FW Center for Pelvic Medicine

Dr. Alan Johns has been in the practice of Gynecology since 1978. He has performed over 8,000 laparoscopic surgical procedures.

  • Facebook
  • LinkedIn
  • Pinterest
  • Twitter
Call today! (817) 923-5559
  • Home
  • About Us
    • Alan Johns, MD
    • Christopher Ripperda, MD
    • Crystal Holden, FNP
    • Elizabeth Weaver, WHNP
    • Meet the Staff
  • Services
    • Infertility
    • Endometriosis
    • Gynecologic Ultrasound
    • Ultrasound
    • Pelvic Floor Therapy
    • Pessary Insertion and Management
    • Endometrial Ablation
    • Gynecologic Surgery
    • Laparoscopic Surgery
    • Clinical Research
    • Pelvic Pain
    • Menopausal Medicine
      • Menopausal Hormone Therapy
      • MonaLisa Touch
    • Women’s Health Awareness and Prevention
  • Conditions
    • Adhesions
    • Bladder Disorders
    • Breast Cancer
    • Congenital Anomalies
    • Endometriosis
    • Fibroids
    • Hysterectomy
    • Infertility
    • Incontinence & Prolapse
    • Interstitial Cystitis
    • Leaky Bladder
    • Menopause
    • Osteoporosis
    • Ovarian Cysts
    • Pelvic Pain
    • Urinary and Fecal Incontinence
    • Vulvodynia
  • Reviews
  • Specials
  • Blog
  • Patient Desk
  • Contact Us

The Power of Hormone Replacement Therapy for Menopause Relief

Menopause and the time leading up to it can bring about a number of uncomfortable and life-affecting symptoms for women. It’s a time that many don’t talk about, but that’s starting to change. Fortunately, there is something you can do to lessen the discomfort you may be experiencing during this time of life. Keep reading the information below to discover the power of hormone replacement therapy for menopause relief. You no longer have to suffer in silence. Knowing about effective treatments can help you to make informed decisions regarding your health and well-being.

About Hormone Replacement Therapy

Hormone replacement therapy, or HRT, is an effective treatment for many of the unpleasant symptoms of menopause and perimenopause, the period of time leading up to it. Menopause is officially defined as having been reached when a woman has gone 12 consecutive months without menstruating. Its symptoms are primarily brought about by falling levels of estrogen that occur with age. It’s not unusual for women to begin noticing these issues between the ages of 40 and 45. Symptoms such as vaginal dryness, hot flashes, and brain fog are common. HRT helps to regulate the hormone balance in order to reduce these problems.

Types of Hormone Replacement Therapy

Estrogen therapy is one form of HRT that is commonly recommended to women who’ve undergone a hysterectomy. It can be delivered in various forms – oral therapy, transdermal, gel, lotion, or pellet. Estrogen, along with progesterone, has added benefits like a lowered risk of certain cancers and more effective treatment of some symptoms like hot flashes. Typically, this therapy is given in pill form. An intrauterine option is available outside the United States.

Candidates for Hormone Replacement Therapy

Your doctor will help you to determine if hormone replacement therapy for menopause relief is right for you based on your particular symptoms, along with your age and medical history. There are some women who shouldn’t undergo HRT. This is particularly true if you have certain conditions. These include cancer, blood clots, heart attack, liver or heart disease, stroke or pregnancy.

Get In Touch with Us for More Information

Hopefully, this information will give you an idea about whether hormone replacement therapy for menopause relief is right for you. To learn more, we warmly invite you to reach out and make an appointment with Fort Worth Center for Pelvic Medicine. At our convenient location in Fort Worth, TX, we are proud to offer options such as this and the MonaLisa Touch to our patients. Contact us today to set up your consultation!

Filed Under: Blog Tagged With: Hormone Replacement Therapy, Hormone Therapy, Menopausal Hormone Therapy, MonaLisa Touch®

What to Do If You Have an Ovarian Cyst

An ovarian cyst is a fluid-filled growth within the ovary; this fluid can be watery or viscous. In premenopausal women, cysts are generally normal, for they develop during a woman’s menstrual cycle. Cysts that occur during a woman’s menstrual cycle are called functional cysts and are normal. A woman who has passed through menopause by definition no longer ovulates and thus does not produce functional cysts. If she has an ovarian cyst, something is wrong.

Types of Cysts

There are several different kinds of cysts that are not related to the menstrual cycle. For example, a condition called endometriosis causes when the lining of the uterus grows outside it. This lining can form cysts called endometriomas that attach themselves to the outside of the ovary. Dermoid cysts form from embryonic cells and can thus contain tissues like hair or skin. These are usually not cancerous. Cystadenomas, like endometriomas, form on the ovary’s exterior. They are typically filled with a viscous or watery fluid. While they are generally benign, cystadenomas and dermoid cysts can grow large enough to force the ovary out of position. Cysts can sometimes become cancerous, particularly in older women.

What are the Symptoms?

A small ovarian cyst generally won’t cause symptoms and may even go away on its own. Larger cysts can cause abdominal discomfort, bloating, and pressure. The discomfort can be intermittent, and it can be dull or acute. A woman should notify her doctor if she knows she has a cyst and develops any of the following symptoms, as they may be indicators that the cyst has ruptured:

  • Severe and sudden abdominal pain
  • Weakness, faintness, or dizziness
  • Pain accompanied by vomiting and fever
  • Rapid breathing

How is an Ovarian Cyst Treated?

Treatment will depend on the type and size of the cyst. If the cyst is small and not causing any problems, the doctor may simply prescribe pain medication to keep the patient comfortable, and they may prescribe birth control pills to prevent the formation of new cysts. They will monitor the patient to see if the cyst eventually goes away. If the patient has a large cyst that causes discomfort or pain, looks suspicious on the ultrasound, and/or hasn’t gone away after several menstrual cycles, the doctor will remove it.

Contact Us for Further Information

To learn more about dealing with an ovarian cyst, we welcome you to reach out and make an appointment with Fort Worth Center for Pelvic Medicine. At our convenient location in Fort Worth, TX, our caring and devoted team of professionals will explain what to do if you have a cyst and answer any questions you may have. We will also be happy to explain the myriad benefits of treatments such as the MonaLisa Touch®. Contact us today to set up your consultation – we look forward to speaking with you!

Filed Under: Blog Tagged With: Fort Worth, MonaLisa Touch®, ovarian cyst, Ovarian Cysts

Treat Vaginal Dryness with Hormone Therapy

You feel like a plane coming in for a bumpy landing. Your final destination is menopause, but it is taking a long time to get there. You’re experiencing all of the typical problems that your friends have warned you about. You can’t stay awake at night anymore because you are so tired. You don’t have enough energy to get yourself moving. However, there is one additional problem and you didn’t see it coming. You are going through serious vaginal dryness.

It’s so bad that you can’t enjoy intimacy. You feel irritation all day long. There are times when pressure builds in your abdomen and it burns when you try to go to the bathroom. You thought it was a urinary infection but testing proved it wasn’t. It all boils down to a shortage in estrogen. Hormone therapy can help you to do something about it.

It may feel like your body is going against you, but you are simply going through a part of life for most women. As you get older, your reproductive system is headed toward a shutdown. Your reproductive hormones will be produced in lower and lower numbers until your menstrual cycles stop. If you don’t have any extreme changes in hormone levels, you might not really notice any troubling symptoms. If you have more extreme changes in your hormone levels, your symptoms are going to be worse. Vaginal dryness is caused when the tissues in your vagina begin to thin and lubrication drops because of your low estrogen levels. Hormone therapy can help you to address this problem when lubricants and estrogen cream aren’t enough.

Let Hormone Therapy Help You to Combat Vaginal Dryness

If your hormones are the problem, our doctor can lead the way toward hormone replacement. A physical exam and a blood test can pinpoint changes in hormone levels as the source of your symptoms. You can choose to wear a patch, have hormone pellets that are placed beneath the skin, get injections, receive oral therapy, a gel application, or a lotion application. Our doctor will prescribe the right dosage for you and help you to choose the easiest method for replacement.

Ask Our Doctor About Hormone Therapy to Treat Vaginal Dryness

You don’t have to live with the discomfort that comes with vaginal dryness. Our doctor at Fort Worth Center for Pelvic Medicine can offer you help in this difficult time. With hormone therapy, your estrogen levels will build back up again, and we also offer MonaLisa Touch® treatments. We are conveniently located in Fort Worth, TX. Contact us today to schedule your consultation!

Filed Under: Blog Tagged With: MonaLisa Touch®, Vaginal Dryness

Pain During Intercourse? Consider MonaLisa Touch Treatments!

The last thing you want is discomfort during intercourse. It makes it very difficult to enjoy those intimate moments when you are in pain. It can also put a strain on your relationship with your partner. You are not alone. Many women experience vaginal discomfort. It can be due to the toll that childbirth takes on your body. You may experience a lack of lubrication, irritation, and pain during intercourse as you get older and your reproductive hormones begin to drop. Wear and tear over time can also cause your vaginal tissues to be painful. Regardless of why you are uncomfortable, consider MonaLisa Touch® treatments to bring you the relief that you deserve.

How Can MonaLisa Touch® Make a Difference for You?

This non-invasive treatment involves the use of a laser that gently heats the tissue of your vagina. As the tissues are heated at a carefully controlled temperature, collagen production is stimulated, making your tissue more elastic. It will also improve your circulation and promote the development of healthy cells. Your vaginal tissues will be rejuvenated. You will have enhanced lubrication and sensitivity. You can say goodbye to irritation and pain during intercourse.

Why Consider MonaLisa Touch® Treatments?

This popular treatment can make a difference when over-the-counter products, lubricants and prescription ointments have not offered you relief. You don’t need to live in discomfort. If you want to have the freedom that comes with healthy vaginal tissue, think about the MonaLisa Touch®. It’s a short treatment that can be performed right here in the comfort of our office. You won’t have downtime. You’ll be able to get back to your busy schedule once you have experienced the benefits of this treatment. You’ll soon notice an improvement when you are intimate with your partner and the pain is gone.

When to Consider the MonaLisa Touch®

If you have noticed vaginal changes as you approach menopause, the MonaLisa Touch® could be the answer for you. Think about this treatment if you have experienced discomfort since you had children. You owe it to yourself to experience the difference that such an easy treatment can make for you.

Learn More Today

It’s time to put your pain and irritation behind you. The MonaLisa Touch® can help you improve your well-being. Make an appointment with our specialist to discuss your vaginal discomfort. If it is determined that this treatment could improve your symptoms, you can learn more about it at Fort Worth Center for Pelvic Medicine. This innovative treatment allows you to have relief in an area that is so sensitive. When you have improved lubrication, healthy circulation and rejuvenated tissue, you won’t believe the difference it can make. Contact our office in Ft. Worth to find out what the MonaLisa Touch® can do for you.

Filed Under: Blog Tagged With: MonaLisa Touch®

Is MonaLisa Touch Right for Me?

There are many disheartening changes that women can experience as part of the natural aging process. Among all of these, however, vaginal atrophy is likely the most problematic. As natural estrogen production starts to decline, it can create painful itching, irritation and pain, particularly during intercourse. Fortunately, MonaLisa Touch® is capable of restoring functionality and health to the vagina while stimulating the increased production of collagen for rebuilding and supporting the vaginal walls. This short, simple treatment can have a remarkable effect on both a woman’s physical comfort and her overall confidence.

How to Know if MonaLisa Touch® Is Right for You

If you’re entering peri-menopause or menopause and have been struggling with painful intercourse, vagina laxity, itchiness or pain in the vaginal region, MonaLisa Touch® could be right for you. This is a non-invasive treatment that does not require any anesthesia or downtime. In fact, most women experience little more than the sensation of light vibration during their treatment.

The ease and comfort of this treatment makes it perfect for women who want a low-risk and easy solution to this all-too-common, age-related issue. Moreover, when compared to more conventional pharmaceutical treatments or invasive, surgical procedures, MonaLisa Touch® is capable of producing truly impressive results with the least amount of hassle. While there’s no exclusion criteria for MonaLisa Touch®, women should be in good general health before undergoing treatment sessions.

Treatment Results

Numerous women who have sought vaginal restoration via MonaLisa Touch® have reported a significant decrease in vaginal burning, dryness, itching and irritation. Patients can also expect to experience far less discomfort during intercourse, along with fewer urinary tract infections.

The treatment works by stimulating the vaginal mucosa to increase blood flow, expedite collagen production and rejuvenate the surrounding muscles and tissues. Best of all, MonaLisa Touch® is capable of producing immediate results and extended benefits. This treatment will not only tighten, tone and restore the vagina, but it can additionally result in marked increases in collagen production that can last for months. Treatment sessions can be safely repeated for extended or enhanced benefits.

Is MonaLisa Touch® Right for Me?

MonaLisa Touch® is largely used for correcting age-related wear of the vaginal tissues, decreased collagen and other structural changes that result from waning estrogen production. However, extreme vaginal laxity or looseness of the vagina is often the result of a traumatic event such as childbirth. For instances of severe vaginal laxity, the effectiveness of this treatment is determined on a case-by-case basis. For moderate laxity caused by age-related loosening of the mucosal tissues, this treatment may be able to help women reach their goals by stimulating and strengthening their vaginal muscles.

MonaLisa Touch® has helped many women reclaim their sense of feminine wellness, and it is provided with expertise right here in our office at Fort Worth Center for Pelvic Medicine. Contact our office in Fort Worth today to find out if this popular treatment is right for you.

Filed Under: Blog Tagged With: MonaLisa Touch®

MonaLisa Touch for Minimizing Vaginal Dryness

You’ve experienced bouts of vaginal dryness in the past, but you never thought much of it. However, that has all changed due to the misery you are experiencing now. It all started as you began to experience symptoms of menopause. You expected mood swings, night sweats, and hot flashes. You weren’t prepared for vaginal changes. You are so dry now that you feel irritated all of the time. You can’t enjoy moments of intimacy anymore. You’ve tried different products that are supposed to restore moisture, but they haven’t worked effectively. It’s time to explore other choices. The MonaLisa Touch® could be the answer.

What’s the Secret Behind the MonaLisa Touch®?

The MonaLisa Touch® is a gentle laser therapy that is used to rejuvenate your delicate vaginal tissues. The laser uses a low-level of heat that is enough to trigger collagen production. It also causes the tissue of the vagina to thicken. Healthy tissue is regenerated, blood circulation is stimulated, and improved lubrication will result. You’ll experience relief from your irritation. If your intense dryness has caused bouts of urinary incontinence, this problem should be resolved as well. If you have been feeling miserable and are looking for an answer, the MonaLisa Touch® can help you to put your discomfort behind you.

Why are You Experiencing Vaginal Dryness?

If you have had one or more children, vaginal dryness can result. The tissues of your vagina are extremely delicate and can become damaged with minor tears. As menopause gets closer, your reproductive system is getting ready to shut down. Your estrogen and progesterone levels are going to drop. For some women, this change may not even be noticeable. For others, it is extreme. These hormonal changes cause your vaginal tissue to become thinner and get in the way of lubrication. When your body isn’t doing what it should anymore, the MonaLisa Touch® can help to restore balance.

Take Charge of Your Vaginal Dryness Today

You shouldn’t have to live in discomfort or pain. Vaginal dryness can make you feel awful. You owe it to yourself to come in for an appointment at Fort Worth Center for Pelvic Medicine to discuss your problems. A series of short, in-office laser treatments could do you a world of good. Our office is conveniently located in Fort Worth. Contact us today to schedule a consultation for the MonaLisa Touch®!

Filed Under: Blog Tagged With: MonaLisa Touch®

Improve Your Quality of Life with MonaLisa Touch Treatments

As you enter menopause, you may start to experience a wide variety of unwanted symptoms and side effects. Some of the most common symptoms include vaginal pain, inflammation, dryness, itching and burning in the vagina. You may also experience some mild urinary incontinence. All of these problems occur because the tissues in the vagina begin to change over time. This can drastically affect your quality of life. Luckily, you can do something about your problems by undergoing MonaLisa Touch® treatments at our office.

MonaLisa Touch® is a revolutionary treatment that uses a special CO2 laser to reverse the signs of menopause. The special MonaLisa Touch® device will be gently inserted into your vagina at the start of the treatment session. The device will then send mild pulses of laser energy to your damaged tissues. This laser energy will help rejuvenate your vaginal tissues by stimulating the production of collagen. Once the tissues start making more collagen, the negative side effects that you have been experiencing should go away.

Since the MonaLisa Touch® device only sends small pulses of laser energy to your body, you will not feel any serious discomfort during the treatment session. You will only experience a mild vibrating sensation every time the MonaLisa Touch® device is activated. This is an extremely safe procedure that has almost no risks. The entire session doesn’t take very long, and you will be able to return home immediately after the treatment concludes.

You will notice some results from the MonaLisa Touch® treatment almost immediately, but your results will only continue to improve over time. The collagen rejuvenation process triggered by the CO2 laser energy will typically last for months. You will notice the best results once this time has passed. While each individual case is different, most women will require three MonaLisa Touch® treatments to get the best results. Once you have finished your treatment regimen, you can come in once a year for a maintenance treatment session.

MonaLisa Touch® may be just what you have been looking for to improve your vaginal health and overall quality of life. During a consultation at Fort Worth Center for Pelvic Medicine in Fort Worth, you can learn more about this innovative treatment. Contact us today to schedule an appointment and get started!

Filed Under: Blog Tagged With: MonaLisa Touch®

MonaLisa Touch

MonaLisa Touch

While most women experience some changes in their vaginal health as they get older, many never seek  treatment to address them. With MonaLisa Touch®, patients can dramatically improve their vaginal health after a series of three quick, painless, and effective treatment sessions.

At Fort Worth Center for Pelvic Medicine, your health is our number one priority. If you’d like more information about the MonaLisa Touch® or any of the other services we offer at our practice, contact us today to schedule a consultation appointment.

What is the MonaLisa Touch®?

The changes that come with menopause can leave many women experiencing unpleasant symptoms, including vaginal dryness, itching, pain during intercourse, and urinary frequency, urgency, and incontinence. These changes aren’t just inconvenient — they can dramatically impact a woman’s quality of life, relationships, and overall happiness. With the MonaLisa Touch®, most patients can improve these problems with a series of three simple, easy, and effective non-invasive treatments.

At Fort Worth Center for Pelvic Medicine, the MonaLisa Touch® treatments are performed by Dr. Alan Johns. These physicians have years of experience helping patients achieve their best feminine health, and are expertly trained in the use of this laser technology.

How does it Work?

The MonaLisa Touch® uses a fractional CO₂ laser to treat vaginal tissues, triggering the body’s natural healing process and improving overall vaginal health.  This laser energy initiates fibroblast activity while stimulating the production of additional collagen in the vaginal tissues. Blood circulation to the area also increases, enriching the underlying tissues while encouraging cellular repair and regeneration. Over time, this healing response results in stronger, softer, more moist, and healthier vaginal tissues.

What can I Expect from Treatment?

No anesthesia is required for treatment of the internal vagina, a numbing cream is applied for treatment of the outside tissue — the MonaLisa Touch® is just that painless! Each session takes a quick five minutes to complete, and involves only minimal, if any, downtime and discomfort.  In order to achieve optimal results, patients must undergo three treatments administered six weeks apart. Once these treatment sessions are complete, a single treatment is required every 12 months to maintain the improvement.

Am I a Candidate for the MonaLisa Touch®?

If you’ve entered menopause naturally, as the result of cancer treatments, or because of hysterectomy, and have begun to experience declines in vaginal health, you may want to consider the benefits of MonaLisa Touch®. This treatment can help correct vaginal dryness, itching, and pain during intercourse without discomfort or long treatment times.

The MonaLisa Touch® has already helped countless women improve their vaginal health — why not you? Our team is dedicated to promoting feminine health and wellness in patients of all ages. Contact our Fort Worth, Texas office today to schedule a consultation appointment and take the first step towards a better you!

 

 

Get Started Now

  • This field is for validation purposes and should be left unchanged.

Tweets by @FWPelvicMed
  • Facebook
  • LinkedIn
  • Pinterest
  • Twitter
Fort Worth
1250 8th Avenue Suite 330,
Fort Worth, TX - 76104
817-923-5559
Willow Park
134 El Chico Trail, Suite 103,
Willow Park, TX - 76087
817-441-1644
Glen Rose
1008 N E Big Bend Trail, Suite 400,
Glen Rose, TX - 76043
817-923-5559
Pecan Plantation
2800 Village Rd., Suite 112,
Granbury, TX - 76049
817-923-5559

Recent Posts

  • Providing Urogynecology Services in New Locations
  • Is Mona Lisa Touch Permanent?
  • What Is a Transvaginal Ultrasound? Why to Get One, and What to Expect
  • Take Charge of Your Vaginal Health
  • 5 Ways an Infertility Specialist Can Help You
© 2025 Crystal Clear Digital Marketing | Site Map | TOS/Privacy Policy | Fort Worth Center for Pelvic Medicine