Telehealth Terms of Service (Menopause & Weight Loss)
What is Vaginal Stenosis?
Vaginal stenosis is a narrowing, closing, or loss of flexibility of the vagina and vaginal opening. It is the side effect of radiation treatment, surgery to vagina, and sometimes hormone changes over the lifespan.
Many times, it is accompanied by dryness, scar tissue, and loss of mobility of the vaginal tissue.
Radiation to the pelvis and vagina is often performed to treat various forms of cancer. Radiation may be directed at the pelvic organs, including the bladder, bowel, uterus, ovaries, cervix, or to the vaginal tissue itself.
Radiation induced vaginal stenosis often leaves the skin and tissue around the vagina thinner, dry, less pliable, and oftentimes, painful.
Surgery to the area can leave scar tissue that has a similar affect. Surgery can affect the blood vessels, lymph nodes, and overall flexibility of the vaginal tissue.
Vaginal stenosis makes it difficult to receive vaginal penetration for medical examination and sex.
What to Do About Vaginal Stenosis
The good news is that there are steps that can be taken to help improve the elasticity of the vagina. Check with your healthcare provider to determine whether you are experiencing it. Some healthcare providers may recommend the following steps to address Vaginal Stenosis:
1. Use Vaginal Dilators
Intimate Rose's Vaginal Dilators are cleared to address vaginismus and associated symptoms such as painful penetration or pelvic pain. Prolonged avoidance of vaginismus symptoms, whether due to pain or fear, may contribute to a decrease in vaginal elasticity and health, potentially leading to vaginal stenosis.
Use Vaginal Dilators (also referred to as Vaginal trainers) to gently stretch and improve the elasticity of the vagina. When a person is educated that it is safe to do so by a healthcare provider, vaginal dilator training can begin.
Choose a set that comes with progressive sizes to allow you to gently and progressively improve the depth and width of the vaginal opening after vaginal stenosis has occurred.
Training sessions include gently compressing the dilator into the opening of the vagina, holding for 30 seconds to a minute, moving around the vaginal opening like a clock.
Then, the dilator can be gently inserted into the vagina, and used to stretch and train the surrounding pelvic floor muscles to relax for improved ability to tolerate penetration.
Use Plenty of Lubrication
Use plenty of lubrication- this applies to daily hygiene, dilator use, and sexual use. Using a personal lubricant such as Intimate Rose’s velvet lubricant significantly improves comfort during dilator training and sex.
At lease 1-2 tablespoons can be helpful, and additionally, lubricant can be injected into the vaginal vault by using a suspension dropper. Additionally, an organic balm such as Intimate Rose’s Enchanted Rose Balm can be used multiple times daily to help moisturize the vulva and entrance to the vagina.
This organic blend helps to sooth dry, irritated skin, just as a lip balm would to dry, chapped lips.
Do Daily Pelvic Floor Release Stretches
Gentle stretching for pelvic floor muscle release compliments dilator training in helping to relax the muscles that share a connection with the vaginal opening, which can help make penetration more comfortable.
For a gentle stretching routine, see this Guide to Pelvic Floor Release by doctor of physical therapy and certified pelvic floor specialist, Amanda Olson.
Use Vibration Therapy To Promote Circulation
Vibration therapy can help stimulate circulation and support tissue relaxation after treatment. Gentle vibration may improve blood flow and soften scar tissue and other affected areas
Vibrating wands, like Intimate Rose’s exclusively patented vibrating Pelvic Wand, were designed by physical therapist Amanda Olson to provide a unique contour for easy access to both the superficial and deeper areas of the vagina and rectum.
The wand can be used for targeted massage and may help relieve aches and pains in the pelvic floor muscles. It offers 10 different vibration frequencies that promote circulation and help relax the pelvic floor muscles and vaginal tissue.
This therapy may support the restoration of tissue elasticity and improve comfort.
Above all, remember that reversing vaginal stenosis is possible, however, it takes time. Daily progress can be made to eventually restore some of the natural elasticity of the vagina for pain-free penetration.
Privacy and Security
I understand and agree that I give permission to providers to use and disclose my protected health information including my entire medical record. This protected health information is being used or disclosed for the purpose of telehealth treatment. This authorization expires when you contact rx@intimaterose.com.
- If the person or entity receiving this information is not a health care provider or health plan covered by HIPAA, the information described above may be redisclosed to other individuals or institutions and therefore no longer protected by HIPAA.
- I may refuse to agree to this authorization. My refusal to sign will not affect my payment, ability to obtain treatment, or eligibility for health plan benefits unless this authorization is requested prior to research related to treatment, enrollment in a health plan, or providing health care that is solely for the purpose of giving that information to a third party, such as to a court for a legal proceeding.
- I may inspect or copy the protected health information to be used or disclosed under this authorization. For protected health information created as part of a clinical trial, your right to access is suspended until the clinical trial is completed.
- I may revoke this authorization in writing at any time by sending a written notification to Privacy Officer at 1419 Murray St. North Kansas City 64116. Your notice of revocation will not apply to actions taken by providers prior to the date of receipt of the notice.
Your privacy is important to us. By using our telehealth service, you consent to the use and sharing of your health information for treatment purposes in accordance with applicable privacy laws. Communications via text or email (if enabled) are not considered secure, and you accept the risk of receiving non-sensitive information through those channels.
Text and Email Communication
By submitting the form you give permission for Intimate Rose to contact you via SMS/text or email about:
- Appointment reminders
- General health information
You can request to stop them at any time.
Important Disclosures by State
If you're located in the following states, you should be aware of the following laws and rights related to telehealth:
- Alaska, Connecticut, Ohio, New Hampshire, South Carolina: Your primary care provider may request and receive a copy of your telehealth treatment record with your consent.
- California: You can learn more about the Physician Payments Sunshine Act at https://openpaymentsdata.cms.gov.
- Kansas: Providers must send a report to your primary care doctor within 3 days of your consent.
- New Jersey: You have the right to request a copy of your medical information, and it may be forwarded to your doctor.
- Texas: With your consent, your medical records may be sent to your primary care provider within 72 hours.
If you have any questions before continuing, please contact our support team or speak with your provider directly. We're here to help you feel confident and supported in your care journey.
By continuing, you confirm that you understand the above and voluntarily consent to receive telehealth services through Intimate Rose.
Cancellation & Refund Policy
We aim to make things simple and transparent. Because medical care and pharmacy resources are committed as soon as you begin, cancellations and refunds work as follows:
Cancellations
- You may cancel your subscription at any time.
- Cancellations stop future charges, but payments already processed cannot be refunded.
- To avoid the next billing, cancellations must be received at least 72 hours before your renewal date.
Refunds
Refunds are only offered in limited cases:
- Medical Disqualification – If our licensed provider determines you are not medically eligible for treatment.
- Billing Error – If a duplicate or incorrect charge occurs.
- Pharmacy/Shipping Delay – If your medication hasn’t shipped within 21 days of provider approval.
- Damaged Medication – If medication arrives damaged or overheated as defined by our medical team, we’ll send a replacement at no cost (refunds are not available in this case).
Refunds are not available once your intake form is submitted (unless medically disqualified), after medication has shipped, or once a subscription renewal has been processed.