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

Non-hormonal Vaginal Atrophy Treatment -- Non-painful Sex Without Estrogen
by: Marja Sprock M.D., F.A.C.O.G. FPMRS board certified

Come to our open house on Tuesday March 22nd, 2016 from 4.30-6.30 PM to find out more.

Many menopausal or peri-menopausal women have noticed increasing vaginal dryness, irritation, burning, itching and pain with sex and sometimes urination. These are all symptoms of VVA: VulvoVaginal Atrophy. Quite effective treatments with estrogen are available; however, estrogen is not an option for some of us, or not desired by others. Women with breast cancer, some genital malignancies and others averse to the use of estrogen are without an effective option.


Women suffering from VVA are mostly sexually dysfunctional or less satisfied and have a significantly diminished quality of life.

Laser can reverse the effect of atrophy and less aggressive minimally ablative lasers as the Erbium Yag give better results than more aggressive ablative lasers.

Vaginal laser treatment like the Renovalase® increase the trophism or nutrition and metabolism of the vaginal tissue and reverse the effects of atrophy. First, an increased blood flow through vasodilatation increases the supply of oxygen and nutrients. Secondly the warming effect of the non-ablative (no tissue shedding or discharge) Erbium Yag laser will stimulate fibroblasts and keratinocytes. Elastin and collagen fibers will increase as well as the vascularization. The glycogen load and turnover of the vaginal tissue will improve, an effect which estrogen also accomplishes, however estrogen does not increase vascularization.

The way to improve VVA or vulvaginal atrophy is by improving the local estrogen levels or the blood flow in the affected area or very regular sexual intercourse. Laser not only increases the blood flow, but also increases elastin and collagen, contributing to mucosal elasticity. Laser may be the treatment of the future to treat VVA.

Treatment with the less aggressive non-ablative Erbium laser improves the vaginal tissue quality and effects last about a year after one treatment or longer.

Laura, 48 a breast cancer survivor became menopausal after chemotherapy. The use of Tamoxifen increased her vaginal atrophy, making it unpleasant to impossible to have intercourse. This put a strain on her relation and Laura has been looking for viable options to improve her vaginal tissue quality. After extensive research, she decided that the Erbium Yag laser was the most realistic option and presented to Central Florida UroGynecology. After 3 months and one treatment, she can only say that we saved her marriage. She knows she will likely be back in about a year, but it is well worth it. “It caused me no pain and was done very quickly; it took me a lot longer to research it”

VVA is usually associated with pain during intercourse, or inability to have intercourse. The erbium Yag Renovalase® laser is an in office painless procedure. If there is severe VVA, it may be slightly uncomfortable to introduce the laser speculum in the vagina, but some local anesthetic cream helps.

The improvement in vaginal tissue quality is noticeable up to 120 days and can last up to a year. This is a very exciting option for the millions of women who would like to be sexually active, but for whom estrogen is not a realistic or acceptable option.

The Erbium Yag laser is safe for the surrounding tissues and can restore your vagina without the use of estrogen. Reports show the less ablative the laser the more favorable the result, which makes the Erbium Yag the clear winner.

Increase in blood flow, glycogen content, collagen and elasticity without the use of vaginal estrogen with the Erbium Yag laser at Central Florida UroGynecology. Finally, we have a good option available for women with VVA without the use of estrogen.

Painless, in-office laser treatment for VVA, vulvovaginal atrophy, Central Florida UroGynecology is the most experienced vaginal laser center and an example to others.

We are excited for all the women who did not have a realistic option to treat VVA. Call for an appointment to discuss your Erbium, in-office laser treatment. Central Florida UroGynecology 321-806-3929 or check us out at

Free consultation at the laser specialists at Central Florida UroGynecology in Rockledge, your 4D laser-center.

Come to our open house on Tuesday March 22nd, 2016 from 4.30-6.30 PM to find out more.

"Central Florida UroGynecology where high tech and common sense meet"

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016