Why talking about female genital rejuvenation is no longer a taboo
Because more and more women choose to inform themselves and ask for medical help about symptoms that affect their daily quality of life and sexual wellbeing, and which until recently were considered "normal after menopause or childbirth":
- Recurrent vaginal dryness, itching or irritation.
- Mild or moderate loss of urine when coughing, laughing or running (stress incontinence).
- Sensation of laxity or looseness in the vulvar area.
- Decreased lubrication or sexual satisfaction after childbirth or menopause.
At Clínica Robega we approach these cases from regenerative and functional gynaecology, never from merely aesthetic criteria.
Alma Duo®: for which cases is it indicated?
Alma Duo® is a latest-generation intravaginal and external radiofrequency device, medically approved for the treatment of:
- Vulvovaginal atrophy and moderate-severe dryness, especially in menopausal women or post-breast cancer.
- Mild-moderate vaginal canal laxity after vaginal deliveries.
- Mild or moderate dyspareunia (pain during intercourse) of atrophic origin.
The standard protocol consists of 3 sessions spaced one month apart, without anaesthesia and without recovery time.
Emsella®: when is it better than Alma Duo® or than laser?
Emsella® is the only medically approved device to work on the PELVIC FLOOR, using high-intensity focused electromagnetic fields (HIFEM).
It is especially indicated when the main problem is:
- Stress urinary incontinence of mild, moderate or even moderate-severe degree.
- Objective pelvic floor weakness after multiple births.
- Sexual dysfunctions associated with poor pelvic floor activation, even in combination with Alma Duo®.
The standard protocol is 6 sessions of 28 minutes, 2 per week, without undressing and without recovery.
What about surgery? When should a colporrhaphy or labiaplasty be considered?
Surgery (anterior/posterior colporrhaphy, perineoplasty, major or minor labiaplasty) is considered when:
- There is genital prolapse of grade II or higher, clinically measured.
- There is severe stress incontinence that does not respond to rehabilitation + Emsella®.
- There are very marked anatomical changes (very empty labia majora, severe asymmetries, excess skin) that cause pain, chafing or physical discomfort.
Golden rule: always a prior gynaecological assessment
We never recommend any female genital rejuvenation treatment without a thorough prior gynaecological examination and a detailed sexual and urinary anamnesis.
At Clínica Robega (Madrid) we have a specific unit of gyneco-aesthetics and pelvic floor. If you have doubts about whether your case responds better to Alma Duo®, Emsella®, CO2 laser, pelvic floor physiotherapy or surgery, see our treatment page for [female genital rejuvenation](/en/servicios/rejuvenecimiento-genital-femenino) and request your no-obligation gynaecological appointment.
