Treatment Directions

Women's Sexual Health: Anorgasmia, Low Libido, Pelvic Floor Dysfunction

Creator: PERFECT IMPERIAL Private Medical Institute
Published: 2026-08-09

Anorgasmia, reduced sex drive, discomfort during intimacy, as well as pelvic organ prolapse and urinary incontinence, are sensitive problems many women live with for years. All of them respond to treatment once the cause is correctly identified.

Medical editor: Vitalia Kurach · Reviewed by a doctor · Updated: 09.08.2026

A comprehensive view instead of a single "narrow" specialist

Harmonious female sexuality results from a subtle interaction between the psycho-emotional, endocrine and vascular spheres of the body and the reproductive system. That is why an isolated visit to one narrow specialist often fails: a gynecologist does not see the full hormonal picture, an endocrinologist does not assess pelvic floor status, and a psychologist cannot rule out an organic cause.

At our clinic, a woman is managed by a team: a sexologist, a gynecologist-endocrinologist, and aesthetic and regenerative medicine specialists — working together on a single plan.

What we treat

anorgasmia and reduced orgasm quality;
decreased libido, including due to hormonal changes and menopause;
dryness and discomfort during intimacy;
pelvic floor dysfunction: pelvic organ prolapse, urinary incontinence;
vaginismus (including botulinum toxin therapy);
aesthetic and functional indications for intimate contouring.

Treatment methods

Depending on the cause, we use hormonal correction (including bioidentical pellets), laser techniques (vaginal rejuvenation, treatment of stress urinary incontinence), intimate contouring with fillers, regenerative medicine methods and work with the psychogenic component. The diagnostic stage can be remote; procedures take place at the clinic.

Questions & Answers

Is anorgasmia a psychological problem?▾

Not always. "Psychology" often hides hormonal imbalance, vascular changes, effects of childbirth, or pelvic floor condition. That is why we start with a full work-up rather than the advice to "just relax".

I feel uncomfortable discussing these issues. How does the appointment go?▾

The appointment is conducted by a sexologist with years of experience in sensitive topics. The conversation is confidential, respectful and judgment-free; the initial consultation can be done online if you prefer.

Does laser therapy help with urinary incontinence?▾

For mild to moderate stress incontinence, laser techniques provide marked improvement without surgery. Indications are determined after examination and clarifying the type of incontinence.

Can dryness be treated without hormones?▾

Yes, in many cases laser vaginal rejuvenation and local therapy are enough. If the cause is estrogen deficiency, the doctor will discuss hormonal correction options with you, including bioidentical.

Author: PERFECT IMPERIAL Private Medical Institute editorial team.

Medical editor: Vitalia Kurach — dermatovenereologist, sexopathologist, andrologist, dermatosurgeon; specialist in intimate contouring and regenerative medicine; Medical Director of the Institute.

Published: 09.08.2026 · Updated: 09.08.2026

This material is for informational purposes only and does not replace a doctor's consultation. Contraindications exist — a specialist consultation is required. Expected results are described based on the clinic's experience; individual results depend on the patient's baseline condition and adherence to recommendations.

Start with an expert consultation

The treatment decision can be made remotely — based on tests you complete where you live. You come to our clinic in Kyiv for the procedures.

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