Sexual Dysfunction Treatment in Katy, TX
Changes in desire, arousal, comfort or orgasm are common and often have a medical cause. You deserve a private, respectful conversation and real treatment options.
Female sexual dysfunction includes ongoing problems with desire, arousal, lubrication, orgasm or pain during sex that cause distress. Causes range from menopause and hormone changes to pelvic floor muscle tension, medications, stress and relationship factors. At our Katy office, Dr. Solafa Elshatanoufy evaluates the physical causes and offers treatments that may include hormone care, pelvic floor therapy and medication.
Understanding Sexual Dysfunction in Women
Sexual health is part of overall health, and problems are common at every stage of life. Many women find it hard to bring up, and many are told that changes are simply part of getting older. Often, they are not, and treatment can help.
Sexual function involves hormones, blood flow, nerves, muscles, emotions and relationships. A change in any of these can affect desire, arousal or comfort. Very often more than one factor is involved, so the most effective care looks at the whole picture.
Types of Sexual Concerns and Common Causes
Identifying the type of concern helps guide the right treatment.
Common concerns
- Low desire: little or no interest in sex that causes personal distress
- Arousal difficulties: trouble becoming or staying aroused, or reduced lubrication
- Orgasm difficulties: delayed, less intense or absent orgasm
- Pain with sex: pain at the opening or deep in the pelvis
- Vaginismus: involuntary tightening of the pelvic floor muscles that makes penetration painful or impossible
Possible contributing factors
- Perimenopause and menopause, including vaginal dryness and thinning
- Childbirth, breastfeeding and postpartum hormone changes
- Pelvic floor muscle tension or weakness
- Pelvic organ prolapse or urinary leakage during intimacy
- Endometriosis and other causes of pelvic pain
- Medications such as some antidepressants and blood pressure medicines
- Diabetes, thyroid conditions and heart disease
- Stress, fatigue, depression, anxiety and relationship concerns
When Should You See a Specialist?
- A change in your sexual health is causing you distress
- Sex has become painful
- You notice dryness, burning or irritation that makes intimacy uncomfortable
- You leak urine or feel a bulge during intimacy
- Lubricants and over-the-counter products have not helped
Seek prompt care for new pain with bleeding after intercourse, fever with pelvic pain, or bleeding after menopause. Call 911 in an emergency.
Sexual Health Care From Dr. Solafa Elshatanoufy
Dr. Solafa Elshatanoufy is board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery, with more than 21 years of experience in medicine. Her expertise in the pelvic floor, menopause care and pelvic surgery means she can address many of the physical causes of sexual concerns in one place.
Her Doctor of Pharmacy background is also helpful when reviewing medications that may affect desire or arousal. Visits are private and unhurried, and you set the pace of every conversation and examination.
What Your Evaluation Includes
- A private conversation: about your concerns, health history, medications and what matters most to you.
- Gentle pelvic examination: when appropriate, to look for dryness, tissue thinning, tenderness, pelvic floor muscle tension or prolapse.
- Lab tests when indicated: such as thyroid function and hormone levels.
- Screening for related conditions: including bladder symptoms, pelvic pain, mood and sleep.
Treatment Options
Treatment is matched to the causes found in your evaluation, and combining approaches often works best.
Medical and hormonal care
- Vaginal estrogen, DHEA or moisturizers: for dryness and thinning related to menopause.
- Hormone replacement therapy: for women with other menopause symptoms, after a review of benefits and risks.
- FDA-approved medications for low desire: for selected premenopausal women.
- Testosterone therapy: may be considered for postmenopausal women with low desire, with careful monitoring.
- Medication review: to identify and adjust medicines that may be contributing.
Pelvic floor and supportive care
- Pelvic floor physical therapy: to relax tight muscles, reduce pain and improve sensation.
- Vaginal dilator therapy: for vaginismus and pain at the opening.
- Treatment of prolapse, leakage or pelvic pain: when they affect intimacy.
- Counseling referral: to a sex therapist or counselor when emotional or relationship factors are involved.
Our practice also sees men with concerns such as erectile dysfunction and age-related hormone changes. Please ask our team when you call.
What Can You Expect From Treatment?
Many women notice improvement in comfort within a few weeks of starting vaginal estrogen or moisturizers. Pelvic floor therapy usually involves a series of visits and a home program. Changes in desire often take longer and may involve several approaches. Results vary from person to person, and we will adjust your plan as you go.
Sexual Health Care in Katy, Texas
Private, judgment-free care that treats sexual health as part of your overall health.
- Board-certified OB/GYN and urogynecologist
- Menopause and hormone expertise
- Pelvic floor physical therapy support
- Medication review by a physician with a PharmD
- Private, unhurried visits
- Care for related bladder and prolapse symptoms
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 Sexual Health
Is low sex drive normal as women get older?
Desire naturally changes over time, but low desire that causes you distress is worth discussing. Hormone changes, medications, sleep, stress and pain can all contribute, and many of these are treatable.
Why is sex painful after menopause?
Lower estrogen levels can make vaginal tissue thinner, drier and less elastic. Vaginal estrogen, DHEA, moisturizers and lubricants are effective treatments for most women.
Can pelvic floor therapy help with sexual problems?
Yes. Pelvic floor physical therapy can relax tight muscles that cause pain, strengthen weak muscles and improve sensation and comfort.
Can my medications affect my sex drive?
Yes. Some antidepressants, blood pressure medications and hormonal contraceptives can lower desire or make orgasm more difficult. Never stop a medication on your own, but ask us to review your list.
Is testosterone safe for women?
Testosterone may be considered for postmenopausal women with low desire that causes distress. It requires careful dosing and monitoring, and it is not right for everyone. We will discuss the benefits and risks with you.
Do you see patients from outside Katy?
Yes. Patients from Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston are seen at our Katy office.
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All sexual health consultations take place privately at our Katy office at 410 W Grand Pkwy S, Suite 320. We welcome new patients from Katy, Cinco Ranch, Fulshear, Richmond, Sugar Land, Cypress and West Houston.
Ready to Talk About Your Sexual Health?
A private conversation is the first step. Schedule a consultation with Dr. Solafa Elshatanoufy.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494