Paisley Prescriptions - September 2020

Your Best Sexual Health at Every Age


September 2020 Issue - Paisley Prescriptions
Your Best Sexual Health at Every Age

Really? Do I still need the sex talk?

Of course you do! Sex isn’t a one-and-done when it comes to talking and learning about your sexual needs, desires and health. Our bodies change as the decades go by, which impacts your sexual health with new issues always arising. To achieve your best sexual health—and keep your intimacy in shape—be sure to talk to your doctor regularly about any concerns, strange sensations, or noticeable changes you may be experiencing. Don’t be afraid to ask any question, even if you find it embarrassing. Remember, sex is a science that your doctor has studied for years. One last thing: Tell all! You have to be 100 percent honest and detailed with your physician if you want the best solution. Rest assured, doctors really have heard it all!

PYRx0920 McQuigg
What two or three questions do women patients
ask most frequently about regarding their sexual health?

by Lesli G. McQuigg, WHNP-BC

The frequent complaints women have about sexual health are painful intercourse and complaints of decreased libido.

The most common causes of persistent, painful intercourse are endometriosis, fibroids, infections, or vaginal dryness. After a thorough physical is provided, treatment in the form of a prescription or surgery is offered.

Decreased libido has many causes. If painful intercourse is the root cause, then it is addressed as described above. If pain is not the cause of reduced libido, then multiple issues, such as couples therapy, lifestyle changes, or improving body image are discussed. There are two medications that have been approved for low sexual desire in premenopausal women. One is a daily medication and one is an injection that is administered 45 minutes before anticipated sexual activity. Postmenopausal women may benefit from hormone therapy. Also, some serotonergic or dopaminergic agents can improve libido, but these are off label.

Lesli G. McQuigg, is a WHNP-BC at Southeast Georgia Physician Associates-Obstetrics & Gynecology, an affiliate practice of Southeast Georgia Health System.    

PY Rx 0520 Bowen

Who might be a likely candidate for
Bioidentical Hormone Replacement Therapy?

by Diane G. Bowen, MD

Hormones are chemicals produced by glands in the endocrine system and travel through the bloodstream to the tissues and organs, delivering messages that tell the organs what to do and when to do it. Hormones are important for regulating most major body functions and processes, so a hormonal imbalance can affect a wide range of body functions. Hormones help to regulate:
> Metabolism and appetite
> Heart rate
> Sleep cycles
> Reproductive cycles and sexual function
> General growth and development
> Mood and stress levels
> Body temperature

Hormonal imbalances occur when there is too much, or too little of a hormone in the bloodstream. Even a small hormonal imbalance can cause dramatic side effects throughout the body. Men and Women alike can be affected by imbalances of hormones.

Bioidentical hormone replacement therapy (BHRT) is the use of hormones to help resolve symptoms related to hormonal imbalance, or decreases in hormone production related to aging. BHRT comes in various forms, such as pellets, creams, and suppositories, and is considered a more natural solution compared to standard hormone replacement therapy (HRT). BHRT are derived from plant and animal sources, rather than being created synthetically, and most closely mimic those produced by the human body.

If you are experiencing any signs of hormone imbalances, such as thinning hair, decreased sex drive, unexplained weight gain, hot flashes, trouble sleeping and mood changes, it may be time to see if you are a good candidate for BHRT. Specialized lab work is necessary to determine if hormones are the root cause of your symptoms to properly prescribe which BHRT is the right treatment plan for you. Don’t let hormone imbalances slow you down, BHRT can help!

Diane G. Bowen, MD, is owner of Centered on Wellness – 1015 Arthur J. Moore Dr., SSI. Available now for personal virtual appointments to achieve your optimum wellness. Call 912.638.0034. Website:

PY Rx 0520 Kent
How does vaginal rejuvenation help women with their sexual health?
What are the benefits?

by Dr. Harold L. Kent

The aging process affects every part of our bodies. Women experience changes that impact sexual health, comfort and enjoyment. Symptoms can include vaginal dryness and lack of lubrication to facilitate pleasurable sexual relations. Vaginal laxity from childbirth and the effects of gravity can also cause urinary incontinence. At our practice and med spa, we use the Body To Love  (BTL) device Exilis Ultra Femme 360 female sexual dysfunction.

This system uses radiofrequency energy. Ultra Femme treatments to the vagina take only eight minutes per session to treat the entire vagina using a special wand. Old collagen is disrupted, which causes the body to produce new collagen, while blood flow is stimulated. These changes enhance vaginal tightening and lubrication. Maximum results are seen about a month after the last treatment and can last for a year. Additionally, the Ultra Femme device is used to decrease laxity of the skin near the opening of the vagina in a series of 12-minute treatments, which result in an improved cosmetic appearance.

Ultra Femme can also help with urinary incontinence, but we recommend combining this treatment with BTL EMSella. EMSella causes the equivalent of 11,700 supra-maximal pelvic muscle contractions (Kegels) in 28 minutes. It is FDA approved for the treatment of female (and male) urinary incontinence with two treatments per week for three weeks being the standard treatment.
EMSella will also improve vaginal muscular tone and enhance the vaginal tightening effect of Ultra Femme. The benefits are obvious—improvement in vaginal tone and lubrication resulting in an enhanced sexual experience, or as we sometimes tell patients: “This is 8 minutes that will change your life!” Freedom from urinary leakage also means no embarrassing accidents during intercourse.

Dr. Harold L. Kent, specializing in Bariatric & General Surgery, is owner of Georgia Coast Surgical Med Spa & More; 3226-F Hampton Avenue, Brunswick. Call 912-264-9724. Website:, Facebook: Georgia Coast Surgical & Med Spa.

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