Dr. Girgis has extensive experience in hormone replacement therapy for over 15 years, delivering scientific and safe treatments. At Superior Medical Centers, we review studies that outline the differences between transdermal versus oral HRT. Risk-Benefit analysis is given to every woman to help make an informed decision regarding starting and continuing Hormone Replacement Therapy. Age of starting HRT is of the essence given that maximum benefit in studies are evident when treatment is started immediately after menopause, rather than waiting more than 10 years after menopause. Still for older women, appropriate dosing and route of administration with properly selected patients, significant benefit can be achieved in improving quality of life and preventing and treating some chronic conditions related to menopause and loss of women hormones such as osteoporosis, vaginal dryness, female sexual dysfunction, and others. Women tend to experience relief of sweating, hot flashes, mood imbalances while reducing the risk of osteoporosis for women that are in perimenopause or have reached menopause. These benefits can lead to improved sleep, sexual function and an improved quality of life. Dr. Girgis complements HRT with supplements and the revolutionary Juliet laser to ensure optimal results. The Juliet laser procedure helps to improve vaginal dryness and atrophy while increasing lubrication and decreasing pain during sexual intercourse. Additionally, the laser is used for non-surgical labioplasty for women who suffer from enlarged and droopy labia causing shame and embarrassment during sexual intimacy. The Juliet laser utilizes a microspot handle that selectively focuses the treatment area by a combination of ablation and coagulation with no side effects for both the labia and vaginal canal. There is virtually no downtime and is a safe and effective procedure providing a gratifying sexual experience. The Juliet laser also addresses medical issues such as urinary incontinence and leakage as well as other undesired urological conditions. At Superior Medical Centers, we treat all female arousal disorders as, well as female orgasm dysfunctions.