How Aging Can Affect Vaginal Tissue and Elasticity

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Dr. Tricia Shimer

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6/19/2026

 As you get older, natural hormonal changes can lead to reduced elasticity in the vaginal tissue. This often leads to uncomfortable symptoms, such as vaginal dryness and pain during sex, which can significantly impact your quality of life. Fortunately, vaginal restoration offers one of the most effective nonsurgical ways to address these concerns. 

At Evolve Med Spa in Dallas, TX, board-certified physician Dr. Tricia Shimer offers Votiva, an advanced treatment designed to help women reclaim their comfort and confidence. If you're ready to find a solution for female sexual dysfunction, call today to schedule a consultation and learn about your options. 

How aging affects vaginal tissue 

As women age, their estrogen levels naturally decline. This causes vaginal tissue to become thinner, drier, and less elastic. Many women experience vaginal dryness, reduced sensation, or discomfort during sex as a result of these physical changes. 

Although these symptoms are a normal part of aging, they can be frustrating and may even lead to a loss of intimacy and self-confidence. Thankfully, treatments like Votiva are available to help restore vaginal health and function. 

What is Votiva, and how does it work? 

So, what is Votiva? Votiva is a nonsurgical vaginal restoration treatment by InMode that uses radiofrequency energy to stimulate natural collagen production. As new collagen develops, the tissue gradually becomes firmer, better hydrated, and more elastic. Women who come to Evolve Med Spa for vaginal dryness treatment, pain during sex, or laxity often find that Votiva addresses several of their concerns at once. This in-office procedure only takes about 30 minutes and requires no anesthesia. 

What to expect from vaginal dryness treatment 

Most of our patients in Dallas, TX, complete a series of three Votiva sessions spaced about a month apart. Here is what the process typically looks like:  

  • During treatment: A wand applicator delivers radiofrequency energy to the exterior tissue while an internal applicator addresses the vaginal walls and surrounding structures. A built-in thermometer monitors temperature throughout to keep the experience safe and comfortable. 
  • After treatment: There is no real downtime after Votiva. Most patients return to their normal routine the same day, though Dr. Shimer recommends avoiding sexual activity, baths, pools, and hot tubs for 72 hours after each session. 
  • Over time: Many patients notice improvements after their first session, though some see the most meaningful changes in the weeks following their last treatment. Results typically last around 18 months, and periodic follow-up treatments can help maintain them. 

Is Votiva right for you? 

Votiva may be worth exploring if you are seeking vaginal dryness treatment, experiencing pain during sex, or dealing with laxity or reduced sensation related to aging or childbirth. It is also an option for women experiencing mild urinary leakage or external changes to the vaginal area. 

Female sexual dysfunction takes many forms, and a consultation is one of the most reliable ways to understand whether Votiva can address what you are experiencing. Dr. Shimer will review your concerns and build a plan around your specific needs. 

Take the next step for your vaginal health 

If you have questions such as, "What is Votiva?" or "What are my options for female sexual dysfunction?", Dr. Tricia Shimer and the team at Evolve Med Spa are here to help. Serving patients in Dallas, TX, Evolve Med Spa is proud to offer personalized vaginal restoration solutions for feminine wellness. Call today to schedule your consultation.

Every time I visit they can tell I get nervous and they go above and beyond to talk with me about my day and make me fell comfortable, not just the doctor but all the nurses as well! Thank you Dr. Shimer!!!

K.P. Google

Evolve med spa is terrific. They have all the newest machines to make you feel and look better. I have had several treatments done by Margo. She is fantastic. And if ever a medical question comes up that Margo isn’t sure of Dr Shimer always is accessible. Love this place

J.C. Google

The Evolve team is the best of the best, so caring and skilled! You are in the best hands at Evolve!

C.S. Google

Teresa Thompson's attention is incredible, I have had 2 Laser sessions with her and I have seen a lot of change from the other times I have had sessions with other people, highly recommended and a super nice person! 10/10

J.M. Google

I absolutely loved my experience and will be going back often. Professional and high quality care….Samantha made me feel at ease and gave me an incredible facial. I’m looking forward to my next visit!

M.D. Google

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.