has diminished. You have pain with intercourse, your vagina is dry and you require a lubricant, and/ or you have poor quality orgasm or even none at all.
YOU MAY NOT KNOW....
You are not alone. Sexual dysfunction occurs in up to 70% of women and is even more common during perimenopause and menopause. Causes of sexual dysfunction are usually multifactorial and may be related to psychosocial, neurological, physiological and endocrine issues.
YOU NEED TO KNOW...
Female sexual dysfunction (FSD) can be improved or alleviated by many different therapy options. Our providers work in partnership with their patients to jointly and accurately diagnose and effectively treat women with FSD.
Types of Female Sexual Dysfunction
FEMALE ORGASMIC DISORDER. This disorder is characterized by poor quality or no orgasm experienced despite significant foreplay.
HYPOSEXUAL DESIRE DISORDER. Defined as a diminished or absent thoughts of sexual activity.
DYSPAREUNIA. Pain with penetration and/or thrusting or discomfort that occurs after vaginal penetration with or without light vaginal bleeding.
VAGINAL ATROPHY
Vaginal atrophy, also referred to as atrophic vaginitis, is a condition where the vaginal walls become thin, dry, and inflamed due to decreased estrogen levels. It is a common side effect of menopause, but also occurs after some breast cancer treatments and during breastfeeding. Vaginal atrophy can make intercourse painful and can cause troublesome urinary issues and symptoms.
VAGINAL LAXITY
Your skin gets its spring from a protein called collagen. As you age, production of this protein naturally diminishes. As a result, the tightness you once experienced in your vagina isn’t quite the same. This laxity means you could experience less lubrication, may be unable to have an orgasm, and you experience less sensation during intercourse.
You may also have laxity in your vagina because of multiple vaginal births, certain genetic disorders, or vaginal trauma. Regardless of the reason, there are ways to correct it. It’s not just a natural process you have to accept.
Evaluation and Testing
DIAGNOSTIC TESTING. The key to your diagnosis is accurate assessment. We strive to accurately diagnose your individual problems to assure that your treatment plan is designed with your needs in mind. Several diagnostic tests are used in combination to determine the best therapeutic intervention that fits your needs.
ENDOCRINOLOGY HORMONE EVALUATION. Complete hormone evaluation provides valuable information as to any hormonal cause for your symptoms and provides a direction to replacing the specific hormones that you need.
PSYCHOSOCIAL EVALUATION. Determining what, if any, social and personal issues are affecting your sexual functioning will allow us to better assist you and even refer for counseling as needed.
PHYSIOLOGICAL EVALUATION. An assessment of vaginal health is essential. This includes vaginal muscle tone , tissue quality, vaginal support evaluation, incontinence evaluation, and any presence of vaginal and vulvar skin lesions that may be interfering with sexual activity.
Treatment Options
BIOIDENTICAL HORMONE REPLACEMENT THERAPY. Use of supplemental doses of hormones that have chemical structure identical to the hormones that the human body naturally produces. Learn more about Nore’s bioidentical hormone replacement therapy.
PELVIC MUSCLE STRENGTHENING. Strengthening of the pelvic floor muscle to provide stronger contraction for orgasm.
SURGERY. Surgery for vaginal support loss, vaginal tightening, or urinary incontinence.
THERAPY. Our providers utilize referrals to trained therapists, effective weight loss programs, and medications that increase sexual desire.
VAGINAL REJUVENATION. Our providers utilize referrals to trained therapists, effective weight loss programs, and medications that increase sexual desire. Learn more about Nore’s vaginal rejuvenation treatments.