An approach that listens and respects your privacy.
A respectful setting for questions about your body. Genital, vaginal and sexual health concerns are considered in light of your symptoms and expectations. The suitability, evidence and possible risks of procedures are discussed after an individual assessment.
Consultations in this area are based on privacy and trust, and take place with you alone, at your own pace. Your questions are listened to without judgement; the assessment is individual to you.
Who it is for
Women with vaginal dryness, postnatal genital concerns, pain during intercourse, vaginismus, low sexual desire or a question about genital aesthetics.
At the consultation
Your history and questions; examination and tests if needed; an individual assessment.
Next step
A plan based on the assessment; collaboration with relevant specialists when needed.
Areas of assessment
- Genital aesthetic procedures and labiaplasty
- Vaginal aesthetics, laxity and functional problems
- Postnatal genital concerns
- Vaginal dryness and vaginal health
- Assessment of laser and energy-based procedures
- Gynaecological concerns related to urinary leakage
- Desire, arousal and orgasm difficulties
- Pain during intercourse
- Psychosocial factors in vaginismus
- Individual behavioural and psychosocial approaches in vaginismus
- Sexual health and relationship counselling for couples
What happens during the consultation?
At your first consultation, your health history, current concerns and expectations are listened to. You can bring previous test or examination results. After the necessary assessments, the options suitable for you and a follow-up plan are discussed together.
Your privacy, your questions and feeling at ease are an important part of the consultation. You can ask about the scientific evidence, alternatives and risks of the proposed procedures.
- Consultation and medical history
- Examination and necessary tests
- Individual plan; referral to relevant specialists when needed
Limits and evidence
- Vaginal laser: a placebo (sham)-controlled study found no advantage over placebo for menopause-related vaginal symptoms; the FDA has not approved these devices for these purposes. It is discussed after evidence-based first-line treatments, with its limitations explained.3,5
- Labiaplasty: there is wide variation in external genital anatomy and most appearances are normal; the possibility of pain, bleeding, infection, scarring, change in sensation and repeat surgery is explained before the procedure.1
- Vaginismus: it is a treatable condition; the effectiveness of gradual behavioural and psychosocial approaches has been shown in studies.12,13
- The quality of vaginismus studies varies and comparative evidence is limited.11
Frequently asked questions
Who is labiaplasty considered for, and what are the risks?
There is wide variation in external genital anatomy and most appearances are normal; this is discussed first at the consultation. If there is persistent chafing, pain or a functional complaint, an assessment is carried out. The possibility of pain, bleeding, infection, scarring, change in sensation, painful intercourse and repeat surgery is explained clearly before the procedure.1
Does vaginal laser really work?
In a placebo (sham)-controlled, double-blind study, laser showed no advantage over placebo for menopause-related vaginal symptoms; the FDA has not approved these devices for these purposes. For this reason, laser is discussed after evidence-based first-line options have been tried, with its limitations explained.3,5
What can be done for vaginal dryness?
For mild symptoms, a lubricant during intercourse and long-acting vaginal moisturisers used regularly are the first step. For moderate and severe symptoms there are prescription options, in particular low-dose local hormone treatment; which one is right for you is decided at the examination.7
What is vaginismus, and can it be treated?
Vaginismus is the involuntary tightening of the muscles around the vagina when intercourse is attempted, together with accompanying fear or anxiety; in Türkiye, it is among the most common reasons for seeking sexual health care. Assessment begins with a gynaecological examination and a discussion of psychosocial causes; it can be treated with gradual behavioural and psychosocial approaches aimed at the cause, and the effectiveness of these approaches has been shown in studies. Where needed, this is done in collaboration with mental health professionals.12,13,15
Is it appropriate to see a gynaecologist about low sexual desire or orgasm problems?
Yes. It is recommended that obstetrics and gynaecology specialists ask about sexual function as part of a routine consultation. In the assessment, medical causes are reviewed; psychological and couple-focused methods form the basis of the approach, and in selected cases medication options may also be discussed.8,9
Is surgery the first step for urinary leakage?
No. For stress or mixed urinary leakage, the first step is supervised pelvic floor muscle training lasting at least three months; if it helps, the programme is continued. Surgical options are considered only after this step, and on an individual basis.10
With any surgical or interventional procedure, results may vary from person to person. It is recommended that you obtain a detailed opinion from your doctor before the procedure.
Hospital Partnerships & SurgerySources
- ACOG CO 795 (2020) (opens in a new tab)
- FIGO statement Cosmetic genital surgery (2025) (opens in a new tab)
- FDA Safety Communication (2018) (opens in a new tab)
- AUGS Clinical Consensus Vaginal Energy-Based Devices (opens in a new tab)
- Li et al. JAMA (2021) (opens in a new tab)
- RBGO meta-analiz (2024) (opens in a new tab)
- NAMS GSM Position Statement (2020) (opens in a new tab)
- ACOG PB 213 (2019) (opens in a new tab)
- Global Consensus Testosterone (2019) (opens in a new tab)
- NICE NG123 (2019) (opens in a new tab)
- Cochrane Melnik (2012) (opens in a new tab)
- ter Kuile et al. (2013) (opens in a new tab)
- Maseroli et al. (2018) (opens in a new tab)
- J Sex Med meta-analiz (2025) (opens in a new tab)
- Dogan (2009) (opens in a new tab)
This information is educational and is not a personal diagnosis or treatment recommendation. Assessment and follow-up are tailored to you during a medical consultation.