surgical and non-surgical solutions for women's intimate health problems

Feminine Wellness - Surgical and Non-Surgical Solutions for Women's Intimate Health

Dr. Julene Samuels is on the forefront of noninvasive and surgical women's intimate wellness procedures and is often asked to speak to and train other doctors, as well as to conduct clinical trials and studies, due to her knowledge and experience. She is the first doctor in Louisville to be able to offer a full suite of options for women of all ages in and around Louisville, Ky ensuring an approach that is truly customized to their specific intimate wellness needs. Improvement of vaginal atrophy, vaginal laxity, ability to orgasm, sensation, lubrication and stress urinary incontinence can be addressed with many of these procedures. In addition to non-surgical procedures, Dr. Samuels is an experienced vaginal rejuvenation doctor who introduced surgical labiaplasty and vaginoplasty for cosmetic as well as functional improvement to the community.

These treatment options finally represent an answer to many problems women have been told over the years by their physicians are just "things that happen as we age". Our bodies do go through natural changes as we age, and for many women the aging process and childbirth cause the vagina to stretch and lose muscle tone. This can lead to reduced sexual satisfaction, embarrassment and a even a loss of self-esteem.

Our patients expect the best options for surgical and non-surgical procedures to help them regain vaginal tightness, vaginal health, sexual satisfaction and a more aesthetic youthful appearance.

Experience matters. Dr. Samuels' office serves as a clinical training site for CO2RE Intima. She continues to bring new state-of-the-art technology to Louisville, and is sought after to share her knowledge nationally and internationally. "I value meaningful non-surgical treatment options as a corollary to all the surgical options we currently offer patients even though I am primarily a surgeon at heart. It requires that I thoroughly investigate non-surgical options that help my patients have the best choices...in the preoperative setting, as alternatives to surgery where possible, or as non-surgical maintenance options after having had a surgical procedure."

Surgical Solutions to improve the function and beauty of the female genitalia

The most common forms of vaginal rejuvenation surgery are:

  • Labia minora reduction
  • Labia majora reduction
  • Clitoral hood reduction
  • Labia majora augmentation
  • Vaginal tightening or reconstruction for excessive vaginal vault enlargement or prolapse

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Non-Surgical Vaginal Rejuvenation Procedures

CO2RE Intima - Laser Vaginal Rejuvenation

CO2RE Intima is a quick, non-surgical in-office laser procedure that can restore vaginal health for women of all ages. It is ideal for menopausal and post menopausal women, post childbearing women, cancer survivors who are often unable to take conventional hormone replacement therapy, women wanting enhancement in sexual functioning and experience, and women who want to feel more confident about their intimate wellbeing.

Laser Vaginal Rejuvenation relieves the signs of aging and childbirth and the changes and symptoms women may be experiencing related to vaginal wellness by:

  • Treating dryness, itching and painful intercourse associated with loss of estrogen
  • Treating pigmentation, dystrophy and laxity
  • Restoring vulva and vaginal tone, laxity and shape

The scanner and pulse energy delivery of the CO2RE Intima laser is sophisticated and accurate. The handpiece of the CO2RE is light weight making it more comfortable for our patients, and the CO2RE has additional energy delivery modes enabling us to efficiently treat a wider group of patient needs (the more severely symptomatic women as well as the more typically symptomatic ones). The CO2RE Intima allows us to more aggressively deliver the energy in two different depths of tissue in the same pulse. This is beneficial for postpartum women who have worse Vaginal Relaxation Syndrome (VRS) symptoms as well as post-menopausal women with more severe symptoms of Vulvoaginal Atrophy (VVA) and stress urinary incontinence (SUI) as seen in the Genitourinary Syndrome of Menopause.

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Votiva/FractoraV - Radiofrequency Vaginal Rejuvenation

Votiva/FractoraV is a fast, gentle and effective treatment to improve intimate issues that can occur after childbirth or with aging. Our patients see immediate results with improvement continuing over time.

Fractional Radiofrequency Vaginal Rejuvenation relieves the signs of aging, childbirth or post chemotherapy breast cancer including:

  • Dryness
  • Discharge
  • Inflammation
  • Urinary incontinence
  • Pain during intercourse
  • Sexual dysfunction

Fractora V is a specially designed device that delivers radiofrequency energy through an array of tiny pins directly into the vaginal wall. This creates tiny thermal injuries to the vaginal tissue that heal creating new, more youthful tissue resulting in more tightness, elasticity and lubrication. The new tissue that forms contains new collagen, elastin, and support tissues to produce tightening for the lax vagina, as well as enhanced tone to improve symptoms of urinary incontinence.

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