GENITAL REJUVENATION by Dr. Margarita Yemeliyanova скачать в хорошем качестве

GENITAL REJUVENATION by Dr. Margarita Yemeliyanova

What is genital rejuvenation? It is a range of nonsurgical methods that are an option for women and men who want to restore the youthful appearance and function of their genitalia. Genital rejuvenation is an umbrella term covering procedures that enhance genital aesthetics, sexuality, and functionality. Doctors like me gynecologists, urologists, and dermatologists, all perform nonsurgical genital rejuvenation. Today, with increasing life expectancy and women live longer, more than 20 million of women are affected by uterine prolapse, birthing injuries, and urinary incontinence. Causes for conditions such as vaginal relaxation syndrome or vulvovaginal laxity include vaginal delivery, natural aging, massive weight loss, smoking, and atrophy. Most of our patients are premenopausal, menopausal, and postmenopausal women… women with premature menopause and premature ovarian failure, overall, those who experience the symptoms of estrogen deficiency. Meaning that the decline of estrogen and other sex steroids leads to changes of the labia majora and minora, clitoris, introitus, vagina, urethra and bladder. Estradiol (the main estrogen) controls a plethora of cellular pathways in our body regulating growth and proliferation of cells, barrier function and pathogen defense. The main consequence of lacking estrogen stimulation is the loss of tissue elasticity by inducing fusion and hyalinization of collagen fibers and fragmentation of elastin fibers. The mucosa of the vagina, introitus, and labia minora becomes thin and pale, appears less hydrated, so women start experience dryness, itching, irritation, painful intercourse, and other symptoms. All that affects women’s sexuality and sense of well-being. Noninvasive procedures for ameliorating symptoms of genitourinary syndrome of menopause (GSM) and vulvar-vaginal atrophy (VVA) are increasingly emerging in the form of energy-based devices and injectable agents, such as fillers, PRP and placental peptides. Energy-based devices for vaginal rejuvenation harness power from radiofrequency (RF) or laser sources, such as carbon dioxide (CO2) and Erbium-YAG, to induce thermal-dependent matrix remodeling. How it works? RF energy stimulates type 1 collagen production in the extracellular matrix via the stimulation of fibroblasts. This process results in the contracture of elastin fibers, neovascularization, and improved vaginal lubrication. Recent studies showed an increase in the small nerve fiber density in the papillary dermis. The creation of new elastin, which is relatively unique to RF, may contribute to treating vaginal laxity. It is a lunchtime procedure, with an average treatment time of 10 to 45 minutes depending on the indications. Two or three sittings are advocated, spaced approximately 1 month apart. Who benefits the most from energy-based procedures? Those women, who has: mild-to moderate stress urinary incontinence, overactive bladder, vaginal dryness, decreased lubrication, resulting in painful intercourse, orgasmic dysfunction, grade 1 prolapse (without rectocele or cystocele), vaginal laxity, chronic vaginal infections, and lichen sclerosus. Other noninvasive modalities that we practice for genital rejuvenation include the use of injectable materials, such as PRP (Platelet Rich Plasma), placental extracts and hyaluronic acid. PRP is the most common rejuvenating injectable material used in various parts of the body. Patient’s venous blood is collected in special tubes and centrifuged to obtain a supernatant of PRP. PRP acts by being very rich in and promoting growth factors with a fibrin scaffolding. Growth factors stimulate and recruit multipotent stem cells to grow new healthier tissue. Placental extracts are rich in growth factors and cytokines, which show an array of physiological effects ranging from immunomodulation, anti-inflammatory, wound healing, cellular proliferation, and regeneration. Hyaluronic acid, the cross-linked type, is used as a bulking agent for the labia majora and minora augmentation (if woman complains of saggy or wrinkled skin in that area), and for the G-spot amplification to enhance vaginal orgasm and reach the tightening effect. Non-cross-linked hyaluronic acid, being injected in vaginal wall, renders great moisturizing effect, especially in combination with PRP or placental extracts. In our centers we perform combination treatments including systemic and local treatment using the stem cells and cellular extracts by means of intramuscular and topical application, together with energy-based devices... and get the most effective and satisfying results. Some of the techniques specifically work on the female erogenous areas, such as clitoris and G-spot, restoring the impaired sexual function and sensation, enhancing orgasm, strengthening relationships, and bringing our patients back to their normal life. #genital #dryness #sexuality #rejuvenation #incontinence