Women's Urologic, Menopause & Sexual Health
Comprehensive evaluation and individualized management of urinary, vulvovaginal, hormonal, menopausal, pelvic floor, and sexual health concerns throughout every stage of a woman's life.
About This Service
IM Care Family NP provides comprehensive evaluation and individualized management of urinary, vulvovaginal, hormonal, menopausal, pelvic floor, and sexual health concerns via telehealth for New York State residents. Many urinary, vulvovaginal, pelvic floor, menopausal, and sexual symptoms overlap, and similar symptoms can have hormonal, infectious, dermatologic, urologic, gynecologic, pelvic-floor, medication-related, or other causes. We take a whole-picture approach — identifying contributing factors, avoiding unnecessary treatment when possible, and building an individualized plan.
Who This Is For
Women of any age experiencing urinary, vulvovaginal, hormonal, menopausal, pelvic floor, or sexual health symptoms — including recurrent UTIs, vaginal dryness, pelvic pain, incontinence, or changes in sexual function — who want a coordinated, whole-picture evaluation.
What We Offer
A comprehensive range of evidence-based treatments and assessments.
Evaluation of urinary, vulvovaginal, and pelvic floor symptoms
Genitourinary syndrome of menopause (GSM) and vulvovaginal atrophy care
Recurrent UTI and overactive bladder management
Urinary incontinence evaluation (stress, urge, and mixed)
Vulvodynia and chronic pelvic pain assessment
Menopause-related sexual health and low libido evaluation
Individualized hormone therapy counseling when appropriate
Referral coordination with pelvic floor physical therapy, gynecology, and urology
How It Works
A simple, clear process from first contact to ongoing care.
Comprehensive Symptom Review
We review your urinary, vulvovaginal, hormonal, pelvic floor, and sexual health history to understand the full picture of your symptoms.
Individualized Evaluation
Depending on your symptoms, we may recommend laboratory testing or refer you for a pelvic exam or imaging to help identify contributing factors.
Coordinated Care Plan
We build an individualized plan that may include hormonal or non-hormonal treatment, lifestyle guidance, and referral to pelvic floor physical therapy, gynecology, or urology when appropriate.
Conditions We Evaluate & Manage
A broad range of urinary, vulvovaginal, hormonal, pelvic floor, and sexual health concerns.
Vulvovaginal, Menopause & Genital Skin Changes
Genitourinary Syndrome of Menopause (GSM)
Vulvovaginal Atrophy (VVA) / Atrophic Vaginitis
Estrogen-Deficient Vulvovaginal Changes
Hormonally Mediated Vestibulodynia
Vulvodynia / Vulvar & Vestibular Pain
Vaginal Dryness, Burning & Irritation
Vulvar Burning, Irritation & Discomfort
Painful Intercourse (Dyspareunia)
Postpartum / Lactational Vulvovaginal Atrophy & Vestibular Symptoms
Oral Contraceptive-Associated Hormonal Vulvovaginal & Vestibular Symptoms
Medication-Associated Hypoestrogenic Vulvovaginal Symptoms
Symptoms Associated With Anti-Estrogen or Aromatase-Inhibitor Therapy
Introital Stenosis / Narrowing of the Vaginal Opening
Labial Adhesions
Perimenopause & Menopause-Related Genitourinary Symptoms
Pelvic Floor & Pelvic Pain
Pelvic Floor Dysfunction
Hypertonic Pelvic Floor / Pelvic Floor Muscle Overactivity
Chronic Pelvic & Genitourinary Pain
Bladder & Urinary Symptoms
Recurrent Urinary Tract Infections (rUTIs)
Recurrent UTI-Like Symptoms
Overactive Bladder (OAB)
Lower Urinary Tract Symptoms (LUTS)
Urinary Urgency & Frequency
Nocturia
Urge Urinary Incontinence
Stress Urinary Incontinence
Mixed Urinary Incontinence
Sexual Health
Menopause-Related Sexual Dysfunction
Low Sexual Desire / Decreased Libido
Changes in Arousal, Lubrication & Sexual Function
Sexual Pain & Intimacy Concerns
Hormone-Related Changes in Sexual Health
Our Approach
Hormonal & Menopause Care: Evaluation may include assessment of estrogen, progesterone, testosterone, and other clinically appropriate hormonal factors, with individualized counseling regarding menopause and hormone therapy when medically appropriate.
Our Approach: Many urinary, vulvovaginal, pelvic floor, menopausal, and sexual symptoms can overlap. Similar symptoms may have hormonal, infectious, dermatologic, urologic, gynecologic, pelvic-floor, medication-related, or other causes. Our goal is to identify contributing factors, avoid unnecessary treatment when possible, and develop an individualized plan that may include laboratory testing, imaging when indicated, hormonal or non-hormonal treatment, urinary and sexual-health management, lifestyle interventions, and referral to pelvic-floor physical therapy, gynecology, urology, dermatology, or other specialists when appropriate.
Ready to Get Started?
Schedule a consultation with Inga Melnikova to discuss your needs and create a personalized care plan.