FAQs
Frequently Asked Questions
The MonaLisa Touch® is a non-surgical, hormone-free laser treatment designed to restore vaginal health. It uses gentle, fractional CO₂ laser energy to stimulate collagen production and promote natural regeneration of vaginal tissue. It's commonly used to treat symptoms associated with Genitourinary Syndrome of Menopause (GSM), such as dryness, itching, burning, and painful intercourse.
- Improved vaginal moisture and elasticity
- Reduced vaginal dryness, irritation, and discomfort
- Relief from painful intercourse (dyspareunia)
- Decreased urinary urgency or mild incontinence
- Hormone-free and minimally invasive
- Quick, in-office procedure with no anesthesia required
There is little to no downtime after the procedure. Most patients can return to normal daily activities immediately. Mild discomfort, such as light spotting or vaginal discharge, may occur for 1–3 days.
Sexual activity should be avoided for 2 to 3 days after each treatment to allow the tissue to heal properly. Your provider will give you personalized guidance based on your response to the treatment.
Most patients describe the treatment as virtually painless, with some experiencing a mild warming or tingling sensation. A topical anesthetic may be applied to enhance comfort if needed.
Typically, a series of 3 treatments is recommended, spaced about 6 weeks apart. Some patients benefit from an annual maintenance treatment to sustain results.
Many women notice improvement after the first session, with more significant changes after the full series. Results often continue to improve over the weeks following treatment as collagen and tissue regeneration take place.
This treatment is ideal for women experiencing vaginal dryness, irritation, discomfort during intercourse, or mild urinary symptoms—especially those in menopause, perimenopause, or those who cannot or prefer not to use hormone therapy (e.g., breast cancer survivors). A consultation is necessary to determine suitability.
Yes. The MonaLisa Touch® is FDA-cleared for gynecologic use and has been widely studied. When performed by a trained healthcare provider, it is considered very safe with a low risk of side effects.
Side effects are rare and typically mild. They may include:
- Temporary redness or swelling
- Mild cramping or discomfort
- Light spotting or discharge
- Sensation of warmth or tingling during treatment
These usually resolve within a few days.
For some women, especially those who cannot use estrogen, MonaLisa Touch® can provide an effective non-hormonal alternative. However, it may also be used alongside other treatments depending on individual needs.
Most patients enjoy relief from symptoms for 12–18 months after completing the initial series. Annual maintenance treatments are often recommended to prolong the benefits.
The O-Shot®, or "Orgasm Shot," is a non-surgical, natural treatment using Platelet-Rich Plasma (PRP) derived from your own blood. The PRP is injected into specific areas of vaginal tissue to stimulate regeneration, enhance sensitivity, and improve overall sexual and urinary health.
Patients may experience:
- Increased sexual desire and arousal
- Stronger and more frequent orgasms
- Improved vaginal lubrication
- Decreased pain during intercourse
- Reduction in urinary incontinence or urgency
- Increased clitoral sensitivity
- Improved vaginal tightness
The treatment begins with a simple blood draw. Your blood is then processed to isolate the platelet-rich plasma (PRP), which is rich in growth factors. The PRP is injected into targeted areas of the vagina and clitoris, where it stimulates tissue repair, collagen production, and nerve regeneration.
Most patients report minimal discomfort. A numbing cream is applied before the injection to ensure the area is desensitized. The procedure is quick—usually less than 30 minutes—and most people tolerate it very well.
There is no downtime after the O-Shot®. You can resume normal activities immediately, including work and light exercise. Some women may choose to wait 24 hours before resuming sexual activity, but this is not medically required unless otherwise advised.
Some women notice improvement in as little as a few days, but full results typically develop over 3 to 4 weeks as tissue rejuvenation progresses. Results can continue to improve over several months.
Results typically last 12 to 18 months, though individual experiences vary. Some women choose to repeat the procedure annually or as needed to maintain benefits.
Most women benefit from just one O-Shot®, but a second treatment may be recommended after 3–6 months for enhanced or longer-lasting results, especially for urinary incontinence or more severe symptoms.
Yes. The O-Shot® uses your own blood, so there is no risk of allergic reaction or rejection. When performed by a trained medical professional, it is considered a very safe and well-tolerated procedure.
Yes. Many women experience improvement in stress or urge urinary incontinence, often noticing fewer leaks when sneezing, coughing, or exercising.
The O-Shot® may be ideal for women experiencing:
- Low libido or difficulty reaching orgasm
- Vaginal dryness or discomfort
- Pain during sex (dyspareunia)
- Urinary incontinence or urgency
- Changes in sexual function after childbirth or menopause
In cases of Lichen Sclerosus, the O-Shot® can help:
- Regenerate damaged vulvar/vaginal tissue
- Reduce itching, burning, and pain
- Improve skin texture and elasticity
- Potentially reduce or eliminate the need for long-term steroid use
PRP’s natural growth factors promote healing and tissue remodeling, making it an option for symptom relief.
Labiaplasty is a surgical procedure that reshapes or reduces the size of the labia minora (the inner lips of the vulva). This procedure is commonly done for aesthetic reasons or to alleviate physical discomfort caused by enlarged or asymmetrical labia.
Women may choose labiaplasty for various reasons, including:
- Physical discomfort: Enlarged labia may cause irritation, chafing, or pain during activities like exercise, sex, or wearing tight clothing.
- Aesthetic concerns: Some women feel self-conscious about the appearance of their labia and may seek surgery to achieve a more symmetrical or aesthetically pleasing look.
Improved self-confidence: For many women, labiaplasty can enhance confidence in their appearance, especially in intimate settings.
Yes, labiaplasty is generally considered safe when performed by a qualified and experienced plastic surgeon or gynecologist. As with any surgery, there are risks, including infection, scarring, and changes in sensation, but these can often be minimized with proper care and expert technique.
The recovery time varies, but most women experience 2 to 3 weeks of healing. During this time, it's important to avoid strenuous activities, heavy lifting, and sexual intercourse. Swelling, bruising, and discomfort are common but usually subside within a few days to weeks. Full healing can take up to 6 weeks.
Patients typically experience minimal pain after the procedure. Pain is usually managed with prescribed pain relief medication and over-the-counter options. Many women report that any discomfort is mild and temporary.
Labiaplasty usually takes between 1 to 2 hours, depending on the complexity of the procedure. It is often done under local anesthesia (numbing the area) with or without sedation, though general anesthesia may be used in some cases.
Most women do not experience any long-term changes in sexual sensation or function after labiaplasty. In fact, many report improved comfort and sexual satisfaction due to the reduction in irritation or discomfort caused by enlarged labia. However, it is important to follow aftercare instructions to ensure proper healing and avoid complications.
As with any surgical procedure, labiaplasty has some risks, including:
- Infection
- Scarring
- Excessive bleeding
- Changes in sensation (though this is rare)
- Wound separation or delayed healing
These risks are generally minimized when the procedure is performed by an experienced surgeon.
Labiaplasty is typically done using very small incisions, often hidden within the natural folds of the labia. Most women find that scars are minimal and inconspicuous, and with proper aftercare, they fade significantly over time.
Most women can do non-strenuous activities within a few days to a week. However, activities like exercise, heavy lifting, and sexual intercourse should be avoided for 4–6 weeks to allow full healing.
A good candidate for labiaplasty is generally a woman who is in good overall health, has realistic expectations, and is bothered by the size, shape, or appearance of her labia. The procedure is often sought by women who experience physical discomfort or aesthetic concerns, and it is recommended that candidates are at least 18 years old.
Clitoxin is a non-surgical, injectable treatment designed to improve the appearance and sensitivity of the clitoris. It involves the injection of hyaluronic acid (a natural substance found in the body) into the clitoral tissue to enhance volume, shape, and sexual satisfaction.
Clitoxin uses hyaluronic acid to restore volume to the clitoral area, providing increased sensitivity and sexual pleasure. The hyaluronic acid attracts water molecules, which helps rejuvenate the tissue, making it appear fuller and more responsive.
The benefits of Clitoxin include:
- Increased clitoral sensitivity and responsiveness
- Enhanced sexual pleasure and arousal
- Improvement in the appearance of the clitoris
- Safe, non-surgical, and minimally invasive treatment
- Immediate results with minimal downtime
The procedure is relatively painless for most patients, as a topical numbing cream is applied before the injection. Some individuals may experience mild discomfort or a slight pinching sensation during the procedure, but this is typically brief and well-tolerated.
The procedure is quick and typically takes about 15 to 30 minutes, depending on the individual’s needs. It is performed in-office, and there is no need for anesthesia or significant downtime.
Results from Clitoxin typically last between 6 months to 1 year, depending on individual factors such as metabolism and lifestyle. To maintain results, periodic touch-up treatments may be recommended.
There is generally minimal downtime after Clitoxin treatment. Some patients may experience mild swelling, redness, or bruising at the injection site, which usually resolves within a few days. You can typically return to normal activities immediately, although sexual activity may be advised against for 24 to 48 hours.
Clitoxin is generally considered safe with minimal risks. Possible side effects may include:
- Swelling or bruising at the injection site (temporary)
- Tenderness or a slight numbness in the treated area
Infection (rare, but possible with any injection)
These side effects are typically short-lived, and complications are rare when the procedure is performed by a trained professional.
Clitoxin is suitable for women who are looking to enhance clitoral sensitivity, improve sexual satisfaction, or restore volume to the area. It is particularly beneficial for women experiencing a decrease in sexual sensitivity due to aging, childbirth, or hormonal changes. A consultation with a trained provider is necessary to determine if Clitoxin is right for you.
Yes, Clitoxin is a safe and effective treatment when performed by a qualified, experienced healthcare provider. The hyaluronic acid used in Clitoxin is biocompatible with the body and has been used in other cosmetic procedures (such as facial fillers) for many years.
Most women notice immediate results after the treatment, including increased volume and sensitivity in the clitoral area. The full effects, including improvements in sensation, may become more noticeable over the following few days.
Yes, Clitoxin can be combined with other non-surgical treatments, such as vaginal rejuvenation or PRP (Platelet-Rich Plasma) treatments, to further enhance sexual health and overall satisfaction. Your provider will guide you in selecting the most suitable treatments for your needs.
Perimenopause is the transitional phase leading up to menopause, when hormone levels—especially estrogen and progesterone—begin to fluctuate.
Perimenopause is the transition to menopause and is marked by hormonal shifts and symptoms like irregular periods. Menopause itself is the end of menstruation and fertility, diagnosed after a year without a period.
- Irregular periods
- Hot flashes or night sweats
- Mood swings or irritability
- Vaginal dryness or discomfort
- Fatigue and sleep issues
- Brain fog or trouble concentrating
- Breast tenderness
- Decreased libido
Most women enter perimenopause in their mid-to-late 40s, though it can begin as early as the late 30s or as late as the early 50s.
Yes. Ovulation may still occur during perimenopause, even if your periods are irregular. If pregnancy is not desired, continue using contraception until menopause is confirmed.
Symptoms are caused by fluctuations in estrogen and progesterone. These hormones regulate many body functions, including menstruation, mood, sleep, and temperature regulation.
Diagnosis is usually based on age, symptoms, and menstrual history. Blood tests may be used to check hormone levels, but they're not always necessary or reliable due to daily hormone fluctuations.
- Lifestyle changes: healthy diet, regular exercise, stress reduction, and sleep hygiene
- Hormone therapy (HRT): for moderate to severe symptoms, under medical guidance
- Non-hormonal medications: for mood changes, hot flashes, or sleep issues
- Natural remedies: such as yoga, meditation, and some herbal supplements (always check with a healthcare provider first)
Yes, especially if:
- Symptoms affect your daily life or relationships
- You experience very heavy bleeding or spotting between periods
- You're unsure if symptoms are related to hormones or another condition
Yes, hormonal changes can contribute to weight gain, especially around the abdomen. A healthy lifestyle, including regular physical activity and balanced nutrition, can help manage this.
Menopause is a natural biological process marking the end of a woman's menstrual cycles. It’s officially diagnosed after 12 consecutive months without a period, typically occurring between ages 45 and 55.
Menopause is caused by a natural decline in reproductive hormones—primarily estrogen and progesterone—as the ovaries gradually produce less of these hormones over time.
- Hot flashes and night sweats
- Vaginal dryness
- Mood swings or irritability
- Sleep disturbances
- Irregular or missed periods
- Weight gain or slowed metabolism
- Memory or concentration issues
- Decreased libido
- Thinning hair or dry skin
While menopause is a natural process, its symptoms can be managed through:
- Lifestyle changes (diet, exercise, stress reduction)
- Hormone therapy (HRT) for moderate to severe symptoms
- Non-hormonal medications for mood or hot flashes
- Vaginal estrogen for dryness or discomfort
- Alternative therapies (like acupuncture or herbal supplements, though results vary)
HRT involves taking estrogen (sometimes with progesterone) to relieve symptoms like hot flashes, bone loss, and vaginal dryness. It’s effective but may not be suitable for everyone. Talk to your doctor about risks and benefits.
Many women notice weight gain around menopause, often due to hormonal changes, a slower metabolism, and lifestyle factors. Staying active and eating a balanced diet can help manage this.
Yes. The drop in estrogen can lead to bone loss, increasing the risk of osteoporosis. Calcium, vitamin D, weight-bearing exercise, and sometimes medications can help maintain bone strength.
Mood changes, anxiety, and depression can occur during the menopausal transition. Hormonal shifts, sleep disruption, and life changes all play a role. Support, therapy, and sometimes medication can help.
Until you’ve gone 12 full months without a period, pregnancy is still possible. Talk to your doctor about safe contraceptive options during this time.
If symptoms are affecting your daily life, sex life, sleep, or emotional well-being, speak with your healthcare provider. Support and treatment options are available to help you feel better.
Hot flashes are sudden feelings of warmth or heat, often accompanied by sweating and flushing of the skin. They usually last from 30 seconds to a few minutes.
Hot flashes are most commonly caused by hormonal changes during perimenopause and menopause, particularly a decline in estrogen levels.
- Hormone replacement therapy (HRT) to balance estrogen levels
- Non-hormonal medications such as selective serotonin reuptake inhibitors (SSRIs)
- Lifestyle changes like reducing caffeine and alcohol intake
- Cooling techniques, such as fans or cool compresses
- Herbal supplements like black cohosh or evening primrose oil (consult your doctor)
Mood swings refer to sudden and intense shifts in emotional state, ranging from feelings of irritability, sadness, or anxiety to bursts of energy or happiness.
Hormonal fluctuations, particularly the drop in estrogen and progesterone, can affect neurotransmitters in the brain, leading to mood changes.
- Cognitive-behavioral therapy (CBT) to manage emotions
- Hormone replacement therapy (HRT)
- Antidepressants or anti-anxiety medications
- Exercise and stress management techniques like yoga or meditation
Irregular periods refer to menstrual cycles that vary in length, frequency, or flow, often occurring in the years leading up to menopause (perimenopause).
Hormonal fluctuations, particularly in estrogen and progesterone, affect the menstrual cycle during perimenopause.
- Hormonal therapy to regulate cycles
- Birth control pills for cycle regulation
- Lifestyle changes: Maintain a healthy weight and exercise regularly
Joint pain refers to discomfort, soreness, or aching in the joints, commonly affecting the knees, hips, or wrists during menopause.
A decrease in estrogen levels during menopause affects bone and joint health, leading to inflammation, stiffness, and discomfort.
- Exercise: Low-impact activities like swimming or yoga
- Physical therapy to improve flexibility and strength
- Anti-inflammatory medications
- Supplements: Glucosamine, chondroitin, and vitamin D
Bladder issues during menopause can include urinary incontinence (leaking urine), urgency, frequency, or painful urination.
Lower estrogen levels can weaken the pelvic floor muscles and bladder tissues, leading to these symptoms.
- Pelvic floor exercises (Kegels) to strengthen muscles
- Medications like anticholinergics to reduce urgency
- Behavioral therapies like bladder training
- Vaginal estrogen creams to improve tissue health
Irritability refers to an increased sensitivity to frustration, leading to mood swings or agitation.
Fluctuating hormone levels during menopause can affect mood regulation and emotional stability, leading to irritability.
- Cognitive behavioral therapy (CBT)
- Stress reduction techniques like meditation
- Exercise and proper sleep hygiene
- Medication: Antidepressants or anti-anxiety medications
Vaginal issues during menopause include dryness, itching, thinning of the vaginal walls, and painful intercourse due to reduced estrogen.
A drop in estrogen levels causes vaginal tissues to become less elastic and dry, making them more prone to irritation and discomfort.
- Vaginal moisturizers and lubricants
- Vaginal estrogen therapy (creams, rings, or tablets)
- Pelvic floor exercises to strengthen the muscles
Night sweats are episodes of excessive sweating during sleep, often leading to waking up drenched in sweat.
Night sweats are often caused by hormonal fluctuations, particularly the decrease in estrogen levels during menopause, which affects temperature regulation in the body.
- Hormone replacement therapy (HRT)
- Cooling techniques (e.g., fans, breathable bedding)
- Herbal supplements like black cohosh (consult your doctor)
- Lifestyle changes: Avoid spicy foods and caffeine before bed
Weight gain during menopause refers to an increase in body fat, particularly around the abdomen, which is common as metabolism slows down.
Hormonal changes, decreased muscle mass, and slower metabolism during menopause contribute to weight gain.
- Diet: Focus on nutrient-dense, whole foods
- Exercise: Regular physical activity to maintain muscle mass
- Behavioral changes: Stress management and mindful eating
Headaches during menopause can vary from mild to severe and may include tension headaches or migraines.
Hormonal fluctuations, especially changes in estrogen levels, are common triggers for headaches during menopause.
- Over-the-counter pain relievers like ibuprofen or acetaminophen
- Migraine-specific medications
- Lifestyle changes: Regular sleep schedule, hydration, and stress management
- Avoidance of triggers: such as certain foods or dehydration
Dry skin refers to the feeling of tightness, flakiness, or roughness on the skin's surface, often worsened during menopause.
Decreased estrogen levels during menopause can reduce oil production, leading to drier skin.
- Moisturizing creams containing hyaluronic acid or ceramides
- Gentle cleansers that do not strip the skin of natural oils
- Hydration: Drink plenty of water to keep the skin hydrated
- Humidifiers to add moisture to the air
Hair loss during menopause is thinning or shedding of hair, which can occur gradually or in patches.
Hormonal changes, particularly the decrease in estrogen and progesterone, can lead to hair thinning and shedding.
- Minoxidil (topical treatment)
- Hair supplements with biotin, zinc, and vitamins
- Healthy diet: Ensure adequate protein and vitamin intake
- Hair care products designed for thinning hair
Painful sex (dyspareunia) refers to discomfort or pain during intercourse, often due to vaginal dryness, thinning tissues, or pelvic floor issues.
Hormonal changes that lead to vaginal dryness and thinning of vaginal walls are the most common causes.
- Vaginal lubricants and moisturizers
- Vaginal estrogen therapy
- Pelvic floor physical therapy to strengthen muscles
- Counseling for psychological factors affecting intimacy
Brain fog refers to feelings of confusion, forgetfulness, or mental cloudiness, which can affect focus and memory.
Hormonal changes, particularly reduced estrogen, can affect cognitive function, leading to symptoms of brain fog.
- Cognitive exercises and mental stimulation
- Adequate sleep and stress management
- Healthy diet: Rich in omega-3s, antioxidants, and vitamins
- Physical activity to improve brain health
Bone fragility refers to weakened bones, making them more susceptible to fractures and breaks.
Reduced estrogen levels during menopause lead to a decrease in bone density, increasing the risk of osteoporosis.
- Calcium and vitamin D supplements
- Weight-bearing exercises to strengthen bones
- Bone density medications such as bisphosphonates
- Lifestyle changes: Avoid smoking and excessive alcohol
Anxiety refers to feelings of unease, worry, or fear, often accompanied by physical symptoms like a racing heart or shortness of breath.
Hormonal imbalances, particularly changes in estrogen, can affect brain chemistry, contributing to anxiety during menopause.
- Cognitive-behavioral therapy (CBT)
- Anti-anxiety medications such as SSRIs or benzodiazepines
- Relaxation techniques: Deep breathing and mindfulness
- Regular exercise to reduce stress
Depression is characterized by persistent sadness, hopelessness, and a lack of interest in usual activities.
Hormonal changes, coupled with physical symptoms and life transitions, contribute to depression during menopause.
- Antidepressant medications (SSRIs or SNRIs)
- Cognitive-behavioral therapy (CBT)
- Regular physical activity
- Lifestyle modifications: Stress management techniques
Fatigue refers to extreme tiredness that doesn't go away with rest and affects daily functioning.
Hormonal changes, poor sleep, emotional stress, and other menopause-related symptoms can contribute to fatigue.
- Good sleep hygiene
- Balanced diet with whole foods and plenty of water
- Exercise to improve energy levels
- Stress management through relaxation techniques
Facial acne during menopause involves the development of pimples, blackheads, and cysts, particularly around the chin and jawline.
Hormonal fluctuations during menopause can lead to acne.
- Topical treatments: Retinoids and benzoyl peroxide
- Dietary changes: Reduce dairy and processed foods
- Regular skincare routine: Gentle cleansers and non-comedogenic products
- Consultation with a dermatologist for prescription treatments
Difficulty falling asleep or staying asleep, often accompanied by waking up feeling unrested.
Hormonal changes (especially decreased estrogen), night sweats, hot flashes, and anxiety can interfere with sleep during menopause.
- Sleep hygiene: Consistent sleep schedule and a comfortable sleep environment
- Cognitive-behavioral therapy for insomnia (CBT-I)
- Relaxation techniques: Deep breathing or progressive muscle relaxation
- Melatonin supplements or herbal teas like chamomile (consult your doctor)