Taking a history and performing a physical examination are used to diagnose patients with urinary incontinence.rnrnUsually a urinalysis is performed and, depending on the findings of the history and physical, further testing with either x-ray studies or a urodynamics study may be appropriate.rnrnGet a full evaluation prior to any treatment because the treatments are different due to the cause of the incontinence.

Yes, incontinence can come and go depending on its cause. For instance, some patients will complain of stress incontinence only when they have a severe cold with coughing or during periods of excessive activity.rnrnPatients with urge incontinence frequently report increased leakage during cold weather and sometimes related to dietary factors such as excessive fluid intake, particularly with products containing caffeine such as coffee.

In women, pregnancy and vaginal delivery is probably the most common cause of urinary incontinence. And in some cases, general aging may be the cause.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

GAINSWave® is a cutting-edge, non-invasive treatment for erectile dysfunction (ED) and sexual performance enhancement. It uses low-intensity shockwave therapy (LiSWT) to improve blood flow, break up micro-plaque in blood vessels, and stimulate the growth of new blood vessels (a process known as angiogenesis). The result? Improved natural erections and enhanced sexual function without the need for pills, injections, or surgery.

The MonaLisa Touch is a laser therapy procedure designed to address vaginal dryness, discomfort, and other symptoms associated with menopause or hormonal changes. It involves the use of a fractional CO2 laser to gently stimulate the vaginal tissue, promoting collagen production and rejuvenating the area.

The MonaLisa surgery can help treat a variety of vaginal health issues, particularly those associated with menopause, hormonal changes, or aging. It’s used to address vaginal irritation, dryness, discomfort, and pain during intercourse (dyspareunia), which often result from decreased estrogen levels. The procedure can also help reduce vaginal itching, burning, and urinary incontinence symptoms. By promoting collagen production and rejuvenating the vaginal tissue, the MonaLisa Touch can restore elasticity and improve overall vaginal health.

The best candidates for the MonaLisa Touch therapy are typically women experiencing vaginal discomfort, dryness, or painful intercourse, often due to menopause or hormonal changes. MonaLisa Touch is also suitable for women who wish to improve vaginal health without hormone-based treatments. Ideal candidates are those seeking a minimally invasive procedure to address these symptoms and restore comfort and elasticity to the vaginal tissue.

The MonaLisa Touch laser treatment works by using a CO2 fractional laser to gently stimulate and heat the vaginal tissue and blood vessels, promoting collagen production and tissue regeneration. This process helps restore elasticity, vaginal moisture, and overall health to help alleviate symptoms like dryness and discomfort. The treatment typically involves minimal downtime.

The MonaLisa Touch® is an in-office procedure performed by an experienced physician. The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort the first time the probe is inserted, but the actual treatment is not painful. A consultation with a MonaLisa Touch laser treatment doctor can answer any questions about the discomforts involved and how to manage them.

The procedure is similar to almost any other vaginal rejuvenation procedure and is not as invasive as plastic surgery. A strong lidocaine-based numbing cream will be applied prior to the procedure. This will ensure that this is a painless process. Before the laser is activated, everyone in the room must wear special eye protection which will be provided. The metal wand used will feel cool initially inserted. You will feel a vibrating sensation. You may experience a tingling sensation and or air puffs during the treatment. These may get stronger near the vaginal opening. There might be a slight sizzle sound during the laser pulse. There might be a slight odor from the vaginal tissue being warmed up. The procedure lasts about 5-10 minutes. An occlusive ointment will be applied after the completion of the procedure. A pad will be provided to protect your clothing. There will be no dermal fillers or chemical peels involved in this.

Some women experience a watery discharge or light spotting for a day or two after the cosmetic surgery. The vaginal area may feel swollen or full. Do not put anything inside your vagina for 48 hours such as tampons or sexual intercourse. After 48 hours, the area should feel normal with no discomfort. You will be scheduled for 2 additional treatments 6-weeks apart to complete the recommended protocol to achieve the maximum benefits from the MonaLisa Touch® procedure.

u003culu003ern tu003cli aria-level=u00221u0022u003eYour skin may feel sensitive and may be red and swollen. The treated area may be itchy.u003c/liu003ern tu003cli aria-level=u00221u0022u003eUse cold compresses or cold gel packs (20 minutes on, 20 minutes off) as needed for swelling and discomfort.u003c/liu003ern tu003cli aria-level=u00221u0022u003eGently cleanse the area, including the labia minora and labia majora, 2-3 times a day with mild soap.u003c/liu003ern tu003cli aria-level=u00221u0022u003eDry the area with a hair-dryer on low heat instead of wiping with a towel. This is much less abrasive to the tissues. And a better way to improve the results.u003c/liu003ern tu003cli aria-level=u00221u0022u003eReapply a skincare occlusive ointment (Aquaphor) after each washing and continue to use until your skin is healed.u003c/liu003ern tu003cli aria-level=u00221u0022u003eYou use Motrin or Advil as needed.u003c/liu003ern tu003cli aria-level=u00221u0022u003eAvoid lifting heavy weights or intense physical exercise for 72 hours following the treatment.u003c/liu003ern tu003cli aria-level=u00221u0022u003eWear loose, cotton underwear.u003c/liu003ern tu003cli aria-level=u00221u0022u003eAvoid wearing pantyhose and tight-fitting pants.u003c/liu003ernu003c/ulu003e

–This may include reduced sexual desire, fewer spontaneous erections — such as during sleep — and infertility.

Sometimes low testosterone causes insomnia or other sleep disturbances.

Various physical changes are possible, including increased body fat, reduced muscle bulk and strength, and decreased bone density. Swollen or tender breasts (gynecomastia) and body hair loss are possible. You may have less energy than you used to.

Low testosterone may contribute to a decrease in motivation or self-confidence. You may feel sad or depressed, or have trouble concentrating or remembering things.

A Tempsure Vitalia treatment session usually lasts about 45 minutes and is very comfortable. During the treatment a specialized probe is inserted into the vaginal canal, and the patient feels a mild heat sensation. The treatment is painless and does not require any anesthesia or local numbing.

Recovery is very easy after a Tempsure Vitalia treatment. There is no downtime and you can resume your normal activities almost immediately. We advise that you refrain from heavy lifting, exercising or sexual intercourse for 24 hours post treatment.

You can resume sexual activity 24 hours after treatment.

A course of 3 treatments, each spaced 6 weeks apart are recommended for optimal results.

Tempsure Vitalia is FDA cleared for vaginal tissue treatments and is the best in class radio frequency technology for vaginal treatments.

Tempsure Vitalia is FDA cleared but at this time treatments are not covered by insurance. In order to make treatments possible to everyone, we offer payment plans to help cover the cost of treatments.rnrnOften related to childbirth, hormonal imbalances, or aging, vaginal conditions can include loss of sensation, vaginal dryness, urinary incontinence, and a list of other issues that impact both your physical and emotional well-being.rnu003culu003ern tu003cli aria-level=u00221u0022u003eTighten your vaginal canalu003c/liu003ern tu003cli aria-level=u00221u0022u003eImprove and tighten the appearance of vaginal skinu003c/liu003ern tu003cli aria-level=u00221u0022u003eImprove your intimate experienceu003c/liu003ern tu003cli aria-level=u00221u0022u003eBoost your self-confidenceu003c/liu003ern tu003cli aria-level=u00221u0022u003eRelieve dryness and enhance sensitivityu003c/liu003ern tu003cli aria-level=u00221u0022u003eReduce urinary leaks and incontinenceu003c/liu003ernu003c/ulu003ernThe treatment is painless and quick, typically taking only 20 minutes. It requires no downtime, so you can get back to all the activities you love right away.

Yes, The PRP Intimate shot is safe. No side effects have been reported from injecting a person’s own Platelet-Rich Plasma into their body.

Patients’ pain tolerances vary, however The PRP Intimate shot creates little, if any, pain. The areas are numbed with a topical cream, however some women may feel a pinching or stinging sensation while others don’t feel anything.

You may experience swelling of the area that has been injected that may cause extra sensitivity. The swelling will go down within a few days after the treatment.rnrnMost women will experience increased sensitivity of the clitoris and G-spot area resulting in stronger and multiple orgasms. Typically this may take up to 3-4 weeks. Some do not experience a notable difference but are still a candidate for a repeat injection. Women who have never had an orgasm have reported being multi-orgasmic following one PRP Intimate shot, even in their 60s.

The PRP Intimate shot can last for one to two years.

No. We apply local anesthetic prior to the procedure. During the PRP penile injection, you may feel some pressure that can be strange, but not necessarily painful. Most patients report a zero to two out of 10 on the pain scale.

A penis pump will be given to you to use 10 minutes twice daily for the six weeks following the procedure. This will ensure maximum stimulation to the penis, allowing the PRP penile injection to be more effective. In addition, your testosterone and all other hormones will be optimized, laying the foundation for sexual health. When needed, other medications will be considered to give you the best possible medical outcome.

For some, results from a PRP penile injection are experienced immediately. Most people will begin to see results within a few weeks, with maximum benefit after three full months.

For some men, the PRP injection can lead to noticeable increases in penis size. This occurs because ED and issues such as Peyronie’s disease can cause blood vessels to constrict and shrink. Penile PRP therapy stimulates the growth of new blood vessels and erectile tissue, boosting both length and girth.rnrnWhile results can vary, many men report gains in girth and, in some cases, length — especially when combined with a vacuum pump or supplements. Whether you’re looking for penile enlargement or just stronger erections, the PRP shot for ED delivers impressive results.

After your PRP for erectile dysfunction treatment, you’ll enjoy firmer erections and enhanced sexual function for up to two years. For even longer-lasting results, additional PRP injections can be administered as needed. This ensures you maintain your progress and continue to experience the benefits.

u003culu003ern tu003cli aria-level=u00221u0022u003eProlapse is a hernia of the vagina that a woman may feel as a bulge or pressure. This is referred to in many different ways. Sometimes it is called a “dropped bladder”, “dropped uterus,” “dropped vagina,” or “dropped rectum.” Your doctor may have also called this a cystocele, rectocele, or enterocele.u003c/liu003ernu003c/ulu003ernu0026nbsp;rnrnProlapse is caused by a weakening of the vaginal tissues. Prolapse is associated with pregnancy and childbirth. However, prolapse can happen in women who have never had children. Prolapse is also associated with repetitive heavy lifting, chronic constipation , chronic cough, and poor tissue.Prolapse symptoms may be worse at different times in the day. Some women notice that they feel more pressure after walking or standing for long periods of time.

Sometimes the vaginal tissue under the bladder becomes weak and causes a hernia. This is called prolapse. You may feel a bulge outside the vagina or pressure. Your doctor may also have called this condition a “cystocele.”

u003ciu003eWill it get worse? u003c/iu003eMost likely. Prolapse, left untreated, almost always gets worse over time but this is usually a gradual change. “New” prolapse (noticed by a patient or doctor in the early postpartum period) will often get better within the first year after the delivery. This is one exception to the rule.

A pessary is a plastic device that can be used to help support prolapse. It is used for women who do not want surgery. Pessaries come in different shapes and sizes and can be fitted to help women with different degrees and types of prolapse. Pessaries are safe to use and are latex free.rnrnOnce you decide that you would like to try a pessary, you will be fitted for the correct size and shape to help support the prolapse without causing any discomfort or pain. The pessary that fits best will be able to support the prolapse, feel comfortable and allow you to urinate and have bowel movements without difficulty.rnrnRemove your pessary to clean it on a regular basis. Most pessaries are easy to remove, clean and replace daily or weekly. Some pessaries are difficult to remove and require you to be seen in the doctor’s office for removal, cleaning and replacement. A pessary can be used for any woman who is bothered by her prolapse but does not want to have surgery or for women with other medical conditions that makes surgery more risky. Pessaries can be used for as long as the woman desires.