Your body is changing. Support is available.
Perimenopause does not arrive with a clear announcement. It begins with subtle shifts: sleep that is no longer restful, cycles that become unpredictable, a body that feels different in ways that are hard to explain. Then the changes become harder to ignore. Hot flashes. Vaginal dryness. Pain during intimacy. Bladder leakage. Fatigue that rest does not fix.
At ReNueva, perimenopause and menopause are treated as what they are: a significant physiological transition that responds to thoughtful, individualized care.
Symptoms
Body. Hot flashes, night sweats, sleep disruption, fatigue, joint pain, weight changes around the midsection, skin dryness. Mood and mind. Mood swings, anxiety, low mood, brain fog, difficulty concentrating. Vaginal and intimate. Dryness, burning, pain during intercourse, reduced lubrication and sensation, reduced libido. Bladder. Leakage with coughing or exercise, urgency, recurrent UTIs, incomplete emptying. Pelvic. Pressure or heaviness, reduced support, pelvic floor weakness. If you are experiencing a combination of these, they may be connected to the same hormonal transition.
Risk Factors
Surgical menopause. Smoking. Low body weight. Reduced sexual activity. Chronic stress and poor sleep. Cancer treatments. Family history.
Perimenopause is the transitional phase during which the ovaries gradually produce less estrogen and progesterone. It typically begins in a woman's 40s but can start earlier, and may last four to eight years on average. Hormone levels fluctuate unpredictably. Menopause is reached after 12 consecutive months without a period. Estrogen is not just a reproductive hormone, it plays a direct role in vaginal and urethral tissue, pelvic floor strength, collagen production, bladder function, bone health, cardiovascular function, and brain regulation of temperature, sleep, and mood. When estrogen declines, all of these systems are affected.
One of the most common and undertreated consequences of declining estrogen. GSM affects an estimated 45 to 77% of women and involves reduced collagen, decreased blood flow, thinning of the vaginal and urethral lining, and loss of healthy vaginal flora. GSM is not just about dryness. It may lead to chronic irritation, pain with intercourse, recurrent urinary symptoms, and significant impact on intimate relationships. GSM typically progresses without treatment. It is common, but it is treatable.
Often involves three components: tissue changes (thinning, dryness, reduced elasticity); muscular guarding (pelvic floor tightening in anticipation of pain); and the psychological cycle (pain creates anxiety, anxiety creates tension, tension increases pain). Breaking this cycle often requires addressing all three components together. Restoring tissue health alone may not be enough if the muscles have developed chronic tension.
Delivers controlled radiofrequency energy to vaginal tissues, stimulating collagen production, improving blood flow, and restoring hydration and elasticity. May help improve dryness, reduce irritation, and improve comfort during intimacy. No needles, no downtime. Completely hormone-free, suitable for women who cannot or prefer not to use hormone therapy, including breast cancer survivors.
Learn moreStrengthens pelvic floor muscles using high-intensity focused electromagnetic energy. May help reduce urinary leakage, improve pelvic support, and enhance sexual sensation. Fully clothed, no internal devices. Completely hormone-free.
Learn moreMay help regulate pelvic nerve signaling, reduce chronic muscle tension, and support coordination of pelvic floor and bladder function. May be particularly relevant when symptoms include both muscular and neurological components.
Learn moreMay be recommended to strengthen or relax pelvic floor muscles, improve coordination, reduce pain and tension, and support long-term stability.
Stress management, sleep optimization, nutrition, regular physical activity, and approaches to maintaining intimate health during the transition.
During treatment. EMFEMME 360 involves gentle warming. EMSELLA is fully clothed, approximately 28 minutes. Both are comfortable with no downtime. Improvement. Gradual over the course of treatment. Many women notice changes in comfort, moisture, and bladder control within the first few sessions. Individual results vary. Privacy. All consultations and treatments are completely confidential. In Fort McMurray, when your internal thermostat is already disrupted, navigating minus-30 winters and dry indoor heating makes vasomotor symptoms even harder to manage. Extended winter darkness can intensify mood changes and sleep disruption. Having physician-led menopause support available locally means you do not have to navigate this transition alone. Perimenopause and menopause are natural transitions, but the symptoms they produce do not have to be permanent. Book a consultation for a private, physician-led evaluation. No judgment, no dismissal.
At ReNueva, we find that most women experiencing menopausal symptoms have changes across multiple systems: tissue quality, pelvic floor strength, bladder function, and nerve signaling. EMFEMME 360 may address the tissue component. EMSELLA may address the muscular and bladder component. FREEDOM+ may help with nerve coordination and chronic tension. Pelvic floor therapy supports long-term motor control. Many women have tried lubricants, moisturizers, or general supplements and found them insufficient. The treatments at ReNueva target the underlying tissue and structural changes. When hormonal factors are identified, your clinician may recommend coordination with your primary care provider or specialist for hormonal management alongside the non-surgical therapies offered here.
The hormonal transition is natural. The symptoms it produces are medical concerns that can be addressed. You do not have to accept them.
Not necessarily. Many menopausal symptoms respond to non-hormonal, non-surgical treatments. If hormonal factors require attention, your clinician will coordinate with your physician or specialist.
Unlike hot flashes, which may improve eventually, vaginal dryness and tissue thinning (GSM) typically progress without treatment. The tissues may require active intervention to restore blood flow and collagen.
Yes. Many women find that while HRT helps with hot flashes and mood, they still need local structural support for bladder leakage or vaginal changes. EMFEMME 360 and EMSELLA work well alongside systemic hormones.
Most women report improved comfort and lubrication after two to three sessions of EMFEMME 360. Bladder control improvements with EMSELLA often follow a similar timeline. Individual results vary.
Yes. By addressing the tissue changes, pelvic floor tension, and nerve signaling that contribute to dyspareunia, treatment may help restore comfort during intimacy.
No. EMSELLA is fully clothed.
This depends on your symptoms and response. Your clinician will recommend a protocol during consultation.
Yes. EMFEMME 360 and EMSELLA are completely hormone-free, making them an option for women who cannot use hormone therapy. Your clinician will evaluate what is appropriate given your treatment history.
Book a consultation to discuss your concerns in a confidential, professional setting and create a personalized treatment plan.
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