Vaginal Rejuvenation for Houston and Katy Women
Dryness, looseness, leakage or discomfort with intimacy after childbirth or menopause are common concerns, and there is a range of options, from simple medical treatments to surgery.
Vaginal rejuvenation is a general term for treatments that improve the comfort, function or appearance of the vaginal and vulvar tissues. Options include vaginal estrogen and moisturizers, pelvic floor physical therapy, radiofrequency treatments such as ThermiVa, and surgical repair of stretched or prolapsed tissue. Women from Houston and nearby communities are seen at our Katy office, where Dr. Solafa Elshatanoufy matches treatment to the cause of your symptoms.
What Vaginal Rejuvenation Can Address
The vaginal and pelvic floor tissues change over a lifetime. Childbirth can stretch muscles and connective tissue, and the drop in estrogen during perimenopause and menopause can leave tissue thinner, drier and less elastic. These changes can affect comfort, bladder control and intimacy.
Because several different conditions can cause similar symptoms, the most important step is an accurate evaluation. Vaginal looseness, for example, may come from weak pelvic floor muscles, from stretched tissue at the vaginal opening, or from pelvic organ prolapse, and each is treated differently.
Common Concerns and Their Causes
Matching the concern to its cause leads to the most effective treatment.
Concerns women bring to us
- Vaginal dryness, burning or irritation
- Pain or discomfort during intercourse
- A feeling of looseness or reduced sensation
- Leaking urine with coughing, laughing or exercise
- A bulge or pressure in the vagina
- Recurrent urinary tract infections after menopause
Common underlying causes
- Genitourinary syndrome of menopause (low estrogen effects)
- Pelvic floor muscle weakness or tension
- Stretching or tearing from vaginal childbirth
- Pelvic organ prolapse
- Stress urinary incontinence
When Should You See a Specialist?
- Dryness or pain with intimacy has not improved with over-the-counter products
- You leak urine or feel a bulge in the vagina
- You are considering an energy-based or surgical procedure and want expert advice first
- Changes after childbirth are affecting your comfort or confidence
Please get checked promptly for bleeding after menopause, bleeding after intercourse, a new vulvar lump or sore, or pelvic pain with fever. These need medical evaluation. Call 911 in an emergency.
Specialist Care From Dr. Solafa Elshatanoufy
Dr. Solafa Elshatanoufy is board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery, with additional board certification in advanced minimally invasive gynecology and more than 21 years of experience in medicine.
As a urogynecologist, she offers the full range of options in one place, from menopause and hormone care to pelvic floor therapy, in-office treatments and reconstructive surgery. That means your recommendation is based on what will help most, not on a single device or procedure.
Treatment Options
Most women start with the simplest effective option, and many find that non-surgical care is all they need.
Non-surgical options
- Vaginal estrogen or DHEA: restores moisture, thickness and elasticity after menopause. This is the most effective treatment for menopause-related dryness and pain.
- Moisturizers and lubricants: for everyday comfort and intimacy.
- Hormone replacement therapy: for women who also have hot flashes, sleep problems or other menopause symptoms.
- Pelvic floor physical therapy: to strengthen or relax the pelvic floor muscles.
- ThermiVa radiofrequency treatment: an elective option for mild symptoms, with limited evidence that we discuss openly.
Surgical options
- Perineorrhaphy: repair of stretched or torn tissue at the vaginal opening after childbirth.
- Vaginal wall repair: for prolapse of the bladder or rectum.
- Incontinence procedures: such as a mid-urethral sling for stress leakage.
- Vaginal reconstructive surgery: for more advanced prolapse.
Surgery is recommended only when it is likely to help, after a full discussion of benefits, risks and recovery.
What Can You Expect?
Vaginal estrogen and moisturizers often improve comfort within a few weeks, with fuller benefit over about three months. Pelvic floor therapy builds results over several weeks of practice. Surgical repairs involve a recovery period of several weeks, which we will plan with you. Results vary, and we will check your progress at follow-up visits.
Why Women From Houston Choose Our Katy Office
A full range of options from a board-certified specialist, with honest advice about each one.
- Board-certified urogynecologist
- Non-surgical and surgical options in one practice
- Menopause and hormone expertise
- Pelvic floor physical therapy support
- Honest guidance about energy-based devices
- Convenient Grand Parkway location
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Frequently Asked Questions About Vaginal Rejuvenation
What is the most effective treatment for vaginal dryness after menopause?
Low-dose vaginal estrogen is the most effective treatment for most women. Vaginal DHEA, moisturizers and lubricants are also helpful, and non-hormonal options are available for women who cannot use estrogen.
Is vaginal rejuvenation surgery or a non-surgical treatment?
Both. The term covers non-surgical options such as vaginal estrogen, pelvic floor therapy and radiofrequency treatment, as well as surgical repair of stretched or prolapsed tissue.
Can vaginal looseness be a sign of prolapse?
Yes. A feeling of looseness, especially with pressure or a bulge, can be a sign of pelvic organ prolapse, which needs a different treatment approach. An examination can tell the difference.
Are energy-based treatments like ThermiVa proven?
Evidence is limited to small, mostly short-term studies. The FDA has cautioned about marketing claims for energy-based devices used for vaginal rejuvenation. We discuss the evidence openly so you can make an informed choice.
Is vaginal rejuvenation covered by insurance?
Medical treatments for prolapse, incontinence and menopause symptoms are often covered. Elective treatments such as ThermiVa are usually not. Our team can help you understand your coverage.
Do you have an office in Houston?
Our office is in Katy at 410 W Grand Pkwy S, Suite 320. Women from Houston and the surrounding communities are seen there.
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Our only office is in Katy at 410 W Grand Pkwy S, Suite 320, easily reached from West Houston, the Energy Corridor, Memorial and Cinco Ranch by I-10 and the Grand Parkway. Women from across Greater Houston, including Sugar Land, Richmond, Fulshear and Cypress, are seen there for consultations, treatments and follow-up.
Explore Your Options With a Specialist
Find out what is causing your symptoms and which treatments are most likely to help. Schedule a consultation with Dr. Solafa Elshatanoufy in Katy.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494