Enhancement of Sexual Gratification
Laser Vaginal Rejuvenation (LVR) is a one-hour outpatient surgical procedure designed to enhance sexual gratification. According to Masters and Johnson, sexual gratification is directly related to the amount of vaginal frictional forces generated. We can accomplish this with LVR. Designed to enhance sexual gratification for women LVR is the modification of a gynecologic surgical procedure used for the treatment of stress urinary incontinence and pelvic organ prolapse. Our laser techniques are gentle precision procedures with controlled accuracy that results in relatively bloodless surgery. Our pioneering techniques result in rapid healing and resumption of daily activities in a short period of time.
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Laser Vaginal Rejuvenation (LVR) will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body.
Vaginal relaxation (loose vagina) is the loss of the optimum structural architecture of the vagina. In the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, loss of strength, control and support. Subsequently, the internal and external vaginal diameters can greatly increase. The muscles of the perineum (the group of supporting muscles cupping the vaginal opening at the bottom) thin and separate in the midline producing a weakened, poorly supportive, thinned out perineal body. Vaginal relaxation has a detrimental effect on sexual gratification because of the reduction of friction generated, and subsequently sexual stimulation or pleasure. Hence the sensual side of sexual gratification is diminished.
LVR was designed to enhance sexual gratification for women, who for whatever reason lack an overall optimum architectural integrity of the vagina.

What Women Want
We have learned a tremendous amount from women treated with LVR in the 50 U.S. states and over 30 countries worldwide. Women come to us because they want knowledge, choice, and alternatives. Women want their gynecologist to listen to them and provide viable solutions. Achieve the best sexual experience possible Women throughout the world have told us that Kegels do not work-but no one is listening. Women who have had children want a solution to rejuvenate the vagina and achieve the best sexual experience possible. For women with no children, solutions are available through design modification to accomplish their desires.
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No one wants to age or lose optimal function anywhere, and this includes the vaginal and vulvar structures: LVR has the solution. We have found that the vaginal and vulvar issues women are self-conscious about can be solved with LVR and DLV.
Patients with involuntary loss of urine with coughing, sneezing, laughing, exercising, or sex can have their stress urinary incontinence corrected along with enhancement of sexual gratification.

Vaginal Relaxation and Functional GYN Problems
Symptoms may be related to common problems Over thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence. Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging or a combination of both. Grouped together these problems are referred to as pelvic relaxation and, or prolapse.
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Many women suffer unnecessarily from conditions involving pelvic relaxation. If you have any of these symptoms described in this section, contact us. Appropriate diagnosis and treatment will often restore patients to a life free of the aggravations and discomforts associated with pelvic relaxation.
The goal is to acquaint you with the various forms of pelvic relaxation as well as their causes, symptoms, and treatment. The pelvic organs include the vagina, uterus, bladder, and rectum. These organs are held in position by three types of supports: 1) muscles, 2) sheets of tissue called fascia 3) and ligaments. When these supports become damaged for various reasons, one or more of the pelvic organs may sag and, occasionally, even protrude outside the vagina. These are called pelvic support defects.
During childbirth, as the baby passes through the birth canal, the muscles, fascia, and ligaments separate and may be weakened. This weakening gradually worsens and, in later years, may cause the pelvic organs to drop from their normal positions.
Occasionally, this weakening of the muscles and tissue may occur in women who have never had children. In these women, the cause may be:
- Inherited weakness of the supporting tissues.
- Unusual strain placed on the supporting tissues by a chronic cough.
- Unusual increases in abdominal pressure.
- Obesity.
The general symptoms associated with pelvic relaxation depend on which organs are affected. Often there is a feeling of heaviness or fullness. Small or moderate amounts of urine may be lost with normal physical activities such as laughing, coughing, walking, or running. In more advanced and rare cases a mass may actually protrude from the vaginal opening. Based on the organ or organs involved, pelvic support defects can be defined more specifically as:
Cystocele.
Urethrocele (most of the time the cystocele and urethrocele occur in combination - cystourethrocele).
Rectocele.
Enterocele.
Uterine prolapse. A cystocele occurs when the bladder falls or descends from its normal position. The most common symptom associated with cystocele is difficulty in completely emptying the bladder. This can be associated with bladder infections. Large cystoceles can cause the bladder to overfill and allow small amounts of urine to leak. Leakage is most common during activity such as walking or bouts of coughing. Definitive treatment is surgical correction
A urethrocele usually occurs in conjunction with a cystocele. Both of these conditions result in, among other things, involuntary loss of urine, particularly when there is increased pressure in the abdomen, caused by walking, jumping, coughing, sneezing, laughing, or sudden movements. Rectoceles happen when the rectum bulges into or out of the vagina.
Rectoceles and enteroceles usually occur as a result of injuries sustained during childbirth. With a weakened or bulging rectum, bowel movements become more difficult. An enterocele is the bulging of small intestines into the back wall of the vagina.
Uterine prolapse occurs when the uterus falls or is displaced from its normal position. There are varying degrees of severity depending on the descent. This produces a general feeling of heaviness and fullness, or a sense that the uterus is falling out.
The diagnosis of these problems includes a thorough history and physical examination. Other tests depending on the circumstances include a "Q-tip" test, urodynamic studies (a painless fifteen to twenty minute computerized bladder and urethra functional studies), cystoscopy (instrument used to evaluate the inside of the bladder and urethra), and, or X-rays of the urinary system.
For all practical purposes, definitive treatment is surgical correction of the specific defects.
