Laser Vaginal Rejuvenation (LVR®)

Enhancement of Sexual Gratification

Laser Vaginal Rejuvenation® (LVR®) is a one-hour outpatient surgical procedure designed to enhance sexual gratification. According to Master and Johnson, sexual gratification is directly related to the amount of frictional forces generated. We can accomplish this with LVR®. LVR® is the modification of a gynecological surgical procedure used for the treatment of stress urinary incontinence. Our laser techniques result in gentle precision procedures with controlled accuracy that results in relatively bloodless surgery. Our pioneered techniques result in rapid healing and resumption of daily activities in a short period of time.

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 (see figure below). In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, 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.

Our mission is to empower women with knowledge, choice, and alternatives. We encourage patients to participate in their healthcare and surgical design. In one of our patient surveys, women were asked; do women want to be loose or relaxed or do women want to be tight? Women answered 100% - women want to be tight. LVR® can accomplish what ever you desire.

Women come to us because they want knowledge, choice, and alternatives. Women want their gynecologist to listen to them and provide viable solutions. Women throughout this nation and 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.

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®.

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.

As a sexual biological organism, women are superior to men.

Women are multiorgasmic. The female sexual response cycle is unimpeded by a required refractory period that prevents successive orgasms in the male.

Principal understanding of the physiology of the human sexual response emanates from observational research studies by William H. Masters, M.D. and Virginia E. Johnson. The researchers tested 382 women and 312 men in more than 10,000 episodes of sexual activity. They also studied more than 7,500 cycles (one cycle is an individual episode of sexual activity) of female sexual response during intercourse, masturbation or oral sex. They were the first researchers to put forth a four stage model that described and explained these natural physiologic changes. The four stages are excitation, plateau, orgasm, and resolution.

We developed the LVR® program by listening and caring about the needs of women in this area of sexual gratification. We also integrated the historical research of Masters and Johnson into the ultimate individual design of each of the laser surgical procedures. Women of the world inspired all of the surgical designs. For this, we as well as present and future patients thank the “true pioneers” and inspirational forces that made Laser Vaginal Rejuvenation® a reality…WOMEN.

Vaginal Relaxation and Functional GYN Problems

Many 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.

Many women suffer unnecessarily from conditions involving pelvic relaxation. If you have any of these symptoms described in this section, E-mail 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:



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:


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.

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 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 felling of heaviness and fullness, or a sense that the uterus is falling out.

The diagnosis of these problems includes a through history and physical examination. Other test depending on the circumstances include a "Q-tip" test, urodynamic studies (a painless fifteen to twenty minute computerized bladder and urethra functional studies), urethrocystoscopy (instrument used to evaluate the inside of the bladder and urethra), X-rays of the urinary system.

For all practical purposes, definitive treatment is surgical correction of the specific defects.