Understanding Vaginal Wellness in Functional Medicine

Still Dry On Hormones? Here’s What You Might Be Missing

Let’s break it down.
You add collagen to your coffee, right? And you still use your AM/PM skincare routine? Of course—because glowing skin takes both internal support and topical care. Your collagen powder doesn’t replace your serums and moisturizers… it complements them.

Well, the same goes for the skin down there. Vaginal tissue needs systemic support (like hormone therapy) and targeted, local treatments to truly thrive. It’s not either/or—it’s both/and.

At Enhance Aesthetics, we believe vaginal wellness is more than just symptom management—it’s about restoring vitality, confidence, and comfort from the inside out. As a functional medicine and aesthetic practice, we take a root-cause approach to hormonal and tissue health, offering a range of science-backed, minimally invasive therapies that support the full spectrum of women’s wellness.

Here’s how we’re helping women reclaim their vaginal health with a powerful combination of bioidentical hormones, regenerative therapies, and non-surgical devices.

Understanding Vaginal Wellness in Functional Medicine

Hormonal fluctuations, aging, childbirth, perimenopause, menopause, and even stress can affect the vaginal microbiome, tissue integrity, moisture levels, and libido. From a functional medicine perspective, we assess the entire ecosystem—gut health, adrenal balance, nutrient status, inflammation, and hormone function—to uncover the root cause of symptoms such as:

• Vaginal dryness or irritation
  
  
• Painful intercourse
  
  
• Decreased libido
  
  
• Urinary incontinence
  
  
• Recurrent infections
  
  
• Skin laxity or loss of elasticity
  
  

The goal isn’t just to treat symptoms—it’s to optimize your body’s ability to heal, regenerate, and thrive.

Pellet Therapy for Hormonal Rebalancing

Bioidentical hormone replacement therapy (BHRT) using pellets provides a steady release of hormones like estradiol and testosterone, mimicking the body’s natural rhythms. Pellet therapy can:

• Improve vaginal lubrication
  
  
• Restore libido
  
  
• Enhance collagen production in vaginal tissues
  
  
• Support overall mood, sleep, and energy
  
  

Many women feel a significant improvement in their overall well-being with pellet therapy, but some vaginal symptoms—like dryness or atrophy—may persist despite balanced systemic hormones.

Why Add Vaginal Estrogen if You’re Already on Pellets, Injectables, Creams, or Patches?

This is a common and important question. Even if you’re already receiving systemic hormone replacement therapy—whether through pellets, patches, injectables, creams or oral medications—you may still benefit from the localized effects of vaginal estrogen cream or suppositories.

Systemic estrogen supports overall health, but vaginal tissues often need a more direct, targeted approach—especially for issues like:

• Persistent dryness or burning
  
  
• Thinning of the vaginal walls
  
  
• Pain with intimacy
  
  
• Urinary frequency or urgency
  
  

Vaginal estrogen (such as estriol or estradiol cream) works directly on the mucosal tissue to restore moisture, thickness, elasticity, and comfort. It’s safe, highly effective, and often the missing piece in a woman’s hormone therapy plan.

Votiva: Non-Surgical and Non Hormonal Vaginal Rejuvenation

For women looking to address both internal and external vaginal concerns without surgery or downtime, Votiva offers a powerful solution. Using gentle radiofrequency energy, Votiva stimulates collagen and elastin production to:

• Improve tightness and tone
  
  
• Increase natural lubrication
  
  
• Enhance sensation and intimacy
  
  
• Reduce mild urinary incontinence
  
  

This in-office procedure is quick, comfortable, and can be paired with hormone therapy for even more dramatic results. This is something we typically do in a series of three, once per year, and It pairs extremely well with vaginal PRP injections. 

Regenerative Therapies: AnteAGE® & PRP

We love combining bioidentical hormone therapy with regenerative medicine for long-term tissue health.

• AnteAGE® Vaginal Rejuvenation Serum is a stem cell–based topical that soothes inflammation, supports healing, and rejuvenates tissue at the cellular level. It’s ideal for post-menopausal women or anyone recovering from laser or RF treatments like Votiva.
  
  
• Platelet-Rich Plasma (PRP) therapy—often referred to as the Ohh-Shot—uses your body’s own growth factors to regenerate vaginal tissue, enhance sensation, and restore function. PRP can be injected or applied topically and is an excellent option for women with atrophy, dryness, or sexual dysfunction. This si typically done once per year and takes 5 minutes to perform!
  
  

Vaginal Wellness is Whole-Body Wellness

Functional medicine reminds us that vaginal health is connected to everything—hormones, gut function, stress, and inflammation. That’s why we create personalized plans that may include:

• Hormone testing and optimization
  
  
• GI-mapping to uncover dysbiosis or leaky gut
  
  
• Adrenal and thyroid support
  
  
• Nutraceuticals and lifestyle strategies
  
  
• Aesthetic and regenerative vaginal therapies
  
  

It’s Time to Talk About It

Vaginal wellness is not just about sexuality—it’s about quality of life. If you’re experiencing discomfort, loss of confidence, or simply want to feel more like yourself again, we’re here to help.

Let’s create a tailored protocol that supports you from the inside out—with confidence, compassion, and proven results.

You can book a private consultation with us using this link or by calling us at (909)581-7777! 

XOXO,

Haley Lyman, FNP-C

@TheBeautyArtist_np