Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients      Phone:  321-806-3929

Recently Published

new  New Treatments for Vaginal Atrophy

new  The Healthy Weight Lifestyle Formula

new  Small Battery Can Fix Bowel Control Issues

new  Laser and the Vagina

new  Fecal Incontinence  - More Common Than You Think!

new  Overactive Bladder

new  Painful Bladder Syndrome / Interstitial Cystitis

new  Stress Urinary Incontinence

new  The Thrill is Gone

new  Chronic Constipation

Laser Treatment for Vaginal Atrophy

Have You Had Your Pap Smear?

Resources for Pelvic Floor Disorders

The Uterine Fibroid Dilemma

Are You Leaking ?

New Non-Surgical Laser Solution for Stress Urinary Incontinence

New Treatment Option for Stress Urinary Incontinence

Non-hormonal Vaginal Atrophy Treatment -- Non-painful Sex Without Estrogen

In-Office Painless Laser Vaginal Tightening

Central Florida UroGynecology Announces LASER 4D Aesthetics

Accidental Bowel Loss - A Socially Hidden Problem

Nerve Stimulation to Treat Urinary and Fecal Problems

Is UTI a Major Health Problem?

It Appeared to be an Overactive Bladder

Pessary Treatment of Prolapse

Overactive Bladder Evaluation Chart

Accidental Bowel Loss or Fecal Incontinence

Overactive Bladder Guidelines

Vaginoplasty and the “Designer Vagina”

Surgical Treatment of Stress Urinary Incontinence

Recurrent UTI - Urinary Tract Infection

Pads are "Out of Style"

Stool or Bowel Incontinence

Pain with Sex

Nightime Urination

A Tighter Vagina - the Answer to Happiness

Do not Let Urine Loss Color the Golden Years

Office Injection Procedure for Urinary Incontinence

Read a Magazine and Regain Urinary Continence

Position Statement on Mesh Midurethral Slings

Botox Covered by Insurance

Walk to Guard Against Disease!

Estrogen Treatment Possible Side-Effects Often Overstated -- Consider the Benefits!

What the doctor does not tell you…

Tips from Dr. Sprock
September 2013

Health and Feeling Good About Yourself

I have to Go All the Time

Treatments for Fecal Incontinence

Third Generation i-Lipo Xcell now available!  FIRST IN U.S.A.

Central Florida UroGynecology Opens Its New Facility on Eyster in Rockledge

Tips from Dr. Sprock
 March 19     March 10

But I don't have to go ...

Pelvic floor muscle training and the In Tone® device

Jessica Alba had i-Lipo, Would you?

Take Action in the New Year !!

InTone Home Device to Treat Urinary Incontinence

Regenlite Skin Tightening and Collagen Stimulation

New Options for Incontinence

Sexy Meshes ???

Control Incontinence.  Enjoy Being a Senior!

A Happy Patient Testimonial - Swimming Again After Bladder Procedure  <external>

Getting Rid of Adult Diapers

Nocturia, Nighttime Voiding

Dr. Sprock Connects with her Patients

Inches Off Where You Want Them Off - I-Lipo® Introduction

Another Incontinence Success Story

Space Coast Daily:  Dr. Sprock Does I-Lipo  <external>

Previously Published by Category








Technical & Educational Info

All Published Articles


Is it so Difficult to Talk About Sex?

This article is also available in Space Coast  and a video interview of Dr. Sprock discussing this topic is available on YouTube

Sex is one of the main motivators in life, however a lot of people have trouble discussing sex with their physician. Despite being so important for general wellbeing, it is often skipped in the history taking by the physician. You may be asked if you wear your seatbelt, however the sex question will often be skipped.

You are not the only one who noticed an increasing discomfort and less satisfaction with intercourse after menopause. Healthy vaginal tissue is highly dependent on estrogen. When estrogen is taken away or lowered, as it is in menopause, there is significant thinning of the vaginal tissues, which leads to diminished sensation and discomfort. Your desire will diminish as well, since you usually do not look forward to another negative experience.

Estrogen May Be of Benefit

Sex should not be a chore. It should be fun for all involved. Vaginal application of estrogen may be of great benefit to nourish the tissue in menopausal women. It restores vaginal wall thickness, which provides more natural sensation and less or no discomfort. Lubrication is often still necessary, however it alone will not do the job after menopause.

There are estrogen products available that result in minute, almost non-demonstrable levels in the blood. The FDA approved estradiol vaginal ring is an effective and acceptable treatment for vaginal atrophy. The vaginal ring consistently releases a low dose of estradiol directly to the vaginal mucosa. Studies of the estradiol ring show that it is equal to vaginal creams in restoring the maturation of vaginal mucosa. Vaginal creams are absorbed slightly more, but if used twice a week in low amounts are also effective and barely demonstrable in the bloodstream.

Premenopausal women with normal estrogen levels may experience sexual “problems” centered around diminished sensation related to vaginal changes after vaginal childbirth. It is, of course, optimal for both partners for the effects of childbirth on the vaginal canal to revert back to “normal” within a few weeks to enhance their mutual pleasure. Pelvic floor exercises are often started and can achieve improvement, however often not to the desired level.

Vaginal Rejuvenation

An option for some is interventional or procedural management of post-child bearing vaginal changes. Insurance companies will not cover the narrowing of the vagina for sexual health, however cosmetic gynecology can be performed, like plastic surgery is done for numerous other body parts.

Numerous terms, such as vaginal rejuvenation with or without laser, vaginal tightening, and vaginal plication are used to describe specific treatment for vaginal opening enlargement and decreased pleasure with intercourse. With or without laser, the vagina is tightened through some well-placed sutures. There are lasers on the market that claim tightening without stitches, however, this approach is relatively new, and, at this time, there are no solid data available about the long-term effectiveness.

Because of the “cosmetic” nature of these procedures, payment for this type of treatment comes out of your pocket, so do your homework and learn as much as you possibly can about the risks and benefits of the procedure and the alternative treatments that may be available to you. Also, be bold and ask questions about the experience of your physician and the success of the procedure in his/her hands.

I’ve touched on only a few “sexual issues” here. There are many other problems, such as vaginal prolapse and urinary incontinence with intercourse that may require other approaches to treatment.

My primary message is to encourage women to feel comfortable to speak to their physician about their sexual health or lack of it. Obviously there can be numerous reasons why sex is not pleasurable and that is the reason that at Central Florida UroGynecology you will always be asked about sex, and the seatbelt question is skipped; just make sure you wear one.

Central Florida UroGynecology is conveniently located in Rockledge, right off of US 1 and close to I-95. Dr. Marja Sprock is fellowship trained in urogynecology and has extensive experience treating women of pre- and postmenopausal age. Call for a consultation at 321-806-3929

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

Copyright 2009-2016 Central Florida Urogynecology.  All Rights Reserved.


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updated:  January 11, 2016