Wine & Wellness Intimate Health Event November 2019

Join us for a casual, FREE Q & A on revolutionary, FDA-cleared treatments for women’s intimate health:

Are these symptoms getting in the way of your intimacy?

  • vaginal dryness, burning, itching
  • painful intercourse
  • urinary symptoms/incontinence

Sit back & enjoy chocolate and a sip of wine as Dr. Michele Couri hosts a panel of women-JUST LIKE YOU-to share how MonaLisa Touch™ & Emsella have changed their lives!

RSVP as seating is limited

Feminine Wellness Quiz

TAKE THE FEMININE WELLNESS QUIZ:

After menopause, when estrogen levels decline, many women experience changes that can really affect their quality of life.  Symptoms include:

  • Painful intercourse
  • Vaginal dryness
  • Burning
  • Itching

MONALISA TOUCH™ TREATS THESE COMMON FEMALE SYMPTOMS WITHOUT HORMONES OR SURGERY!

MonaLisa Touch™ addresses these problems without hormones or surgery. Dr. Michele Couri is thrilled to be the first physician in the greater Peoria region to offer this state of the art technology here at the Couri Center. It is ideal for menopausal patients, post-menopausal patients, and breast cancer survivors who are often unable to receive conventional treatments for these debilitating symptoms.

HOW IT WORKS:

MonaLisa Touch™ delivers gentle laser energy to the vaginal wall tissue that stimulates a healing response by generating new collagen, elastin, and vascularization. A typical course of treatment is three procedures over 18 weeks.

  • Painless
  • In-office procedure
  • Requires no anesthesia
  • No downtime
  • Minimal side effects
  • Each treatment is <5 minutes
  • FDA-cleared for gynecologic use
  • Thousands of women have been treated worldwide since 2012

If you struggle with these common symptoms, we can help. Schedule your consultation today to see if Monalisa Touch Treatment is right for you.

FREQUENTLY ASKED QUESTIONS

The Issue

Even with the passage of time, many women still retain their youthful energy and enthusiasm, but post-menopausal changes can affect a woman’s quality of life in unexpected ways. Now, there is a gentle laser therapy that can help millions of women who are silently suffering.

What is the MonaLisa Touch™?

The MonaLisa Touch™ is a gentle laser therapy that delivers controlled energy to the vaginal wall tissue. It restores vaginal health by generating new collagen, elastin, and vascularization. The MonaLisa Touch™ was first available outside the US where thousands of patients have been treated worldwide.

Are there clinical trials on the MonaLisa Touch™?

Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital, Cincinnati, OH, and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at the Stanford University Medical Center has completed a multisite study.

The trial assessed the use of CO2 fractional laser therapy on 30 women with vaginal health issues due to natural or induced menopause.   All patients in the trial received MonaLisa Touch™ laser therapy. Results were:

  • Overwhelmingly positive and immediate
  • Highly statistically significant improvement in symptoms after the first treatment
  • Escalation of progress with each subsequent treatment
  • *Women in the study either experienced natural menopause or induced menopause as the result of hysterectomy or drug-induced suppression of ovarian function (chemotherapy, radiations, and anticancer drugs such as Tamoxifen).

Dr. Stefano Salvatore*, Department of Obstetrics and Gynecology, Vita- Salute San Raffaele University completed a study to assess the feasibility of fractional C02 laser in the treatment of 50 women suffering changes in their gynecologic health.

84% showed significant improvement in their physical and mental quality of life scores over baseline and were satisfied with the treatment.
In addition to the multisite study, there are currently eight published studies with six ongoing studies.

Where can I have this done?

The MonaLisa Touch™ is an in-office procedure that Dr. Michele Couri can perform right here at the Couri Center for Gynecology and Integrative Women’s Health, in Peoria, IL. Dr. Couri is the first physician in Central Illinois to offer this treatment.

Does the procedure hurt?

The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort when the probe inserted the first time, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration.

How long does MonaLisa Touch™ take?

Patients receive three treatments, spaced six weeks apart, which each take less than five minutes to perform.

For which patients is this treatment appropriate?

The MonaLisa Touch™ is appropriate for any female suffering from issues from a decline in estrogen, as well as those who are experiencing symptoms as a result of a hysterectomy or breast cancer treatments, for any woman with vaginal atrophy due to physiological hormone changes, which become inevitable over time. In particular, MonaLisa Touch™ is the ideal treatment for those who are looking for a less invasive procedure, compared to traditional surgical or pharmaceutical treatments. Remember, no one can advise you better about MonaLisa Touch™ and what is best for you to achieve your best results than your doctor.

When will I see results?

Most patients feel improvement after the very first treatment, although the procedure calls for three sessions spaced over an 18-week period.

How long does MonaLisa Touch™ therapy last?

Patients should expect to come back annually for their maintenance treatment to ensure results last over the course of time.*

*Your doctor will determine if follow up treatments are required.

What are my limitations following the procedure?

Patients should refrain from sexual activity for 2-3 days. Your doctor will determine a post-procedure regimen that is right for you.

Is this MonaLisa Touch™ safe for women with breast cancer?

Yes, the MonaLisa Touch™ therapy is particularly well suited for patients who cannot, or prefer not to receive estrogen therapy.

How much will the procedure cost?

Patients should schedule a consultation or call 309.692.6838 for additional information.

Will insurance cover MonaLisa Touch™?

There is no processing code for this procedure.  We believe this is an investment in yourself and your quality of life.  We gladly accept CareCredit.

Are there any risks?

There are some minimal risks. MonaLisa Touch™ is an outpatient treatment. Most women report temporary side effects, slight redness or swelling, some discomfort that usually disappears in one or two days.

The MonaLisa Touch™ Laser system has been FDA-cleared as safe for gynecologic use; however, it has not explicitly been FDA-approved for treatment of genitourinary syndrome of menopause (vulvovaginal atrophy) or painful intercourse. MonaLisa Touch™ laser therapy is documented as an appropriate and efficacious treatment for vaginal symptoms due to menopause in the medical literature.

The Benefits of the HPV Vaccine By Dr. Michele Couri, MD, FACOG, ABIHM

With all the ongoing controversy about vaccines that continues to circulate, I wanted to share some compelling evidence about the benefit of the vaccination against HPV or Human Papilloma Virus.  HPV is the primary cause of cervical cancer as well as a significant factor in the development of anogenital warts, anal cancer and oropharyngeal cancer (cancer of the mouth and throat). HPV causes abnormal cellular growth, including condyloma (warts) and precancerous tissue changes known as dysplasia. More than 9 out of every 10 cases of cervical cancer are caused by HPV. HPV does not only affect women. Roughly 4 out of every 10 cases of HPV-related cancer occur among men. 70% of oropharyngeal cancers are caused by HPV.   In fact, genital HPV infection is the most common sexually transmitted infection in the United States.

Fortunately, many of these cases of cancer can be prevented by the vaccine against HPV.  There is a recent study in the journal Lancet (June, 2019) that showed a significant reduction in HPV type 16 and 18, two virulent HPV strains that are most commonly associated with cervical, anal and oropharyngeal cancers.  This study also showed a significant reduction in anogenital warts among young men and women who had received the vaccination against HPV. Cervical dysplasia or “precancer” rates decreased among those women vaccinated.  There was a significant 51% reduction in CIN2 (moderate cervical dysplasia or precancer) in girls aged 15-19 years and a 31% reduction in women aged 20-24 years.  It also found that after eight years post vaccination, the prevalence of HPV 16 and 18 had significantly decreased by 83% among girls aged 13-19 years and by 66% in girls aged 20-24 years.  The prevalence of genital warts among vaccinated females decreased significantly as well — 67% reduction in 15-17-year-olds, 54% reduction in, and a 31% reduction among women aged 25-29 years.  Among boys, the rates of genital warts decreased as well — 48% decrease in 15-19-year-olds and by 31% among men aged 20-24 years.

These findings support the recommendation of The Centers for Disease Control and Prevention (CDC) and the American College of Obstetricians and Gynecologists (ACOG) for routine HPV vaccination for females and males aged 9-26 years.  In fact, ACOG recommendations are further outlined as below:

ACOG Recommendations:

  • The target age for HPV vaccination is 11–12 years for girls and boys, but the HPV vaccine can be given to both genders through 26 years of age. However, as of October, 2018, the CDC approved the HPV vaccine for adults up to age 45.
  • For girls and boys who receive their first dose of HPV vaccine before 15 years of age, only two doses are needed. The timing of the two doses is 0 (baseline) and 6–12 months. If the interval between the two doses is less than five months, a third dose is recommended. If females or males receive their first dose at 15 years of age or older, three doses are needed and given at 0 (baseline), 1–2 months after the first dose, and six months after the first dose.
  • Testing for HPV DNA is not recommended before vaccination. Vaccination is recommended, even if the patient is tested for HPV DNA, and the results are positive.
  • Even if a patient previously has had an abnormal Pap test or history of genital warts, vaccination is still recommended.

 

To your health,

Dr. Couri

 

Sources:

Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes:  updated systemic review and meta-analysis.  The Lancet.  June 26, 2019

About HPV.  https://www.cdc.gov/hpv/parents/cancer.html

HPV Vaccination.  ACOG Committee Opinion.  Number 704, June 2017

 

 

 

 

 

 

TLC Complimentary Consultation

Personalized Integrative Lifestyle Programs

Let’s face it.  The more you know about your health, the better equipped you are to achieve your wellness goals.  Dr. Michele Couri’s personalized, integrative wellness programs include:

  • detoxification
  • food sensitivity testing
  • hormone balancing
  • metabolic labs
  • nutrition
  • exercise

Curious how TLC can change YOU?  

Schedule your complimentary consultation below or call 692-6838.

We’re Growing! An Interview with Dr. Alexandra Mathern

We’re growing!  Meet the Couri Center’s new OB/GYN, Alexandra L. Mathern, MD.

Meet the Couri Center’s new OB/GYN, Alexandra L. Mathern, MD.  Dr. Mathern completed residency in Obstetrics and Gynecology at OSF Saint Francis Medical Center through the University of Illinois College of Medicine in Peoria.  She received her Doctor of Medicine degree at the University of North Dakota School of Medicine and Health Sciences in Grand Forks, North Dakota.  She also received a Bachelor of Science and Minor in Spanish from the University of North Dakota.

Dr. Mathern’s Background

Dr. Mathern has explored many aspects of the medical field from an early age.  Her passion for women’s health began in medical school when she found herself surrounded by strong, compassionate women who prided themselves on taking the best, evidence-based care of the women in the community. She was inspired by their dedication not only to their craft but also the betterment of themselves and their families.

Her Passions

Dr. Mathern strives to make sure her patients are well informed and take an active role in their medical care.  She can offer a wide variety of medical and surgical options, stressing minimally invasive approaches, for multiple gynecologic issues. She has particular interest in reproductive age issues from menstrual irregularities, ovarian pathology, pelvic floor dysfunction, and perimenopause.

Born and raised in North Dakota she has made Peoria home with her husband and three children. Outside of work, she enjoys traveling, cooking, and spending time with her family.

How to Schedule

Dr. Michele Couri and the Couri Center team proudly welcome Dr. Mathern, MD, to our practice, August 2019!  Dr. Mathern is now accepting new patients and looks forward to meeting you.  Schedule your visit today:  692-6838 or visit our patient portal

Continue reading

Monalisa Touch Laser Therapy for feminine wellness

MONALISA TOUCH™ TREATS THESE COMMON FEMALE SYMPTOMS

After menopause, when estrogen levels decline, many women experience changes that can really affect their quality of life.  Symptoms include:

  • Painful intercourse
  • Vaginal dryness
  • Burning
  • Itching

How does MonaLisa Touch™ work?

MonaLisa Touch™ delivers gentle laser energy to the vaginal wall tissue that stimulates a healing response by generating new collagen, elastin, and vascularization. A typical course of treatment is three procedures over 18 weeks.

  • Painless
  • In-office procedure
  • Requires no anesthesia
  • No downtime
  • Minimal side effects
  • Each treatment is <5 minutes
  • FDA-cleared for gynecologic use

SCHEDULE YOUR CONSULTATION TODAY TO SEE IF YOU ARE A CANDIDATE.

Continue reading

MonaLisa Touch Testimonial

After menopause, when estrogen levels decline, many women experience changes that can really affect their quality of life. Symptoms include:

  • Painful intercourse
  • Vaginal dryness
  • Burning
  • Itching

MonaLisa Touch™ treats these common female symptoms without hormones or surgery!

MonaLisa Touch™ addresses these problems without hormones or surgery. Dr. Michele Couri is thrilled to be the first physician in the greater Peoria region to offer this state of the art technology here at the Couri Center. It is ideal for menopausal patients, post-menopausal patients, and breast cancer survivors who are often unable to receive conventional treatments for these debilitating symptoms.

How it works:

MonaLisa Touch™ delivers gentle laser energy to the vaginal wall tissue that stimulates a healing response by generating new collagen, elastin, and vascularization. A typical course of treatment is three procedures over 18 weeks.

  • Painless
  • In-office procedure
  • Requires no anesthesia
  • No downtime
  • Minimal side effects
  • Each treatment is <5 minutes
  • FDA-cleared for gynecologic use
  • Thousands of women have been treated worldwide since 2012

If you struggle with these common symptoms, we can help. Schedule your consultation today to see if Monalisa Touch Treatment is right for you.

Watch a video to learn more:

 

Frequently Asked Questions

The Issue

Even with the passage of time, many women still retain their youthful energy and enthusiasm, but post-menopausal changes can affect a woman’s quality of life in unexpected ways. Now, there is a gentle laser therapy that can help millions of women who are silently suffering.

What is the MonaLisa Touch™?

The MonaLisa Touch™ is a gentle laser therapy that delivers controlled energy to the vaginal wall tissue. It restores vaginal health by generating new collagen, elastin, and vascularization. The MonaLisa Touch™ was first available outside the US where thousands of patients have been treated worldwide.

Are there clinical trials on the MonaLisa Touch™?

Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital, Cincinnati, OH, and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at the Stanford University Medical Center has completed a multisite study.

The trial assessed the use of CO2 fractional laser therapy on 30 women with vaginal health issues due to natural or induced menopause.   All patients in the trial received MonaLisa Touch™ laser therapy. Results were:

  • Overwhelmingly positive and immediate
  • Highly statistically significant improvement in symptoms after the first treatment
  • Escalation of progress with each subsequent treatment
  • *Women in the study either experienced natural menopause or induced menopause as the result of hysterectomy or drug-induced suppression of ovarian function (chemotherapy, radiations, and anticancer drugs such as Tamoxifen).

Dr. Stefano Salvatore*, Department of Obstetrics and Gynecology, Vita- Salute San Raffaele University completed a study to assess the feasibility of fractional C02 laser in the treatment of 50 women suffering changes in their gynecologic health.

84% showed significant improvement in their physical and mental quality of life scores over baseline and were satisfied with the treatment.
In addition to the multisite study, there are currently eight published studies with six ongoing studies.

Where can I have this done?

The MonaLisa Touch™ is an in-office procedure that Dr. Michele Couri can perform right here at the Couri Center for Gynecology and Integrative Women’s Health, in Peoria, IL. Dr. Couri is the first physician in Central Illinois to offer this treatment.

Does the procedure hurt?

The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort when the probe inserted the first time, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration.

How long does MonaLisa Touch™ take?

Patients receive three treatments, spaced six weeks apart, which each take less than five minutes to perform.

For which patients is this treatment appropriate?

The MonaLisa Touch™ is appropriate for any female suffering from issues from a decline in estrogen, as well as those who are experiencing symptoms as a result of a hysterectomy or breast cancer treatments, for any woman with vaginal atrophy due to physiological hormone changes, which become inevitable over time. In particular, MonaLisa Touch™ is the ideal treatment for those who are looking for a less invasive procedure, compared to traditional surgical or pharmaceutical treatments. Remember, no one can advise you better about MonaLisa Touch™ and what is best for you to achieve your best results than your doctor.

When will I see results?

Most patients feel improvement after the very first treatment, although the procedure calls for three sessions spaced over an 18-week period.

How long does MonaLisa Touch™ therapy last?

Patients should expect to come back annually for their maintenance treatment to ensure results last over the course of time.*

*Your doctor will determine if follow up treatments are required.

What are my limitations following the procedure?

Patients should refrain from sexual activity for 2-3 days. Your doctor will determine a post-procedure regimen that is right for you.

Is this MonaLisa Touch™ safe for women with breast cancer?

Yes, the MonaLisa Touch™ therapy is particularly well suited for patients who cannot, or prefer not to receive estrogen therapy.

How much will the procedure cost?

Patients should schedule a consultation or call 309.692.6838 for additional information.

Will insurance cover MonaLisa Touch™?

There is no processing code for this procedure.  We believe this is an investment in yourself and your quality of life.  We gladly accept CareCredit.

Are there any risks?

There are some minimal risks. MonaLisa Touch™ is an outpatient treatment. Most women report temporary side effects, slight redness or swelling, some discomfort that usually disappears in one or two days.

The MonaLisa Touch™ Laser system has been FDA-cleared as safe for gynecologic use; however, it has not explicitly been FDA-approved for treatment of genitourinary syndrome of menopause (vulvovaginal atrophy) or painful intercourse. MonaLisa Touch™ laser therapy is documented as an appropriate and efficacious treatment for vaginal symptoms due to menopause in the medical literature.

Emsella: No more leaking when you run

Exclusively at The Couri Center, this revolutionary, FDA-cleared treatment- EMSELLA for urinary incontinence.  No more worrying about pads, accidents, or trying to find the nearest bathroom!

TYPES OF URINARY INCONTINENCE:

Urinary incontinence is the loss of bladder control or leaking urine.  EMSELLA for urinary incontinence treats all types of incontinence:

  • stress (leak urine with a cough or movement)
  • urge (leak urine after you cannot suppress the urge to urinate)
  • mixed (the combination)

WHAT IS THE EMSELLA TREATMENT LIKE?

EMSELLA takes all the work and time out of strengthening the pelvic floor muscles.  The EMSELLA chair strengthens the pelvic floor muscles by focusing electromagnetic waves causing the muscles to contract and relax, exercising them in a similar way to Kegel exercises.  Each 28-minute session will provoke contractions equivalent to performing 11,200 Kegel exercises!

WATCH THIS ANIMATED DEMONSTRATION:

WHAT ARE THE BENEFITS OF EMSELLA?

  • painless
  • simple (you sit on a chair!)
  • non-invasive
  • no downtime
  • remain fully clothed
  • 4-week treatment

 

Schedule your consultation today or call 692-6838.  

………………………………………………………………

FAQ:

What is EMSELLA?

EMSELLA is a chair that uses a high-intensity electromagnetic field to activate motor neurons in the pelvic floor. Similar to an MRI, the technology is known as High-Intensity Focused Electromagnetic Technology (HIFEM), and it causes deep pelvic floor muscles stimulation.

Who is a candidate for EMSELLA?

Women with stress incontinence (leak with a cough or movement), urge incontinence (leak after you cannot suppress the urge to urinate), or mixed incontinence. Stress incontinence is generally caused by vaginal childbirth and hormonal changes due to age. The stretching and increased laxity of the tissues cause the bladder to sag over the anterior wall of the vagina, which can interfere with the proper function of the bladder when it is full.

How effective is EMSELLA for urinary incontinence?

In as few as three weeks, patients strongly agree their quality of life improved by 95%. Two-thirds of treated patients eliminated or decreased the use of pads for leakage and maintained results at a 6-month follow-up.

How does the treatment work?

EMSELLA is a non-surgical, non-invasive treatment for stress or urge urinary incontinence. Patients sit comfortably in a chair in their regular clothes. The chair focuses on targeted tissue in the pelvis. Muscles are strengthened, restoring the support for the pelvic organs. EMSELLA tightens the vaginal walls. Incontinence decreases. Also, sexual satisfaction may be improved.

Can Kegel exercises do the same thing as EMSELLA?

EMSELLA is powerful. In fact, during one short 28-minute treatment, EMSELLA will provoke contractions equivalent to performing 11,200 Kegel exercises!

Is EMSELLA painful?

The treatment is not painful. You can feel a sensation in the pelvic floor area during the procedure. There is no downtime afterward. You can come during lunch break, eat, read a book, and have a treatment!

How long does it take for EMSELLA to produce results?

There are some immediate results. The treatment protocol is two treatments per week for four weeks, for a total of 8 treatments.

Does insurance cover EMSELLA?

The treatment is FDA-cleared.  Insurance does not cover the procedure; however, we gladly accept CareCredit.  We believe EMSELLA is an investment in you. The Couri Center offers reasonable packages for our patients.

How do I learn more?

Schedule your visit today or call 692-6838.  

 

The Origin of the Gynecological Speculum By Dana Humes Goff

For some women, the most dreaded aspect of the annual gynecological exam involves the speculum. A speculum, which can be either metal or plastic, is a device, which is placed into the vagina in order to visualize the vaginal walls and the cervix. While this procedure may be uncomfortable for some, it should not be painful, and it is a useful tool for assessing female anatomy.

Variations of the speculum can be dated back to 130 A.D., and early examples of the device have been discovered in archeological digs as far back as 79 A.D. amidst the ruins of Pompeii. The design of today’s speculum is primarily credited to a physician by the name of James Marion Sims, a gynecologist in the 19th century who performed numerous experiments on slave women, those of whom he purchased and kept as property in the back of his private hospital in Montgomery, Alabama.

One of the most common problems he encountered during his career was a condition known as a rectal or vaginal fistula, which can be caused by childbirth. A fistula is an opening that is formed between the bladder or rectum and the vagina. This tear can result in urine or stool collecting in the vagina, which can cause infections, pain, and incontinence. Repairing this type of tear required him to be able to look into and inspect the vaginal canal.

Dr. Sims was an imaginative man and utilized what he had at hand to draft a prototype of the first modern speculum: a gravy spoon. This allowed him better access to the vaginal tissues and he was able to perform the surgery necessary to repair the fistulas.

The introduction of the speculum by Dr. Sims, in the late 1800s, was very controversial and set off a vigorous debate within the medical community. The fear was that the use of a speculum might corrupt those women who were being examined and subsequently turn them into prostitutes or sex-crazed maniacs.

Thankfully, over the last 150 years, medicine has advanced, and the speculum design has improved and moved past the gravy spoon prototype, and gynecological exams have become routine. While there have been many attempts to improve upon the current speculum design, the basic design has remained unchanged.

So, for those women who avoid or fear gynecological exams due to perceived discomfort, I encourage you to discuss this with your provider. Often, the use of a smaller speculum, relaxation techniques, and gentle explanations with tips for making the exam easier can make your annual exam much more comfortable.

April 2019 Pelvic Wellness Educational Class Q & A

If you struggle with these common female symptoms, we can help!  Join us as Dr. Couri discusses the latest FDA-cleared treatments.

DON’T MISS OUT!   Click the brown registration button to reserve your seat-space is limited!

Can’t make the class but still want to learn more about these treatments?