Feel at home in your body.

Intimate wellness concerns — dryness, laxity, discomfort, changes in sensation or desire — are among the most common and least discussed parts of midlife. We discuss them. And because we're a gynecology practice first, every treatment here is chosen in clinical context: often paired with hormone medicine, always by consult, never off a menu.

Dryness, burning & painful sex: what GSM actually is

There's a name for the cluster most women describe in a lowered voice: genitourinary syndrome of menopause, or GSM. Vaginal dryness, burning or irritation, discomfort or pain with sex, decreased lubrication, urinary urgency, and recurrent urinary tract infections all belong to it — and they share one cause. The tissues of the vulva, vagina, urethra, and bladder are rich in estrogen receptors, and as estrogen declines those tissues become thinner, less elastic, less lubricated, and more fragile.

Two things make GSM different from hot flashes, and both matter. First, it does not improve on its own — unlike vasomotor symptoms, which often fade with time, GSM is progressive without treatment. Second, it is strikingly treatable, and yet most women never raise it and are never asked. Please raise it. It's a five-minute conversation that changes how people live.

Read our full guide to GSM, dryness, and painful sex →

How we treat it

Local (vaginal) estrogen is the mainstay: creams, tablets, or a ring that deliver estrogen directly to the tissue that needs it. Because absorption into the bloodstream is minimal at these doses, a progestogen isn't needed for lining protection with local estrogen alone — a point of confusion we're glad to clear up. It's a different conversation from systemic hormone therapy, with a different risk profile, and many women who aren't candidates for systemic therapy can still use it. We'll go through your history honestly.

Non-hormonal options stand on their own or work alongside: hyaluronic-acid vaginal inserts, quality long-lasting lubricants and moisturizers, and pelvic floor physical therapy where muscle guarding is part of the picture. Some patients prefer this lane entirely — you'll find the products we trust, with practice discounts, on our patient resources page.

Energy-based devices — the treatments below — address tissue quality from a second direction, and work best on tissue that's hormonally supported. That's why our conversation starts with the biology and only then reaches the device.

EmFemme 360

A radiofrequency treatment that delivers gentle, controlled heat to vaginal and vulvar tissue, stimulating circulation and collagen. Sessions are quick and require no downtime — a comfortable option for laxity and dryness concerns.

FemiLift

Fractional CO₂ laser therapy for vaginal tissue quality, comfort, and moisture. For genitourinary symptoms of menopause, FemiLift is often paired with local hormone care — the device and the medicine addressing the tissue from two directions.

More on FemiLift and our other laser treatments →

truFlex core strengthening

Electrical muscle stimulation for the deep core — the muscle groups that support posture and the pelvic floor. Sessions supplement your own training rather than replacing it; a typical course runs four to five sessions over two to three weeks.

Laser hair & vein removal

Smooth, low-maintenance skin: laser hair removal and treatment of visible spider veins, performed in a medical setting by clinicians who know skin and vasculature.

See our full laser treatment page for acne, resurfacing, vein and hair options.

Peptide therapy for sexual vitality

For select patients, peptide options can support desire and sexual wellness as part of a broader plan. One transparency note we consider a feature, not fine print: compounded peptides are prepared under pharmacy compounding frameworks (503A/503B) rather than FDA-approved as finished products, and the regulatory landscape around them continues to evolve — which is exactly why they belong in a physician-supervised plan or not at all.

Curious which peptides address which goals? Our sister practice, Awazul Wellness, hosts an educational Peptide Protocol Finder — a helpful way to explore the landscape before a consult, where the actual clinical decision belongs.

The foundation underneath: hormones

Many intimate wellness concerns are, at root, hormonal. Devices work best on tissue that's hormonally supported — which is why a consult with us often starts with the bigger picture. Read about our menopause and hormone therapy care here.

Concerns like these deserve time and zero embarrassment — that's the point of how we practice, and what patients tell us matters most.