SEXUAL HEALTH

EDUCATE. ADVOCATE. EMPOWER.

 

 

 

 

 

Sexual health patients are complex and require a multi-step approach. Currently only 30% of OBGYNs are trained in sexual health. HERmd gives women a place to go with their sexual health concerns – to be able to ask questions, seek therapy, and do so with providers who take insurance. HERmd practices a team approach to complex women’s sexual health conditions, working closely with a team of sex counselors and pelvic floor physical therapist

Women’s sexual health has long been ignored and there has been a real lack of information and treatment options – until now. Women from all walks of life, young and old, post-menopausal,  cancer survivors, women from different sexual orientations, religion, race –  all have sexual health concerns, but many suffer in silence. They may be embarrassed to ask questions, they may think their problems are  their fault, or they may feel they have nowhere to go to express their concerns. The mission of HERmd is to educate, advocate, and empower women to take control of their sexual health.

SEXUAL DYSFUNCTION

Nearly 40% of all women suffer from some type of female sexual dysfunction. Female sexual dysfunction falls into 4 major categories: Desire (low libido), Pain, Orgasm, and Arousal. Sexual function is an essential component of health and wellness and sexual dysfunction can lead to a lower quality of life. While much is known with respect to male sexual dysfunction, (due to research), female sexual dysfunction is less understood and is more complex. Fewer than 30% of practicing OBGYNs are trained to treat female sexual dysfunction. Dr. Javaid is a pioneer in women’s sexual healthcare and her goal is to educate, advocate, and empower ALL women to reclaim their sexual health.

TREATMENT OPTIONS

There are treatment options for you. From FDA approved addyi and vyleesi, to the CO2RE Intima Laser, pelvic floor therapy, testosterone pellets, lubricants, and botox, our team of sexual health experts can help you find a treatment option that may work for you. Female sexual health patients may require a multi-step approach. We have partnered with sexual health counselors, pelvic floor therapists, and urogynecologists to ensure we are able to treat our patients effectively.

HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD)

Low Libido, or lack of sex drive, is a common diagnosis for women. One in every ten women suffer from HSDD, or low libido. How often have you heard yourself saying “I’m just not in the mood”? It may have absolutely nothing to do with the quality of your relationship with your partner, but it can affect it.

HSDD is a sexual dysfunction that causes lowered sex drive in women. How do you know if you may be suffering from HSDD? Along with a decrease in sexual desire, it must cause you personal distress. Causes of low libido can include certain types of birth control methods, menopause, past trauma, and family stress or depression. Not having sex isn’t life-threatening, but why sacrifice your own overall happiness and pleasure without it? There are treatment options for women who suffer from HSDD, including Addyi, Vyleesi and testosterone. If you feel you may be suffering from low libido, please contact us today.

FEMALE SEXUAL AROUSAL DISORDER

The inability to attain sexual arousal or to maintain arousal until the completion of a sexual activity is categorized as Female Sexual Arousal Disorder (FSAD). Not to be confused with orgasm dysfunction (anorgasmia) or hypoactive sexual desire disorder(HSDD)  – which is the lack of sexual desire, FSAD also refers to the lack of normal lubrication during sexual activities. Treatments include testosterone, and FDA approved addyi.

Sexual health expert Dr. Somi Javaid has the training, background, and experience to help treat FSAD safely and effectively. You’re not alone, and we are here to help.

DYSPAREUNIA (PAINFUL SEX)

Painful intercourse is termed as dyspareunia and refers to the constant or on again, off again pain in the genital area during, after or right before intercourse. Dyspareunia can be diagnosed when there is pain during penetration, newly realized pain after sex, and/or burning, aching and throbbing pain lasting long after intercourse is over. These pains can be associated with lack of proper lubrication during sex, past irritation from infections or history of surgery, past abuse, vaginismus, or congenital abnormalities.

Endometriosis, scar tissue, and prior traumatic birth can all cause painful sex. Hormonal imbalance and menopause can also lead to painful intercourse. 

This could be solved by increased foreplay and relaxation, and/or the use of a sexual lubricant. Or, in the case of post-pregnancy, waiting about six weeks after childbirth and easing back slowly and gently can remedy the problem. 

However, for some, the problem may be a bit more serious and may require medical attention. The pain can be located at the vaginal opening, in the vagina, or deep within the pelvis. The location of the pain can help isolate the reason for the pain. 

Treatments can include lubricants, vaginal hormones, dilators, vaginal valium, surgery and pelvic floor physical therapy.

ORGASM DYSFUNCTION

For some women reaching an orgasm may take longer than usual. For others, orgasms may not be satisfying. And for others yet, reaching climax at all is difficult – even with proper stimulation. This can happen – it’s called “orgasm dysfunction”, also known as anorgasmia or female orgasmic disorder, and there’s something we can do about it.

Let’s talk about what physical (age, chronic illness, hysterectomy, etc.) and / or emotional issues (past sexual abuse, religious/cultural views, relationship issues, depression, etc.) may be a root cause of your orgasm dysfunction and then let’s work to fix it. After speaking freely yet confidentially with your physician in our relaxing office atmosphere, we’ll work together on a treatment plan. Certain symptoms may be treated with hormone therapy, prescription medications, physical therapy, laser or compounded medicines.

VAGINISMUS

Sometimes when a woman has painful sex, it is the first sign that she has vaginismus. This is when the vagina’s muscles spasm upon sexual penetration, or from a feminine care product. Usually the pain occurs only during penetration and subsides after withdrawal, but sometimes it can last even longer. 

There are many treatments for this relatively unknown condition. Physical therapy, biofeedback, muscle relaxants, injections, and hormones are often very successful treatments. Please call us to schedule an appointment with our sexual medicine expert Dr. Somi Javaid. Dr. Javaid is trained and has years of experience in treating Vaginismus with vaginal Botox. Treatment is offered in our in-office surgical suite.

VULVODYNIA

Vulvodynia is chronic pain in those areas “down there” in the vulva, which includes the labia, clitoris, and vaginal opening. In fact, an estimated 6 million women have experienced it. The pain caused by vulvodynia can last anywhere from a few months to several years and includes life and sex inhibiting symptoms such as itching, burning, aching, soreness, and throbbing.

Vulvar Vestibulitis Syndrome (aka Provoked Vestibulodynia) causes pain in the vestibule, or opening, of the vulva and is usually caused by sex, tampon insertion or sitting for a prolonged period of time. Generalized Vulvodynia is a more constant, spontaneous pain caused by even the most mundane of tasks such as wearing pants, or sitting too long. Treatment options include topical creams, laser therapy, hormones, physical therapy, trigger point injections and pain medications.

WHAT IS THE CO2RE INTIMA?

The CO2RE Intima procedure has been proven to treat dryness, vaginal laxity and more.

Sometimes menopause and other sexual health issues require more than hormone therapy or a simple cream treatment the CO2RE Intima Laser provides quick and painless treatment to specific trouble spots.

HERmd Cincinnati is one of the only offices in the area to provide treatment using the newest technology for vaginal laxity. This one-of-a-kind technology is proven to improve bladder control, pelvic organ prolapse and to help increase satisfaction during sexual intercourse. It can also help treat other problems such as itching, irritation, and urinary tract problems. Women who have undergone chemotherapy for cancer treatment, or who have had their ovaries removed, or are affected by lichen sclerosis may also greatly benefit from this breakthrough technology.

In addition to bringing this brand new technology to the Cincinnati area, Dr. Javaid herself has been made a Key Opinion Leader for the Candela in order to educate and train physicians and medical staff across the country on the technology.

LABIAPLASTY

What is a labiaplasty? Women with labial hypertrophy, or enlarged labia minora, can experience discomfort or pain during physical activities and intimate contact. Women can also find it a source of anxiety, especially during intimate situations. Enlarged labia can occur naturally in some women, while others experience labial distension following childbirth or as they age. To improve confidence and comfort, women often choose labiaplasty to correct the appearance of the labia minora. The labiaplasty procedure aims to decrease the size of the labia minora (inner tissues of the female genitalia) so that it is flush with the labia majora (outer part of the female genitalia). 

Votiva. HERmd is one of the only offices in Cincinnati to offer all three Votiva treatment platforms (the FormaV, Morpheus8, and Aviva). Votiva is a painless treatment for labiaplasty that addresses both internal and external vaginal issues, including sexual dysfunction. The Votiva procedure can tighten loose skin, improve vaginal aesthetics, and enhance satisfaction during intercourse. There is no postoperative care required and patients can return to normal activities immediately. This innovative procedure can be done under local anesthesia, in an office setting, in less than 20 minutes, without excising excess skin. It restores the function and appearance of the vulva by offering a non-excisional alternative to a traditional labiaplasty.

The Votiva platform has a variety of indications. First and foremost are the benefits related to women’s sexual health. It helps with urinary incontinence, dyspareunia, vaginal dryness, vaginal irritation, perineal scarring from childbirth, and vaginal laxity. It has also been helpful with pelvic floor dysfunction. Other indications for Votiva with microneedling are scar revision and skin laxity associated with aging and pregnancy or significant weight loss. 

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