Feminine Wellness

Hill Country OB/GYN

OB/GYNs located in Austin, TX & Dripping Springs, TX

Women who experience vaginal dryness and painful intercourse, or leakage of urine or who are embarrassed about the appearance of their external genitalia, often hesitate to talk about the problem. The doctors at Hill Country OB/GYN encourage you to consult them if you experience vaginal problems. They understand, and they have a solution: vaginal rejuvenation using noninvasive treatment with Votiva®. As vaginal tissues regenerate, your symptoms and improve your sex life improve. To learn more about Votiva call our office.

Feminine Wellness Q & A

Why Would I Need Vaginal Rejuvenation?

Vaginal rejuvenation treats two common problems: vaginal laxity and vaginal atrophy. Vaginal laxity refers to vaginal tissues that are permanently stretched and loose.

It’s often caused by vaginal delivery, especially if you have several babies or large babies. Loss of muscle tone as you get older and hormonal changes at menopause also contribute to laxity.

Vaginal atrophy is caused by low estrogen following menopause. Without estrogen, vaginal tissues become thin, dry, and sensitive, causing symptoms such as:

  • Vaginal dryness
  • Painful intercourse
  • Vaginal itching and burning
  • Less lubrication during intercourse
  • Burning during urination


Tissues in the urinary tract also atrophy due to low estrogen. This leads to stress urinary incontinence, which may improve when vaginal atrophy is treated with Votiva®.

What is Votiva?

Votiva is a cutting-edge medical device that uses radiofrequency (RF) energy to rejuvenate your vagina and external genitalia. Votiva is FDA cleared and registered for the therapeutic treatment for sexual dysfunction as an adjunct to kegel exercises (tightening the pelvic floor).

Your doctor uses two specially designed handpieces: the FormaV and the FractoraV. The FormaV gently treats the vaginal lining and can be used on external tissues. It’s RF energy covers the entire surface of the targeted area.

The FractoraV is only used outside the vagina. It delivers fractional treatment, in which RF energy treats pinpoint areas while leaving a small part of the surrounding skin untouched. The treated areas stimulate regeneration; the untreated tissues accelerate healing.

How Does Votiva Rejuvenate Vaginal Tissues?

RF energy emitted from the handpieces heats tissues below the surface. The heat increases blood flow and triggers the production of collagen and elastin.

As new tissues regenerate, your vaginal health returns. The tone of the vaginal lining improves and the vaginal wall tightens. Tissues become rehydrated and lubrication is restored. Treatment with Votiva alleviates symptoms of vaginal laxity and atrophy.

When your doctor treats your external genitalia, loose tissues tighten and the wrinkled appearance improves. You regain sensitivity and you can feel confident about your appearance.

What Should I Expect During and After Treatment?

During your consultation, your doctor talks to you about your goals and expectations and then develops a customized treatment plan. You may choose internal treatment, external treatment, or both.

Treatment with Votiva is pain-free. One session only takes about an hour including topical anesthesia and doesn’t cause significant downtime.

While you may see immediate results due to the contraction of existing collagen, it takes time for the blood supply to improve and for new collagen and elastin to develop. You’ll continue to see ongoing results for several months after your treatment.

To learn whether you’re a good candidate for vaginal rejuvenation with Votiva, call Hill Country OB/GYN today.