Easing vaginal dryness, itching, and other symptoms at the source with a wide range of therapeutic options

At some point in a woman’s life, she will likely experience vaginal dryness, pain during sex, and other highly undesirable and life-disrupting symptoms. These symptoms may include a lack of bladder control, urinary incontinence, and vaginal itching rooted in numerous conditions and circumstances — ranging from hormonal changes to psychological barriers to sexual sensation and pleasure. 

Fortunately, women in Central Austin and Central Texas have a leading authority in women’s health in their “own backyard”: Dr. Saima Jehangir of Alchemy Wellness Medspa. Dr. Jehangir works with you to No. 1, identify the source of your concerns, and No. 2, recommend treatment that resolves and addresses the root of the problem. Her range of treatment options supports a woman’s ability to lead her fullest, most satisfying life and true wellness. Some of these potential interventions include: 

  • Bioidentical Hormone Replacement Therapy — BHRT involves the use of hormones in an innovative pellet form specifically tailored to each patient to replace those not sufficiently available in the body. It is frequently recommended to resolve menopausal symptoms and is generally considered a low-risk and natural alternative to other forms of HRT due to how the “bioidentical” hormones are a chemical match for each patient. 
  • diVa™ by Sciton® — This revolutionary laser technology uses proprietary “high precision automation” to rejuvenate the vaginal tissues safely, effectively, and predictably. Treatment is highly customizable to each patient’s characteristics, from age and symptoms to goals and desired results.
  • TempSure® Vitalia – Instead of powerful therapeutic energy derived from laser light, the Vitalia system leans into radiofrequency energy or waves to enhance nerve sensitivity, tighten vaginal tissues, and promote the development of new firming collagen and springy elastin fibers. 
  • Oxytocin – The “love drug” may be prescribed and taken sublingually (under the tongue) to boost arousal and feelings of intimacy, bonding, and trust. 
  • Orgasm-Enhancing Shots with PRP – Like the “vampire facial,” we can use a patient’s platelet-rich blood to stimulate sensation in the clitoral region and promote tissue healing. 
  • Pelvic floor exercises – Often a “first-line” of defense for women experiencing urge incontinence and other potential symptoms of weak pelvic floor muscles, tailored and targeted exercises may be combined with other therapies such as biofeedback.

Frequently Asked Questions About Treatment for Vaginal Dryness and Painful Sex

Can low estrogen-related vaginal dryness increase my risk of urinary tract infections or bladder issues?

Yes. Estrogen plays a crucial role in maintaining the health and thickness of vaginal and urethral tissues. When estrogen levels drop, these tissues become thinner and more fragile, increasing the risk of urinary tract infections, urgency, and occasional leakage. Treating the underlying hormonal imbalance can restore the tissue’s protective barrier and reduce the frequency of infections or urinary discomfort.

Are non-hormonal RF or laser therapies as effective as vaginal estrogen for dryness and painful sex?

Non-hormonal therapies such as radiofrequency (RF) or laser treatments are increasingly popular alternatives to estrogen. These methods work by stimulating collagen and increasing blood flow, which enhances tissue elasticity and moisture. While estrogen acts directly on the mucosal lining, RF and laser promote structural improvements. For women who cannot or prefer not to use hormone-based therapies, these energy treatments offer significant relief and long-term benefits with minimal downtime.

How do treatments like diVa laser or radiofrequency differ from topical vaginal estrogen?

Topical estrogen replenishes hormone levels locally, quickly increasing moisture and reducing irritation. However, laser and RF treatments go deeper by triggering collagen remodeling and cellular renewal in the vaginal walls. The effects may take longer to appear but tend to last longer than hormone creams alone. Some patients choose to combine both for comprehensive support and more durable results.

Can vaginal dryness or painful sex be caused by medications or autoimmune conditions?

Yes. Several medications, such as antidepressants, antihistamines, and certain blood pressure drugs, can reduce natural lubrication. In addition, autoimmune conditions like Sjögren’s syndrome may affect the body’s ability to produce moisture. These factors are often overlooked and may contribute to chronic vaginal dryness even in younger women or those not experiencing menopause. At Alchemy Wellness Medspa, Dr. Jehangir reviews your full medical history to identify underlying contributors and personalize your treatment.

How do pelvic floor dysfunction and muscle spasms contribute to painful sex?

When the pelvic floor muscles become too tight or are not functioning properly, they can cause pain during intercourse. This may be due to stress, hormonal changes, trauma, or lack of sexual activity. Even when dryness is treated, unresolved muscle tension can still result in discomfort. That’s why pelvic floor therapy may be recommended as part of a broader approach to relieve pain and restore enjoyable intimacy.

Is regular sexual activity or the use of vaginal dilators beneficial during treatment?

Yes. Gentle sexual activity or using vaginal dilators helps maintain tissue elasticity and promotes circulation in the vaginal walls. This can enhance the effects of other treatments by encouraging natural lubrication and reducing friction. Regular stimulation can also help prevent further tightening or atrophy, especially during perimenopause or postmenopause.

What combination of therapies delivers the best, long-term relief from dryness and discomfort?

The most effective treatment plans typically combine hormone therapy, energy-based procedures, and lifestyle or physical therapy. For example, topical estrogen or bioidentical hormone pellets may replenish hormone levels, while laser or RF devices rebuild tissue structure. Pelvic floor therapy and personalized wellness coaching can address muscle tone and emotional factors. Dr. Jehangir takes a whole-person approach to ensure that treatment is not just symptom-focused but rooted in lasting wellness.

There are many potentially distressing conditions and changes associated with declining estrogen levels and genitourinary syndrome or vulvar atrophy that may accompany menopause. The good news is we have a multitude of therapies at Alchemy Wellness Medspa to combat these problems and restore a woman’s quality of life and sense of well-being. Call (512) 561-0971 to schedule your consultation with Dr. Jehangir at our office in Austin, TX today.