Why The Herzog L.A.V.A.®  Procedure?

L.A.V.A® stands for Laser Augmentation of the Vaginal Area. The procedure is designed to loosen the vaginal opening to eliminate pain during intercourse.   Due to the use of the laser, it is bloodless, painless, and permanent.  The procedure is performed on an outpatient basis, under sedation.  Patients return home the same day and are usually able to resume sexual relations within 6 weeks.
As opposed to other treatments, The Herzog L.A.V.A.® Procedure offers a permanent solution to the problem of painful intercourse without the use of hormones, which could be dangerous or undesirable for several women.


Commonly asked questions about The Herzog L.A.V.A® Procedure


Q: How is the procedure performed?

A: The procedure is performed with a laser using Dr. Herzog’s exclusive technique.  The laser is used to sculpt the vaginal opening to allow painless penetration.  


Q: How long is the procedure?

A: The procedure is done in under an hour.


Q: How long is the recovery time?

A: The patient can return to work within 48 hours and the patient can start having sex again 4 to 6 weeks after the procedure is done when the sutures are dissolved.


Q: Is the procedure permanent?

A: Yes, the procedure is permanent but the patient will have to resume regular sexual activity in order for the procedure to work.  In other words “if you don’t use it…you lose it.”  Patients will be encouraged to engage in frequent coitus and/or use dilators to maintain the health of their new vaginal opening.


Q: Will I have to have anesthesia?

A: The Herzog LAVA® Procedure is performed with local anesthesia with or without sedation…however, most patients will prefer to be sedated.


Q: Does the Herzog L.A.V.A® Procedure work on everyone?

A: The success rate has been 100% thus far for women with insertional pain with intercourse. 


The Herzog L.A.V.A.® Procedure in Our Office


  •  We believe that NO woman should have to experience pain during sex!
  • Our office is committed to promoting women’s physical and emotional health: we believe that sexual intimacy is an important part of life.
  • We understand that women may be embarrassed or hesitant to discuss this issue
  •  Our physicians and staff are specially trained and we will make you feel comfortable while discussing your issues or concerns.
  • Our ultimate goal is to help you!


Dr. Herzog explains the Gentle Renewal procedure.


Dr. Herzog does an interview on Channel 12 News. Patient is interviewed.


The Doctors “Where MD Meets TV”

Gentle Renewal

1855 Richmond Avenue
Staten Island,NY 10314
For Lava information

9920 Fourth Ave Suite 203
Brooklyn,NY 11209

420 Highway 34 unit 7 Colts Neck,NJ 07722
(718) 477-LAVA
(718) 477-5282

Staten Island Office
Brooklyn Office
New Jersey Office