Education and Treatment

Feminine Sexual Health

Sharing/Openness is no longer taboo.

Sexual Wellness is defined as the state of physical, emotional, mental and social well-being related to sexuality that can be assessed and improved through sensitive and proper medical care. When sex hurts because of dryness or the changes from delivering your child occurs, this can change a woman’s perception, reception, and desire for intimacy and sexual function. The providers of CFWS help women to define the problem and develop a solution in a safe, caring, judgment-free environment.

Aesthetic Gynecology

The freedom to be beautiful inside and out!

Many of us are surprised by the changes that occur from common events such as childbearing, constipation and straining, and even exercise. These alterations can be tolerable for a period of time, but when they redefine your idea of what you want for yourself, then a conversation should occur. Our center help manages pelvic health and shifts in female vaginal anatomy. Dr. Bri Walton marries her knowledge of pelvic reconstructive surgery with intimate aesthetics, defined as services and procedures to improve the appearance and attractiveness of female genital organs. Her expertise and artistic background help women redefine their expectations, self-confidence in their appearance and sexual functions.

Frequently Asked Questions

Dr. Walton, affectionately known as Dr. Bri, is a specialist in women’s health, here to help women answer sensitive and embarrassing questions and then formulate a plan to improve their feminine confidence and well-being. The Center for Feminine Wellness and Surgery (CFWS) offers a variety of non-surgical and surgical options designed to relieve distress and enhance physical and mental comfort. The providers of CFWS help women to define the problem and develop a solution in a safe, caring, judgment-free environment. Click here to learn more!
Vaginal laxity is the subjective or objective finding when a woman’s vaginal canal looks or feels wider. This symptom occurs when the vagina loses its tightness and tone. The changes are generally related to childbirth and impacted by aging and can impact a woman’s comfort, sensation, and confidence.
Vaginal laxity can directly affect a woman’s self-esteem and sexual confidence. When these changes impact her body image, they can stress her relationships and cause her to avoid activities that used to bring her joy and closeness.
Atrophy is the medical term for vulvar and vaginal changes associated with menopause. Women with vaginal atrophy can have more urinary tract infections and night time urination. The most common symptoms are itching or dryness at the opening or inside the vagina. Pain during and after sexual activity can also occur. When sex hurts because of dryness or vaginal shortening or constriction, this can change a woman’s perception, reception, and desire for intimacy and sexual function.
Labial hypertrophy is the medical term for when one or both of the vaginal lips or labia is larger than usual. Enlarged labia can cause bothersome symptoms related to comfort or hygiene. Labial hypertrophy is a harmless condition, but for some women, it can interfere with tampon insertion, sexual function, cleanliness or self-evaluation.
Vaginal constriction causes the vagina to seem unusually small, tight or narrow. The scar or tissue can interfere with vaginal exams, sexual activity or insertion/removal of menstrual products.


Dr. Walton has years of experience and expertise in treatments for urinary incontinence. She will perform a comprehensive pelvic floor evaluation at the CFWS. If the therapies offered at the CFWS are not appropriate for the complaints or diagnosis, we will refer you for further evaluation and treatments to a Pelvic Floor Specialist like Dr. Walton in her Capital Women’s Care practice.
According to Voices for PFD:
If you or someone you know struggles with loss of bladder control, or urine leakage, you are not alone:
  • Urinary incontinence affects men and women, although it is nearly twice as common in women.
  • Bladder control problems affect 30 to 50% of women.
  • Although the rates go up with age, urinary incontinence among young women is common.
  • Though common, urinary incontinence is NOT “normal” at any age.
Bladder control problems are health issues, which impact your ability to void with normally:
  • Urine leakage (urinary incontinence, or UI).
  • Loss of urine that occurs at the same time as physical activities that increase abdominal pressure such as sneezing, coughing, laughing, and exercising (stress incontinence, or SUI).
  • Inability to hold urine long enough to reach the restroom (urinary urge incontinence, UUI).
  • Frequent urination during the day and night (urge frequency).
  • Frequent need to void—a combination of both urgency frequency and urge incontinence (overactive bladder).
  • Difficulty emptying their bladder (voiding dysfunction).

Seven Categories of Urinary Incontinence

Stress Incontinence – Urine leakage occurs with increases in abdominal pressure. For example, when you cough, laugh, sneeze, or lift a heavy object.

Urge Incontinence (Overactive Bladder) – Inability to hold urine long enough to reach restroom. Women often describe a sudden urge to urinate followed immediately by leaking. Some leak on the way to the bathroom or while they are taking off their clothes.

Functional Incontinence – Leakage (usually resulting from one or more causes) due to factors impairing your ability to reach the restroom in time because of physical conditions (e.g., arthritis or using a walker). This may or may not represent a problem of the pelvic floor, but your health care provider can offer potential solutions.

Fistula – This is an abnormal connection between the vagina and the urinary tract, which results in urinary incontinence. This usually happens after some types of surgery, trauma, or radiation to the area. Urinary incontinence due to fistulas is relatively uncommon.
Mixed Incontinence – Two or more causes contribute to urinary incontinence. For example, if a woman has the combination of stress incontinence (leaking with coughing, sneezing, exercise, etc.) and urge incontinence (leaking along with a need to get to the bathroom), the diagnosis may be mixed urinary incontinence. Often, you first experience one kind of leaking and the other begins to occur later.

Overflow Incontinence – Leakage or “spill-over” of urine when the quantity of urine exceeds the bladder’s capacity to hold it. Usually due to some blockage or obstruction preventing the bladder from emptying. This stops the bladder from emptying well and so, small amounts of leakage happen frequently. Overflow incontinence is less common among women, unless they have had bladder surgery, vaginal prolapse, or a neurologic problem.

Diverticulum – Urine collects in a pouch within the urethra and tends to dribble out.

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