Dr. Ariana Smith

You know, what changes in our genitalia can be expected with aging?

What things can be done to restore things that bother you?

Just like cosmetic surgery, if something bothers you and it's making you not have sex, it's going to affect your life and your relationships.

And these are things that can be addressed.

They may not fall under the nice category of medical vaginal rejuvenation versus cosmetic, but these lines are blurred and these lines are complicated to draw because there is so much interrelationship between how our anatomy looks and how we feel.

I think the role of pelvic floor physical therapy for young women shouldn't be overlooked.

This is something that so many women could benefit from.

I know we have a pilot program at our institution where we're trying to funnel as many women as possible into pelvic floor physical therapy after childbirth.

even if it's for a singular session, but just to raise awareness and allow people to better understand the changes that happen to their body and what they're capable of doing for recovery.

But I think for me, if I met a young woman after one vaginal delivery, I would really encourage pelvic floor physical therapy as a first next step.

Yeah, I mean, Noreet, you did a fabulous job covering all the topics.

I'm curious just to hear from you, since we did so much talking.

In New York, I mean, do you get any pushback when you prescribe things like vaginal estrogen or pelvic floor physical therapy as therapeutic interventions?

Are patients happy with that, or are they looking for more and for some of these procedures that we've deemed complicated?

I think the title of our podcast was about myth versus reality.

And I don't know, I think for me, vaginal rejuvenation is definitely a reality.

Women are talking about it.

Women are doing it.

I think we talked about the things that were potentially myth.

But do you guys agree with that?