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 intimate health 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 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 Intimate Health Procedures

CO2RE Intima - Laser

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.

The laser vaginal treatment 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 Treatment

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 treatment 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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BTL UltraFemme 360 - Radiofrequency Vaginal Treatment

UltraFemme 360 is an in-office, really quick 8 minute radio frequency treatment that is an effective non-surgical alternative to vaginoplasty and labioplasty procedures.

The vagina ages in much the same way as the skin covering the rest of the body. Women often notice differences after pregnancy and childbirth, but are particularly susceptible to vaginal changes following menopause.

  • Vaginal atrophy
  • Vaginal dryness, itching
  • Stress incontinence
  • Sexual dysfunction

Ultra Femme 360 achieves vaginal rejuvenation including labial remodeling and vaginal tightening with a single device by stimulating collagen and elastin production to improve the vaginal and vulvar areas. By gently heating the underlying tissue, Ultra Femme 360 induces a restorative natural process within the body. A small radio frequency probe is used to heat the tissue prompting new collagen and elastin fibers rejuvenating the whole length of the vaginal canal and vulvar areas.

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O-Shot and G-Shot

Platelet-rich plasma (PRP) is obtained in a simple patient blood draw and then injected comfortably around the urethral and vaginal tissues...commonly referred to as the O-Shot. A single injection is often sufficient to help patients rejuvenate vaginal tissues, increase stimulation, lubrication, overall sexual wellness and we also are able to use the O-Shot for treatment of stress urinary incontinence.

The G-Shot is a painless in-office procedure that delivers a specified amount of cosmetic filler directly into the G-Spot after local anesthesia. The result is an enlarged g-spot and enhanced sexual gratification.

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vFit PLUS is a life-changing home use device for pelvic floor and vaginal health for post-partum, peri-menopausal, and post- menopausal women. It is non-hormonal, non-invasive and is designed to help improve moisture, sensation, pleasure, and intimacy. It is an option for those who prefer home treatment and for post-care of other vaginal treatments and procedures.

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