Dr. Joseph Berenholz, MD
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L.A.V.A.® Procedure

By Dr. Joseph Berenholz

What is L.A.V.A.® Procedure?

L.A.V.A® stands for Laser Augmentation of the Vaginal Area. The procedure is designed to loosen the vaginal opening to eliminate pain during intercourse. Due to the use of the laser, it is bloodless, painless, and permanent. The procedure is performed on an outpatient basis, under sedation. Patients return home the same day and are usually able to resume sexual relations within 6 weeks.


As opposed to other treatments, The Herzog L.A.V.A.® Procedure offers a permanent solution to the problem of painful intercourse without the use of hormones, which could be dangerous or undesirable for several women.

Listen to L.A.V.A.® Procedure Introduction


Why L.A.V.A.® Procedure?

The Herzog L.A.V.A.® Procedure has transformed the lives of women and their partners who have been experiencing painful relations from one of sadness to happiness as they have regained their ability to be active and willing participants in their sexual relations.

Sexual intimacy is one of the most important aspects of any loving relationship. For many women, vaginal atrophy, dryness, or physical limitations relating to genital size can cause insertional dyspareunia, also known as painful intercourse. In response to the needs of these patients and their partners, Dr. Berenholz is only one of four North American physicians trained in The Herzog L.A.V.A.® Procedure, a technique which loosens the vaginal area for painless, enjoyable sex.

Until recently, factors such as perimenopausal atrophy, dryness, and erectile dysfunction were considered acceptable as part of the natural aging process. The only known treatment for this problem was Hormone Replacement Therapy, which for some women is not an option or is an undesirable choice. With the advent of erectile dysfunction drugs, aging men who may have experienced problems with sexual performance in the past are now able to sustain longer and more frequent erections, which can cause many women significant discomfort. The Herzog L.A.V.A.® Procedure is a perfect option for these women, who, at one point, considered that chapter of their lives closed. Many women who have undergone the The Herzog L.A.V.A.® Procedure will attest to the fact that the increased intimacy has strengthened their relationship with their partner.

As a pioneer in surgical vaginal architecture, Dr. Joseph Berenholz has recognized that this need goes beyond his aging patients. Some women, regardless of their age, may also experience pain during intercourse, and are also perfect candidates for the the Herzog L.A.V.A.® Procedure. An in-office or out patient procedure, The Herzog L.A.V.A.® Procedure is performed with local anesthesia, with or without sedation. It is bloodless, minimally  painless, and extremely safe! Within just a few weeks of recovery time, the patient will return to having enjoyable sex.



LAVA Procedure