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Vaginal Rejuvenation

It is not uncommon for women and men to lose the enjoyment of intercourse after childbearing. It can be very problematic for women to experience a laxity between the vaginal and penile contact after vaginal delivery. Consumer terminology for correcting this is "Vaginal Rejuvenation Surgery". Dr. Sopp surgically reconstructs and tightens the vagina laxity. This is done in the one-day outpatient surgery center; with very minimal post-op discomfort. Our patient satisfaction is high.

Vaginal Sensitivity

It is very common for intercourse to become uncomfortable in perimenopause and postmenopause. Some women describe a "razorblade feeling." This is the result of decreased estrogenization to the labia and vagina, that results in a drying, parchment effect in the tissue.

The tissue can be safely regenerated with estrogen and nonestrogen treatments. These treatments have not been shown to cause breast cancer.

Vaginal ESTROGEN-IZATION

1. VAGINAL ESTROGEN

a. Creams
      —Premarin
      —Estrace (generic)
  2X/week
b. Suppository
      —Vagifem (generic)
      —Imvexxy
 
c. Estring — 1x/3months
 




2. NON-ESTROGEN — Used nightly
 
a. Suppository
      —Intrarosa suppository = DHEA = precursor to estrogen.
      Stimulate the vaginal cells to produce their own estrogen.
 
b. Pill
      —Osphena = SERM (Selective Estrogen Receptor Modulator)
      Stimulates the Vaginal cells to act like they’re getting estrogen.