Welcome to OBGYN Champs, the show where no question is off limits. Join host Morgan Allen and board-certified OB/GYN Dr. Suny Caminero, MD, as they tackle the topics women are often too embarrassed, afraid, or unsure to ask about. From hormones, menopause, and sexual wellness to pregnancy, pelvic health, cosmetic gynecology, and everything in between, each episode offers honest conversations, expert advice, and practical insights to help women confidently take control of their health.
Whether you’re in your 20s, navigating motherhood, approaching menopause, or simply looking for trustworthy answers, OBGYN Champs is your place for real talk, myth-busting, and empowering education. Tune in, ask your questions, and join the conversation because your health deserves to be talked about.
Dr. Suny Caminero, MD, OB/GYN
Founder of Cosmetic Gynecology Florida
Website Address: https://cosmeticgynecologyfl.com/
Is it true that sex can actually get better for women in their 50s and 60s?
Dr. Suny Caminero:
Yes, it definitely can. Part of it is where you are in life. The kids are older or off to college; they’re not in your room all the time. You’re having more of a connection with your partner. You have a lot more time. You have a lot more freedom, and now you can focus on the couple. They may be retired and things.
The mindset is no longer, “Oh, I have to go and make dinner, and I have to do this, and I have to take the soccer. I have a child jumping into my bed and have to take care of this sick baby,” and that kind of thing. All of that takes away from the couple, so once that’s gone, you have so much more freedom.
Morgan Allen:
Not every session is a quickie.
Why do some women suddenly lose interest in sex as they get older, even when they’re still attracted to their partner?
Dr. Suny Caminero:
Several things can cause that. One of them is, again, hormones. Your testosterone level and your estrogen level have dropped significantly, and now that has affected libido. It has affected vaginal dryness, and it also affects sensation in your tissues as you age. Your nerves are starting to retract away from the vagina and from the clitoral area.
So I have women who say, “It takes me forever to have an orgasm. I’m using a vibrator, and now I have the vibrator on the highest setting, and it’s still taking me forever to have an orgasm.” Those nerves aren’t responding as much as they used to. So, yes, that can change. And it’s based on the aging of the nerves and the lack of hormones.
The wonderful news is that when you replace those hormones and you get the vagina back to healthy, there are other things that we can do for the vagina as well. There’s PRP. We use PRP, and I don’t know how many people have heard of it nowadays. In my clinic, we’ve been using PRP for like ten years now.
We draw your blood, we spin it, we get the growth factors out of it, and then we place it on the clitoris where the nerves are located. We place it in the vagina on the roof where the G-spot is located. And we also place it near the top of the labia minora, where those nerves are located.
So that actually retains those nerves and re-stimulates those nerves to come back. And now you can have an easier time reaching your orgasm.
Morgan Allen:
You have to spin the blood? You can’t just take it out whenever you’re ready, rub it all over the place, and expect it to work?
Dr. Suny Caminero:
No, no, no, no, no. That’s a great question. We draw it from your arm, put it in a centrifuge, spin it, and it separates into the platelet-rich plasma portion and the red blood cell portion at the bottom.
We take off the top portion of it, and then that top portion that has all that good stuff, we put it on those areas. We numb the skin first, and then we inject it in specific areas. And then that brings that sensation. We do it three times, four weeks apart. By the third time, the feeling is so intense that women are like, “Oh, really?” It’s pretty incredible.
Morgan Allen:
But does that last?
Dr. Suny Caminero:
That actually lasts a long time. But you can’t just do that. So we end up adding hormones they’re missing- if they’re not on hormone therapy- and then that keeps them forever.
Can aging change the shape, the size, or the appearance of your vagina and vulva?
Dr. Suny Caminero:
Just like aging changes everything about your face, the same thing happens to the vulva. The skin starts to dry out and sag as you get older. If women are not sexually active, their vagina starts to shrink. “If you don’t use it, you lose it.”
It starts to shrink, and it gets really, really, really small. Then the labia also start to shrink. Some women, they lose them all together from the atrophy, from the lack of estrogen. So it really does change.
Morgan Allen:
Well, if they’re not married and don’t have any sexual partners, but maybe they masturbate, are they in a better situation? Is it not going to shrink as much?
Dr. Suny Caminero:
No, it will still shrink from the lack of estrogen and the skin’s reduced flexibility.
What are the risks again for vaginal atrophy?
Dr. Suny Caminero:
If they’re not sexually active, they’re not going to notice really any issues because they’re not having painful sex. But they’ll notice itching. They’ll definitely notice recurrent urinary tract infections, and also the vaginal odor that sometimes happens. It doesn’t happen to all women, but it does happen.
Can using a vibrator decrease stimulation over time?
Dr. Suny Caminero:
Yes. Over time, if you’re hitting that nerve so hard, the nerve won’t respond unless you’re giving it higher and higher and higher levels.
You don’t want to get to that point, but sometimes you do it because it’s the only way you can get there. The vibrator, if it’s really high intensity, you’re desensitizing that nerve.
Can aging affect the ability to experience pleasure or orgasm?
Dr. Suny Caminero:
Yes, definitely; it just takes time. For some women, they’re so frustrated that they’re just giving up and, like, “It’s just not going to get there, and I’m just going to have sex so that I can please my husband,” type of thing.
It’s pretty sad when it happens, and it doesn’t have to be. It just doesn’t need to be that case.
Morgan Allen:
We talked a little bit about the changing vagina and vulva. But the clitoris changes with age as well?
Dr. Suny Caminero:
It shrinks, and you get less sensation. Its nerves retract from it there too, and it also atrophies.
It responds the same as the rest of our skin with that lack of estrogen, and testosterone is really important for the clitoris. When it’s not there, it has less sensation.
For women who are in a relationship, it matters a lot. For women who are not in a relationship, they really don’t care. Many women, because they don’t have the sensation, they don’t even—they’re not pleasuring themselves either. They’re moving on with other things in life, grandbabies or whatever. And they’re fine. They’re living a great life.
So it’s not for everybody. This is really for women in a relationship who feel like it could be better, it’s affecting their relationship, and they want to know what they can do. It doesn’t have to be that case.
There are women who are asexual, meaning that they have zero interest and have never had any interest ever in sex. They’re not bothered by that at all. And then there are other women that have been very sexual, and then all of a sudden it’s not there anymore. Like, what happened? And they miss it. And so we can fix that.
Morgan Allen:
For the women who are asexual and maybe they’re like, “Okay, maybe I should want something, maybe I should want to feel,” could they go to you and you can help turn that button on?
Dr. Suny Caminero:
Absolutely. If the button was born off, it’s hard to turn it on. But if it’s there, we can turn it on.
What does vaginal rejuvenation actually involve, and what treatments have proven effective?
Dr. Suny Caminero:
There are so many things that work. When people talk about vaginal rejuvenation, that’s like a whole bucket of what you’re talking about. Are we talking about the inside of the vagina? Are we talking about the outside of the vagina?
Well, you can rejuvenate the whole thing. If your issue is on the outside, then you can rejuvenate it with either energy devices or surgery. If we’re talking about the inside, meaning the atrophy, estrogen works. If the vagina is too wide because your babies did a number on you, then we can surgically fix it.
If it’s mild and you don’t need surgery, we can use energy devices to do that too. Vaginal rejuvenation means getting the vagina back to where you wanted it to be, or back to pre-baby, whether it is the inside or the outside. So that’s just like a bucket list of what you can rejuvenate there.
What is one thing every woman over 50 should know about maintaining a healthy and satisfying sex life?
Dr. Suny Caminero:
If they can start hormone replacement therapy within those ten years of menopause, they would be doing a really good thing for themselves by preventing so many things.
If women can be on vaginal estrogen once that tissue starts to change, once menopause hits, that’s the minimum. It’s a cream that you put in the vagina twice a week, and I usually tell women, do it on Sundays and Wednesday night, so you always remember, “Sunday, Wednesday night, I put my cream in the vagina.” You will save yourself so much pain in the future. You will save yourself from having to wear a diaper. You would save yourself from having to get into the hospital because you have sepsis from a urinary tract infection.
Now you’re, you know, having some dementia or delirium from having a urinary tract infection. You would save yourself. So, at a minimum, if you can be on vaginal estrogen, that would be very, very helpful for the long term.
