Supports blood flow, arousal, lubrication & performance
Supports desire, energy, mood & vitality
Supports comfort, elasticity & tissue renewal
Supports sensation, pleasure & sexual response
Supports bladder control, bowel function & intimacy
Supports circulation, hormones & sexual wellness
BawaWave® can produce meaningful results as a stand-alone treatment. However, combining treatments allows Dr. Bawa to give her patients stronger, more comprehensive results by addressing circulation, tissue quality, sensitivity, hormones, regenerative signaling, pelvic function, and sexual wellness from multiple directions.
Every combination is personalized according to the patient’s anatomy, concerns, medical history, goals, and previous treatment.
Improve circulation, sensitivity, and intimate response.
Improve firmness, lubrication, sensation, and circulation.
Support sensation, arousal, orgasm, and tissue rejuvenation.
Reduce dryness; improve comfort, tissue health, urinary control.
Strengthen pelvic-floor support and improve urinary control.
Improve labial shape, symmetry, firmness, volume, and confidence.
Supports circulation, hormones & sexual wellness
Hormone optimization is an individualized approach to evaluating hormonal changes and determining whether treatment with estrogen, progesterone, testosterone or another therapy may be appropriate. Dr. Bawa considers symptoms, medical history, stage of life, sexual function and relevant testing rather than using the same treatment plan for every woman.
HRT stands for hormone replacement therapy. HRT for women may involve estrogen, progesterone and testosterone. The hormones used, their doses and how they are delivered should be individualized.
Bioidentical hormones are hormones that are chemically identical to hormones naturally produced by the human body. FDA-approved bioidentical hormone medications are available, including forms of estradiol and micronized progesterone. Bioidentical does not automatically mean compounded.
No. Bioidentical HRT is not the same as compounded hormone therapy. Bioidentical hormones are chemically identical to hormones naturally produced by the body. Some are FDA-approved, while others are specially prepared by compounding pharmacies. The best option depends on the individual hormone, dose, formulation and treatment needs.
When medically appropriate, Dr. Bawa may prescribe bioidentical hormones for women as part of an individualized hormone treatment plan. The specific hormone, formulation and dose depend on the woman rather than on a predetermined protocol.
Yes. Testosterone is an important female hormone that supports sexual desire, arousal and sexual function and naturally declines with age.
Yes. Testosterone therapy can improve sexual desire in some women, particularly after menopause. Because low libido can have many causes, treatment should be based on a complete evaluation rather than the symptom alone.
No, because at Bawa Medical testosterone therapy for women is carefully dosed and monitored to support the benefits of treatment while minimizing side effects such as acne or unwanted facial and body hair.
Women with a uterus who take systemic estrogen generally also need progesterone to protect the uterine lining. Women who have had a hysterectomy generally do not need progesterone for this purpose.
Systemic estrogen circulates throughout the body and may be used to treat symptoms such as hot flashes and night sweats. Local vaginal estrogen is used primarily for vaginal and urinary symptoms, including dryness and discomfort associated with genitourinary syndrome of menopause. [1,2]
Testing is individualized. Depending on the woman and her symptoms, Dr. Bawa may evaluate hormone levels as well as thyroid function, vitamin D, iron and ferritin, blood count, metabolic markers and other relevant laboratory studies.
The goal is not simply to generate a long hormone panel. It is to look for factors that may actually be contributing to how the woman feels.
Yes. Dr. Bawa checks appropriate laboratory testing before starting HRT so treatment can be based on each woman’s hormone levels, symptoms, medical history and overall health. Testing may include estrogen, testosterone, SHBG, thyroid function, vitamin D, iron and ferritin, blood counts, metabolic markers and other relevant labs.
When testosterone therapy is prescribed, Dr. Bawa may check testosterone levels before and during treatment to help avoid excessive dosing and keep treatment within an appropriate physiologic range. Symptoms, treatment response and side effects are also important parts of monitoring.
No. Dr. Bawa does not recommend hormone pellets because they cannot be easily adjusted after insertion, cannot simply be removed and may expose a woman to hormone levels that are difficult to control. Pellet insertion also carries procedural risks such as infection and scarring.
It can. Estrogen therapy, particularly local vaginal estrogen can improve vaginal dryness, discomfort and other symptoms associated with genitourinary syndrome of menopause. [1,2]
Hormones are not the only possible cause of painful sex, however. Vaginal tissue quality, pelvic floor dysfunction, nerve function and other conditions may also contribute and may require additional treatment.
Yes, hormone therapy may still be an option after breast cancer. Low-dose vaginal estrogen has not been shown to increase breast cancer recurrence or breast cancer–specific mortality and can be an effective treatment for vaginal and urinary symptoms after cancer. [6,7]
Systemic HRT is generally avoided after hormone receptor–positive breast cancer but may be considered in some women with hormone receptor–negative disease. The decision depends on the individual cancer history and treatment. [8]
Dr. Kanwal Bawa provides individualized HRT, bioidentical hormone replacement therapy and women’s hormone optimization in Boca Raton, Florida, serving women throughout Palm Beach County and South Florida, as well as patients who travel from across the United States and internationally.
Yes. Virtual and in-office consultations are available. During the consultation, Dr. Bawa can review your symptoms, medical history, goals and appropriate testing and determine whether hormone therapy may be right for you.