Vaginal & Sexual Health


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.

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.


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.

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.

While women do not have a “little blue pill” available, many therapeutic options are available.

Use of supplemental doses of hormones that have chemical structure identical to the hormones that the human body naturally produces.

Pelvic Muscle Strengthening
Strengthening of the pelvic floor muscle to provide stronger contraction for orgasm.

Surgery for vaginal support loss, vaginal tightening, or urinary incontinence.

Our providers utilize referrals to trained therapists, effective weight loss programs, and medications that increase sexual desire.

MonaLisa Touch® Laser
MonaLisa Touch® is a CO2 laser treatment designed to restore vaginal function and alleviate discomfort which can be a side effect menopause or cancer treatments. This treatment has a significant effect on the burning, itching, and dryness from vaginal atrophy. MonaLisa Touch® resurfaces the vagina and stimulates natural collagen production to rehydrate and rejuvenate the vaginal walls.

O Shot®’s are administered by injecting platelet rich plasma (PRP) from a woman’s own blood into her clitoris and vagina. The injected PRP stimulates stem cells to grow , leading to healthier, more sensitive and rejuvenated vaginal tissue. Improvement in orgasmic function and urinary incontinence are some of the potential positive effects of this procedure.

ThermiVa® Laser

ThermiVa®is a nonsurgical laser procedure used to address unwanted vaginal changes. Women may seek this treatment simply to improve appearance or for tightening of the vagina following vaginal childbirth or for changes associated with aging. Whatever the cause for these unwanted physical changes, ThermiVa® treatments can help both women and their partners to feel more confident and happy with their intimate experiences. The “S” shaped hand-piece works to tighten external and internal vulvovaginal tissue through a controlled heat, thermistor tip.

These treatments are most commonly recommended for women experiencing unwanted symptoms of menopause. However, they can also be beneficial to patients struggling from these conditions due to other causes such as predisposition, vaginal birth, breastfeeding, or some cancer treatments.

To learn more about women’s sexual health, click here:

Womens Health Behavior Index


You already know…

Vulvar discomfort causes emotional distress, anxiety, and can be difficult to cope with. Vulvar discomfort can lead to difficulty with daily activities and negatively impact intimacy and relationships.

You may not know…

A Vulvar disorder is a “catch-all” diagnosis that can include many different vulvar conditions. These problems, which affect the external genitalia or vulva, can range from mild to near debilitating.

You need to know…

Nore Women’s Health  treats these conditions that include vulvar pain, vulva, skin conditions, vulvitis including lichen sclerosus and lichen planus, and we treat the problems resulting from these disorders including scarring and painful sex. Disorders of the vulva are often difficult to diagnose and manage. At Nore Women’s Health  our practitioners are dedicated to determining an accurate diagnosis and providing an effective treatment plan.

Your provider will get a detailed medical history and gently conduct a physical exam. Symptoms may include redness, swelling, dark or light spots, blisters, bumps, itching, dryness, burning, or bleeding. We may examine with magnification and take samples for culture or biopsies, blood samples, or order imaging studies.

Skin Conditions
A variety of chronic skin disorders impact the vulva such as lichen sclerosus, lichen planus, contact dermatitis, chronic dermatitis and atrophy. Treatment is necessary to ovoid long-term problems that may be difficult to reverse.

Although there are many causes of vaginal infections, yeast infections are commonly blamed for ongoing symptoms and this may extend lo the vulva. Careful diagnosis and sometimes extended treatment may be indicated.

Painful intercourse happens for a variety of reasons. The pain may be located at the vaginal opening, deeper inside or both. Causes are usually multiple and may include things other than vulvar disorders including atrophy, muscle spasms, or prior vaginal surgery.

Local Treatments
Vaginal estrogen may be a helpful option, either alone or with other treatments. Steroid ointments are often used to reduce inflammation.

Fractional CO2 Laser Treatments
MonaLisa Touch delivers gentle laser energy to the vaginal wall that stimulates a healing response and enhanced moisture level to the vaginal wall and can be used on the vulva also.

Occasionally, surgery is recommended lo remove or repair damaged or scarred tissue.

Physical Therapy
Patients with chronic pain may be offered specialized physical therapy focused on decreasing muscle spasms.

Use of oral and/ or topical medications offers relief for many patients. Topical steroids are commonly used to address skin conditions. A combination of medications is tailored to meet your individual needs.