Share
For couples trying to conceive, restoring vaginal health and reconnecting through more comfortable, enjoyable intimacy can help. Aayla does not provide fertility treatment, but our services can support patients who are trying to become pregnant by improving vaginal tissue health, lubrication, and sexual wellness.
We don’t want anyone getting the wrong idea, so it’s important we state this from the jump: the services we offer at Aayla are not fertility treatments. They can, however, improve your experience with intercourse and support aspects of vaginal health that can help couples further their goal of conception.
Tissue health and frequency can go hand in hand – healthy tissue, adequate lubrication, balanced vaginal pH, and good blood flow all contribute to a more comfortable sexual experience. If a woman suffers from dryness or discomfort with sex, chances are they won’t be having sex very often and, by default, limit opportunities to become pregnant.
Fertility happens in the ovaries, fallopian tubes, uterus, and endocrine system. What we do can help optimize the environment through which sperm travel and make sex more comfortable and enjoyable.
Go to the Right Expert
When fertility is the goal, start with the fertility experts.
Your OB/GYN is usually the first stop. They’ll evaluate reproductive health, identify potential concerns that can affect conception, order preliminary testing, and help determine when a referral to a specialist is appropriate.
If conception has been difficult, your OB/GYN might refer you to a reproductive endocrinologist. (And they may suggest your partner see a urologist or men’s health specialist.) A reproductive endocrinologist diagnoses and treats ovulation disorders, hormonal imbalances, diminished ovarian reserve, and other medical conditions that affect fertility. Once you have a better understanding of what’s happening, they can advise you on your next steps.
The same specialist usually also oversees intrauterine insemination (IUI), in vitro fertilization (IVF), egg retrieval, embryo transfer, fertility preservation, and the hormone protocols that support these procedures.
At Aayla, our focus is different. We are not treating ovarian reserve, egg quality, fallopian tube function, ovulation disorders, or implantation issues. Instead, we focus on the health and function of the tissues surrounding the reproductive process itself. And, well, putting the excitement back into sex.
Restoring Connection
Biology 101: pregnancy begins with intercourse. For couples trying to conceive naturally, having sex more frequently during the fertile window generally increases the chances of success. But if intercourse is painful, dry, irritating, or emotionally stressful, that’s easier said than done.
Adequate lubrication, healthy mucosal tissue, balanced pH, proper blood flow, and a resilient vaginal lining all contribute to a more positive sexual experience. When one or several of those are compromised, whether it’s from hormone changes, aging, stress, medications, or any other reason, sex becomes uncomfortable, the conditions necessary for sperm to travel through the reproductive tract may not be optimal.
The treatments we have at Aayla, such as platelet-rich plasma (PRP) and platelet-rich fibrin (PRF), radiofrequency-based vaginal rejuvenation, and hormone-based therapies like vaginal estrogen, support tissue quality and sexual motivation rather than alter the biology of fertility itself.
PRP and PRF therapies are especially interesting. They use a patient’s own blood, after being processed to separate out the therapeutic platelets and growth factors, to signal the body’s own collagen production, improve microvascular circulation, and support tissue repair.
Radiofrequency-based vaginal rejuvenation therapies use a small device that is inserted into the vagina to stimulate controlled thermal remodeling of the vaginal wall. In other words, it encourages collagen and elastin renewal, improves elasticity, and enhances local hydration and blood flow over several treatments.
Because the vulva and vagina are highly responsive to estrogen, local low-dose vaginal estrogen therapy is frequently used to treat tissue thinning, dryness, and discomfort without interfering with overall fertility or regular menstrual cycles. While vaginal estrogen is not advised during pregnancy, it is sometimes prescribed early on as part of IVF or Frozen Embryo Transfer (FET) cycles.¹ In those scenarios, your fertility specialist closely monitors hormone levels to establish a healthy uterine lining and support the pregnancy. That being said, every pregnancy is unique, and you should be working closely with all of your physicians, following all of their prescribed recommendations, and be prepared to stop certain treatments at the right times.
Some patients undergoing fertility treatments want to optimize lubrication, blood flow, and vaginal health before procedures, but any treatment should be carefully coordinated with your fertility specialist. We aim to support patients who are trying to conceive while working alongside the reproductive specialists who manage fertility care.
If you have concerns or curiosities about intimate wellness, we’re happy to work alongside you and your OB/GYN or fertility specialist. Contact our office to schedule a consultation. We would love to be part of helping you start your new family!
Reference:
- Shah, J., Shah, D., Gangadharan, A., Dave, V., & Sharma, V. (2026). Efficacy and Safety of Vaginal Estradiol Hemihydrate as an Adjunct to Oral Estradiol Valerate in Hormone Replacement Therapy-Frozen Embryo Transfer (HRT-FET) Cycles: A Retrospective Study. Cureus, 18(2). https://doi.org/10.7759/cureus.104347.
