Spa Services

Spa V

Dr. Yousuff

“The FemTouch treatment is fast and comfortable. This is the future of vaginal health. I believe this state of the art, minimally invasive outpatient procedure could be life changing. Fractional CO2 vaginal laser treatment with FemTouch Laser was well tolerated and improved vaginal symptoms and quality of life in women after 3 monthly treatments. Not only is the procedure fast and relatively painless, but it also has yielded such phenomenal results in terms of efficacy and patient satisfaction that I stand confident recommending it to my patients. One patient said she felt 19 again!”Dr. Yousuff

Pre-Instructions for FemTouch Treatments

You must provide a copy of your last Pap smear. This must have been done within the past 12 months. If you have a history of herpes, an antiviral prophylaxis will be prescribed. Procedures are performed in ambulatory conditions. Internal vaginal treatments do not require anesthesia. A topical numbing cream will be applied if an external treatment is to be performed.

Post-Treatment Care

  • You may use a vaginal hydrating gel
  • Avoid sexual activity for 72 hours after the procedure
  • Avoid using hot water on the treated area until healing is complete
  • Do not douche or insert tampon for 72 hrs
  • Use a panty-liner or pad as vaginal discharge with or without minimal bleeding is possible
  • Area should be kept moist using an occlusive ointment (such as Aquaphor)


The FemTouch is a non-surgical CO2 vaginal laser rejuvenation treatment that restores vaginal health, reducing and often eliminating the signs of vaginal atrophy. This includes vaginal dryness, sexual discomfort, itching, and burning, as well as stress urinary incontinence and laxity suffered by so many women after childbirth and menopause. This quick, painless, nonsurgical treatment carries minimal risk and can be life-changing.

How does it work?
The FemTouch™ procedure is short, painless and simple taking no more than 15 minutes. The internal vaginal mucosa and the external vaginal area can both be treated during the same session depending on the issues we are addressing. A lubricated sterilized probe will be inserted which applies a laser that will create a 360˚ pattern to the entire vaginal wall. There is no pain associated with the internal treatment. In the case of external treatment, we will provide a topical numbing cream to eliminate any discomfort. This process increases blood supply and collagen to the vaginal mucosa restoring integrity and elasticity and the pH of the vaginal tissue. By restoring a healthy and youthful vaginal environment, many symptoms of pregnancy and menopause improve or simply disappear.

Is the FemTouch right for me?
FemTouch is a good option for premenopausal, menopausal and postmenopausal women (from as young as 20, up to 70, even 80 years old), who are looking to improve their vaginal health. Women, especially menopausal and after childbirth, start noticing symptoms that affect their quality of life and lifestyle. Symptoms include:

  • Painful intercourse
  • Vaginal dryness, burning or itching
  • Vaginal Laxity due to loss of elasticity and tone (known as laxity or vaginal relaxation syndrome)
  • Stress Urinary incontinence (bladder leakage) or urgency (feeling the need to urinate frequently)
  • Recurrent bladder infections (UTIs)
  • Vaginal or vulva pain
  • Reduced sensitivity and sexual arousal
  • Changes in external vaginal appearance

The most common cause of vaginal atrophy is a decrease in estrogen, which is essential for maintaining the health and function of both the vaginal and urinary systems. This happens naturally just before and after menopause. This natural decline in estrogen will often exacerbate damage that may have occurred as a result of pregnancy, childbirth or other factors. However, any women at risk of being in a low or suppressed estrogen state can suffer vaginal atrophy symptoms, including younger women following:

  • Prolonged progesterone only contraception
  • Prolonged breastfeeding
  • Ovarian failure
  • Induced menopause due to surgery where ovaries are removed
  • Breast cancer medications/treatment
  • Stress, depression and strenuous exercise

While many menopause symptoms like hot flashes will pass in time, vaginal atrophy does not usually resolve and can worsen over the years, causing a consequent decline in comfort, intimate activities, and quality of life. It is important for women to realize that these symptoms are very common and treatable.

Who is a good patient?
FemTouch is a low-risk procedure and ideal for women who have vaginal atrophy symptoms, including:

  • In peri-menopause, menopause and post-menopause
  • With symptoms secondary to cancer medication or surgery, who are able to use hormone-based treatments
  • Who haven’t responded to topical estrogen HRT or find the application unpleasant
  • With recurrent yeast or bladder infections
  • Who experience pain, discomfort or bleeding during intercourse
  • With lost elasticity (laxity) following child-birth or other conditions
  • Who experience mild to moderate urinary incontinence with running, coughing, sneezing, laughing
  • Who have urinary urgency

Who is not a candidate for FemTouch?
If you have any of the following conditions, you will not be able to have a FemTouch procedure:

  • Previous pelvic mesh surgery
  • Pelvic organ prolapse greater than POP-Q Stage 2
  • Unevaluated uterine and/or vaginal bleeding
  • Severe vaginal stenosis
  • Active genital infections
  • Current or previous genital cancers
  • Active urinary tract infection

What results can I expect?
FemTouch treatment restores your vagina to its younger, elastic and healthy functioning state in 2 – 4 treatments. It also helps to reduce stress urinary incontinence urgency symptoms. Patients have reported positive improvements in their symptoms, such as:

  • Better vaginal lubrication
  • Significant reduction in pain (or no pain) with intercourse
  • Decreased vaginal burning and itching sensation
  • Improvement of urinary urgency and stress incontinence
  • Vaginal tightening and better elasticity
  • Increased sensation, orgasm and responsiveness
  • Increased self-confidence and libido
  • A significant difference experienced by their sexual partner

How long do the results of FemTouch last?
We recommend an annual follow up treatment to help maintain the beneficial results of this treatment.

When can I return to my normal routine?
You can begin your normal daily activities immediately, however, you should avoid sex for 72 hours after your procedure.

Can I have FemTouch if I’ve had a hysterectomy?

Can I undergo FemTouch while breastfeeding?

Femtouch Testimonials

Dr. Yousuff, I want to Thank you for your incredible care and expertise with the FemTouch laser. I can’t believe how easy, painless, and convenient the procedure was. For a 5-minute office visit, the benefits have been outstanding. No more dryness and a lot more tightness! I am amazed at the external appearance, I look and feel like I am 30! This is such a gift for women! Thank you.
– Lori

I had not heard about FemTouch until last year when I was at Evolve Medical Associates. Since I
had begun having urinary frequency and urgency issues, I decided to have a consultation with Dr. Sarah
Yousuff at Evolve. I knew with Dr. Yousuff’s skills and expertise, I would get the best advice regarding the urinary issues I was having. During the consultation, Dr. Yousuff answered all of my questions and concerns and described the procedure to me in detail. After meeting with her and feeling confident that I would be in the best of hands, I decided to do the FemTouch.

The procedure itself lasted approximately five minutes and was completely painless. I was astonished
to have it done so quickly and without any discomfort. After the first treatment, I noticed a decrease in both urgency and frequency. Now that I have completed my third treatment, my frequency and urgency
have been completely eliminated! FemTouch is an incredible laser that has changed my life, because, I no longer need to look for the nearest restroom when I am not at home!

I am so grateful to Dr. Yousuff for being compassionate and for putting me at ease with such a
sensitive subject. I am extremely happy with the results and only wish that I had known about it sooner! I highly recommend having FemTouch done by Dr. Sarah Yousuff at Evolve Medical Associates.
– Elena

I am a 61-year-old active mother of two adult children. Since the birth of my children I lived with bladder leakage when I exercised, coughed or sneezed. FemTouch has changed my life! I had three treatments both inside and outside and the results are truly amazing. I no longer have to worry about urinary incontinence issues while I exercise and with the unexpected sneeze or a cough. After menopause, I had uncomfortable vaginal dryness. The additional benefit of Fem Touch has increased moisture especially noticeable during intercourse. Moreover, the tissue both inside and outside the vagina is more youthful. Dr. Sarah Yousuff and her staff at Evolve Medical Associates performed the Fem Touch procedures. I would HIGHLY recommend Dr. Yousuff and her staff. Dr. Yousuff is extremely knowledgeable and her bedside manner is beyond compare. In fact, I have never had a better medical experience than I had at Evolve Medical Associates. All my questions were thoroughly answered and they walked me through every step of the treatments. I was completely comfortable. The treatments were painless and there were no side effects! If you have any bladder leakage, dryness or pain during intercourse, don’t wait; Fem Touch will change your life.
– Diann

I am not one to write reviews and as a matter fact this is my very first. I just want to thank the team of Dr. Youseff and Isabella at Evolve medical associates for changing my relationship with my wife. She had vaginal treatments that were much needed after her horrible experience a couple years ago after her prolapse and surgery. We have our wonderful sex life back and she said she feels like she’s 18 again and I am loving every minute of her confidence! Thank you for providing such a wonderful treatment for all women out there with these problems and their husbands too!
– JJ

Where in the world was this procedure two years ago? I wish I had known about it and my last two years would have looked a lot different!!! After having my fourth child in April 2016 I had to undergo extensive prolapse surgery as well as vaginal reconstruction including a bladder sling for incontinence. This included a hysterectomy, having mesh as a foreign object in my body and a lifetime of check-ups from the gynourologist. After the surgeries, and almost two years later I was left with a vagina that felt like a hard plastic sleeve. Obviously not very appealing to myself or my husband!! I had a friend tell me about vaginal rejuvenation and was a bit skeptical that anything could fix mine now fake feeling lady parts. I decided to go see Dr. Youseff and her team for my first round of treatment. I have never been through anything so easy in my life and took all of 10 minutes. Zero pain and the results I saw in just one week was amazing. My insides now feel soft, wet and “fluffy”. Amazing amazing amazing life-changing procedure!!!!!!! I saw my uro-gyno shortly after two weeks was wow’d and thrilled with the outcome after just such a short time period. When I went to see Dr. Youseff she also paid special attention to the bladder sling I had in place and did a little extra treatment in that area to help support the sling. I had seen him before the treatment and he said my vagina and rectum were already re-prolapsing and would need another surgery potentially in few years down the road. The recovery of the surgery was at least six months of severe pain and discomfort. After the rejuvenation treatment he was shocked and thrilled to see that the tightness it had given to my insides was reversing the prolapse and the need for another surgery!!!!! I decided to go for a second treatment and to have the exterior lips of my vagina done as well because as you can expect after 4 kids they were not very pretty. Isabella did my treatment the second time and again was super quick, painless and amazing. I felt like my results again we’re almost instant and I have never been happier with my lady parts and my husband hasn’t either!!!! 🙂
– Lisa

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