Aging is an issue for many people, especially for women. Many suffer with issues of their genitalia due to factors related to childbirth or menopause such as laxity, dryness, urinary incontinence or changes in the appearance of the outer genitalia These changes not only affect women but also their partners and subsequently their intimate health. Due to pain or decreased sensation women can lose interest in intimacy which can then lead to frustration for both the patient and their partners.
These issues are often found to be embarrassing to talk about because there hasn’t been a real outlet to discuss them and the treatments were not appealing to most women. Solutions for female genitalia issues often resorted to daily exercises (kegels), hormone therapy or invasive surgery. The exercises need daily effort and commitment and hormone therapy (creams or pills) are messy and pose risks for clotting and breast cancer. Surgery can only address some issues either internal or external and with any surgery carry certain risks. Surgery can also present problems like infections and there is also an associated recovery time.
FEMALE REJUVENATION WITH VOTIVA
We are happy to introduce the non-invasive alternative for Vaginal Rejuvenation called, Votiva. This device employs the use of radiofrequency technology to help treat both the internal and external areas of the vagina. The device works by releasing thermal energy to increase blood flow and stimulate collagen and elastin production. The device also has a tightening feature to help with laxity issues. Votiva utilizes two different handpieces to address all the issues of laxity, dryness, urinary incontinence while improving satisfaction for both the woman and her partner. The external appearance can also be addressed with both handpieces to improve the deflation also associated with aging and childbirth. The procedure if very safe and effective with minimal downtime and most patients will see an improvement after the first of three sessions.
MEET DR. SAMEEA CHUGHTAI
Your treatments will be performed by our Women’s Health expert, Dr. Sameea Chughtai. She has been practicing medicine for over fifteen years, with a strong interest and experience in aging and women’s health. From consultation to performing the procedures, Dr. Sameea will be with you every step of the way and help you achieve your goals.
To find more information about how Votiva can help you and make your appointment for a consultation with with Dr. Sameea Chughtai, please click here.
THE SCIENCE OF FEMALE GENITOURINARY AGING
Women are exposed to potential dramatic changes to their bodies which includes changes to the lining and elasticity of their reproductive system with aging and the trauma of childbirth.
Aging of the Labia, Vulva and Vagina
As women age there is a change in pigmentation either hyper or hypopigmentation with a loss of volume of the external genitalia. There is also a looseness and decrease supporting tissue to the Labia Majora and Minora which can be concerning to women aesthetically.
Vulovaginal Atrophy Treatment and Genitourinary Symptoms of Menopause (GSM)
This is a condition caused by a decline of estrogen as a result of peri/postmenopause or the decrease of estrogen following chemotherapy and cancer treatment. The result is a diminished blood flow to the vagina, less cell turnover and thus less vaginal secretions. This causes vaginal dryness, inflammation and pain. The atrophy is associated with discharge, problems with lubrication, and can lead to painful intercourse. There can also be urinary symptoms such as painful urination (dysuria), stress incontinence and discomfort associated with this condition.
Vaginal Relaxation Syndrome (VRS), Vaginal Laxity and Laser Vaginal Tightening
VRS is a generalized laxity of the vaginal canal and opening. This looseness can cause decreased sensation and responsiveness during intimacy and cause a decline in satisfaction. The most common cause of VRS is an age related decrease in estrogen, decrease in blood flow and a loss of supporting tissue which in turn leads to diminished muscular tone, thickness and therefore sensation. This condition can also happen in younger women following multiple childbirths and traumatic deliveries causing tears. VRS can also happen after treatment of some female cancers where the effect of estrogen has been blocked.
The nonsurgical treatment options available for VRS include Forma-V, Fractora-V and V-Tite. These minimally to noninvasive devices use a radiofrequency energy to improve the symptoms of laxity, dryness, pain/discomfort, incontinence and satisfaction with intimacy and coitus.
The G-spot injection places a filler such as Juvederm or Restylane into the anterior region of the vaginal vault where there is a density of sensory endings thought to be responsible for increased sexual gratification and stimulation during intimacy. The G-shot injection will last for about 9-12 or more and need to be repeated every 9-16m.
The Forma V is a gentle, non ablative procedure and patients may return to most activities immediately. Sexual intimacy can be resumed in 2 days. Hot water should also be avoided to treated area for 2 days after procedure.
Following Fractora treatments healing ointments like Aquaphor or Vaseline should be applied to the area. It is normal for tiny scabs to appear after 1-3 days and stay for a few days after treatment. The scabs should be left alone and allowed to flake off naturally. Heat or mechanical damage to the area should be avoided for 7 days following treatment. Sexual activity is not recommended for 7 days following treatment.
Patients may return to normal activities immediately after this procedure. However, sexual activity is not recommended for six weeks.
FREQUENTLY ASKED QUESTIONS
I have been treated for breast cancer with Tamoxifen. Can I get a Female Rejuvenation Treatment?
Yes, female rejuvenation treatment is a safe non hormonal treatment especially for women on medication that block estrogen.
Will this procedure help improve my sex life?
90% of women who have had this treatment report increased satisfaction with intimacy.
Who will be performing the Female Rejuvenation Treatment?
All patients are evaluated by Dr. Chughtai and then she will make recommendations based on your goals. Dr. Chughtai performs and directs all female rejuvenation care.
Yes, hormonal therapy is an option for patients who are seeking treatment for atrophy. However there are many contraindications such as breast cancer cancers and clotting risks as well as side effects to this treatment. Also the improvements seen with this therapy disappear after they are interrupted.
Are there maintenance treatments for Forma-V?
Yes, after the monthly treatment for 3m it is recommended to have maintenance yearly. However, this varies depending on patient response.
Is there a site where I can get more information about Female Rejuvenation?
Yes, you can visit Dr. Sameea Chughtai’s ‘Female Rejuvenation In Chicago’ website by clicking here.