Sexual Dysfunction

Sexual Dysfunction
What we help with

Supportive Care for Sexual Wellness, Intimacy, and Hormonal Health.

Sexual wellness and hormonal health are closely linked. Changes across a woman’s life, whether from perimenopause, menopause, childbirth, or an underlying gynaecological condition, can affect libido, comfort, and confidence.

Led by Senior Consultant Gynaecologist Dr. Harinakshi Salian, Cardiff Gynaecology Clinic offers specialist, confidential care tailored to your needs. Depending on your symptoms, this may draw on hormone therapy, Forma V, vaginoplasty, or O-Shot®, each covered in more detail on their own pages, alongside general lifestyle and wellbeing support.

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Benefits of Supportive Care

Hormonal Balance

Tailored body identical HRT to alleviate perimenopause and menopause symptoms.

Intimate Comfort

Relieve vaginal dryness, irritation, dyspareunia, and tissue thinning with specialised medical care.

Restored Libido

Address low sexual desire, arousal challenges, and intimacy changes through holistic medical support.

Vaginal Tightening

Non-surgical Forma V radiofrequency tightening and vaginoplasty under local anaesthetic, for structural support.

Confidence & Mood

Mitigate mood swings, anxiety, brain fog, and fatigue associated with hormonal imbalances.

Holistic Care

Receive a personalised care plan combining medical therapies, clinical procedures, and specialist expertise.

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Care Overview

Care begins with a thorough, empathetic consultation. Dr. Salian reviews your hormonal profile, medical history, and personal goals to build a plan focused on long-term comfort and confidence.
Hormonal shifts, particularly around perimenopause, menopause, or after childbirth, can bring vaginal atrophy, reduced tissue elasticity, pain during intercourse, lowered libido, and persistent fatigue. Many women assume these are simply an untreatable part of ageing. Specialist care addresses the underlying causes, restoring comfort and quality of life.
Your plan is built around your needs, and may combine body identical HRT, Forma V radiofrequency tightening, vaginoplasty under local anaesthetic, O-Shot® regenerative treatment, or localised hormone treatments for dryness. See our Menopause Care, Forma V, and O-Shot pages for full details on each.
Your initial consultation is unhurried and confidential, giving you dedicated time with Dr. Salian to review your history, discuss symptoms, and, where appropriate, arrange an examination, blood tests, or scans. You’ll leave with a clear, personalised plan.

Frequently Asked Questions

No, you can book directly for a confidential consultation with Dr. Salian.

Vaginal tightening vaginoplasty is a precise procedure performed under local anaesthetic to repair and tighten relaxed vaginal tissue, often caused by childbirth or ageing, restoring firmness with minimal recovery time.

Many women notice improvements in mood, comfort, and lubrication within 2 to 4 weeks of starting HRT or Forma V, with full benefits developing over 2 to 3 months.

Consultation: £200. Any recommended procedures, such as Forma V, O-Shot®, or vaginoplasty, will be discussed and priced transparently at your appointment.

Treatment Cost

Consultation & Care Pricing

Initial Gynaecology & Sexual Health Consultation Fee: £200

What We Treat

Conditions We Assess and Manage

Providing expert diagnosis and empathetic care for a wide spectrum of women’s health conditions.

Vaginal Dryness Treatments

Vaginal Prolapse

Menstrual Problems

Vaginal Discharge

Vulval Skin Problems

PMOS

What We Treat

Conditions We Assess and Manage

Providing expert diagnosis and empathetic care for a wide spectrum of women’s health conditions.

Vaginal Dryness Treatments

Vaginal Prolapse

Menstrual Problems

Vaginal Discharge

Vulval Skin Problems

PMOS

Menopause Related Conditions

Patient Experiences

Hear What Our Patients Say

Patient Experiences

Hear What Our Patients Say

Schedule A Visit

Begin Your Women’s Health Journey

Take the first step towards better health in a calm, supportive environment. Our patient coordination team is ready to assist you.

Schedule A Visit

Begin Your Women’s Health Journey

Take the first step towards better health in a calm, supportive environment. Our patient coordination team is ready to assist you.