Women’s Health & Intimate Wellness in Wailea, Maui

FemiLift Laser Treatment

A minimally invasive fractional laser that addresses vaginal laxity, dryness, recurrent infections, and stress urinary incontinence. The laser creates controlled micro-channels in the vaginal wall, prompting the tissue’s own collagen response and restoring structural firmness over the weeks that follow. The procedure is performed in-office, typically takes under 30 minutes, and requires no anesthesia. More than 200,000 women worldwide have been treated with FemiLift. Results vary.

EmFemme 360

Radiofrequency energy delivered in uniform 360-degree heating to the internal vaginal tissue. The heat contracts existing collagen and signals the production of new collagen fibers, which can improve elasticity and natural lubrication. Treatment takes roughly eight minutes. Most women complete a short series within a few weeks. Results vary.

Vulvar Rejuvenation: EmFemme External & FemiLift Resurfacing

Intimate wellness isn’t only internal, and the external tissue is often what women notice first.

EmFemme External

Gentle radiofrequency applied to the labia and external vulvar tissue, addressing laxity and appearance with no downtime.

FemiLift External Resurfacing

Micro-ablative laser resurfacing for the external vulvar area — texture, fine lines, pigmentation, lichen sclerosis, and thinning skin. The mechanism is the same controlled-injury-and-repair process used in facial resurfacing, calibrated for far more delicate tissue.

Most of what brings women to this page has a hormonal component sitting underneath it.

Dryness and laxity aren’t isolated events — they track with declining estrogen. Low libido rarely travels alone; it arrives with fatigue, disrupted sleep, brain fog, mood changes, and weight that behaves differently than it used to. Treating the tissue while ignoring the hormonal environment it lives in tends to produce results that fade faster than they should.

Dr. G is a Menopause Society Certified Practitioner — one of a small number in the state of Hawai’i — and a board-certified obstetrician-gynecologist. Reading the whole picture rather than the symptom in front of her is, functionally, her specialty.

What that looks like in practice:

Comprehensive lab work, a full history, and an honest conversation about what you’re experiencing and what you want. From there, a plan — which may include bioidentical hormone therapy (BHRT), may include energy-based treatment, may include both, and may include addressing something neither one touches. Hormone therapy may not be appropriate for every woman, and where it isn’t, we’ll say so and discuss alternatives.

This is ongoing care, not a single appointment. We adjust based on labs and on how you actually feel.

Not everything that affects desire and arousal responds to treating tissue. Some of it lives in signaling — in the nervous system, in blood flow, in the hormonal choreography that governs both. Dr. G prescribes several options here, each working through a different mechanism.

A note on all of them: most are compounded, which means they are not FDA-approved. We’re direct about that. We source only from licensed compounding pharmacies that provide certificates of analysis and third-party potency testing, and Dr. G will explain the current regulatory landscape — including where FDA enforcement sits — before you decide anything. 

Peptide Therapy

Peptides are short chains of amino acids that act as messengers, signaling specific cellular responses.

PT-141 (bremelanotide)

Studied for its action on the central nervous system rather than the vascular system — a pathway relevant to desire itself rather than blood flow alone. An FDA-approved form exists for premenopausal women with acquired hypoactive sexual desire disorder; compounded PT-141 is a separate regulatory category and is not FDA-approved.

Oxytocin

Better known for its role in bonding and attachment, oxytocin is also involved in arousal and in the physiology of orgasm. Compounded formulations are prescribed for some women as part of a broader protocol. Evidence in this application is limited, and Dr. G will tell you where the science actually stands rather than where the marketing does.

Kisspeptin

A neuropeptide that sits upstream of the reproductive hormone axis and appears, in early research, to influence sexual and emotional processing in the brain. Human data on desire is preliminary — this is an emerging area, not a settled one. Dr. G discusses it with women for whom it may be appropriate, with candor about how early it is.

Tadalafil

Tadalafil is not a peptide — it’s a PDE5 inhibitor, working on blood flow rather than on nervous-system signaling. In women, it may support genital blood flow and arousal response, and is sometimes prescribed alongside a peptide protocol precisely because the two mechanisms don’t overlap.

Use in women is off-label. It’s well-characterized as a molecule, with a long safety record in other populations, but it interacts with nitrates and certain blood pressure medications — which is one of several reasons this belongs in a physician’s hands rather than a website’s.

Compounded Topical Solutions

To complement in-office treatment, Dr. G prescribes customized topical formulations — sometimes known by the pharmacy shorthand “Scream Cream” — applied locally to increase blood flow and sensitivity.

These are prescription compounded preparations, dispensed through a licensed compounding pharmacy. Compounded formulations are not FDA-approved, and we’re direct with every client about what that means. We source only from pharmacies that provide certificates of analysis and third-party testing, and Dr. G will walk you through the regulatory picture before you decide. Results vary.

How These Get Chosen

Rarely one in isolation. Desire, arousal, and orgasm are separable — a woman may have one intact and another absent — and the right protocol depends on which part of that sequence isn’t working, what her hormones are doing underneath it, and what else she’s taking.

That’s the conversation. Not a checkbox.

These treatments may not be appropriate for women with active vaginal infection, uncontrolled diabetes, photosensitivity, lupus, or those taking certain anticoagulants. Dr. G conducts a full medical review at consultation and will tell you directly if you’re not a candidate.

Awazul Wellness is led by Dr. G — double board-certified in obstetrics and gynecology and in obesity medicine, and a Menopause Society Certified Practitioner, one of a small number in the state of Hawai’i.

That combination is the reason the two halves of this page belong together. Intimate health rarely arrives on its own, and reading the whole picture — tissue, hormones, metabolism, and the life stage running underneath all three — is the difference between a result that holds and one that doesn’t.

Every protocol here is physician-designed and physician-supervised. We invest in medical-grade technology because the difference shows up in your results, and we’re honest about what each one can and can’t do. Some women need one treatment. Some need a combination. Some need something we don’t offer, and we’ll tell you that too.

Our Wailea office is private and unhurried. You’ll have Dr. G’s full attention, the door closed, and as much time as the conversation takes.