Women's Intimate Health
A decrease in genital sensation that may affect arousal, comfort or sexual experience.
Physician-led assessment · individualized care · Vancouver clinic
Understanding Reduced Genital Sensitivity
Maybe intimacy just doesn't feel the way it used to, or it takes more to feel much at all. It can be a lonely thing to notice, and many people wait a long time before mentioning it. Please know it's common, it's a real health concern, and there's often a lot that can help.
Sensation comes from your body, nerves and mind working together. Hormones, circulation and nerve health all play a part, and so do the pelvic floor, medications, stress, mood and what's happening in your relationship. Usually a few of these overlap. That's why we start by getting to know the whole picture: once we can see which factors are leading for you, we can choose care that truly helps.
Causes and Contributing Factors
Sexual sensation depends on hormones, blood flow, nerve function, muscle tone and psychological wellbeing, so reduced sensitivity is often multifactorial. Contributors can include lower estrogen or other hormonal changes, conditions affecting circulation or nerves (such as diabetes), pelvic-floor dysfunction, and the effects of some medications, including certain antidepressants. Stress, mood, fatigue, relationship dynamics and past experiences also strongly influence sensation and arousal. Previous surgery or injury in the pelvic area can play a role for some people. Frequently, more than one factor is involved.
Signs and Symptoms
Assessment
At your confidential appointment with our physicians, we'll talk about when the change started and how it shows up, your general and sexual health, any medications, your mood and relationship context, and your medical history. An examination or tests may help where they're useful. We take a whole-person view, suggest pelvic-floor physiotherapy, sexual-health services or counselling where they'd add something, and shape a private plan around what matters most to you, the pace that feels right and your budget.
Sexual-health consultations are confidential physician appointments with a consultation fee, confirmed when you book.
Treatment Options
These are some of the options connected to this concern. The appropriate plan depends on assessment, suitability, and your goals.
Care follows the cause, and it often brings several pieces together. That might mean reviewing medications, treating hormonal or tissue changes, pelvic-floor physiotherapy, managing a related medical condition, or support such as counselling or sex therapy. Dr. Gidon Frame offers a full hormone assessment where hormones may be part of the picture.
For intimate-tissue changes, our physician-led Pink Intimate program may include the diVa vaginal laser or PRP for selected patients. Paula, our Medical Department Manager, is the designated technician for Pink Intimate, and PRP is performed by our experienced physicians. Research on device-based options in this area is still developing, and we'll go through it clearly with you before you decide.
A physician-led approach to intimate-tissue concerns, offered here as Pink Intimate, that may include assessment and selected energy-based or regenerative options where appropriate.
Personalized hormonal health care in Vancouver with Dr. Gidon Frame, including assessment, treatment guidance, and ongoing monitoring for your symptoms and health goals.
For the fuller picture, explore the treatment pages above or discuss the options during a consultation.
Medical Assessment
See a doctor promptly if reduced sensation comes on suddenly, comes with numbness, weakness, bladder or bowel changes or pain, or follows an injury, as these can point to a nerve or other medical problem. A review is also worthwhile when the change is distressing, persistent, or linked to a new medication or medical condition, since finding a treatable factor can make a real difference.
Frequently Asked Questions
Hormonal and other changes with age can influence sensation, and there's often a lot that can help. Medications, medical conditions and emotional factors can all contribute, so an assessment often finds something treatable. You're welcome to bring it up with us confidentially.
Yes. Some medications, including certain antidepressants, can affect sexual sensation and arousal. Please keep taking any prescribed medication, and mention the timing to your doctor or to us, so we can review whether an adjustment makes sense.
It can be either, and often it's a combination. Sexual sensation depends on the body, nervous system and emotional wellbeing together. That's why we look at the whole person when we assess it.
Physician Assessment
An assessment can help clarify what may be contributing, which options may be appropriate, and what a reasonable next step could look like for you.
Visit Our Clinic
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
Make an Appointment
Use our consultation form below and the clinic can guide you toward the appropriate starting point.
