- 9720 Wilshire BLVD, STE Lower Level
- (424) 479-1770
- info@drkarentoubi.com
Pain during sex, no interest in sex, difficulty with orgasm, vaginal changes — these are medical problems. They have names. They have treatments. And you deserve a physician who actually knows them.
Book a Consultation See What We TreatSexual dysfunction affects at least 40% of women. The vast majority are never asked about it at a routine visit — and most never bring it up because they don't know it's treatable, or they're worried they won't be taken seriously.
If sex has become something you avoid, dread, or endure — or if desire, arousal, or orgasm has quietly disappeared from your life — that's not who you are. It's a medical problem. And it deserves more than "try more foreplay" or "just use lubricant."
Dr. Toubi is an active member of ISSWSH (International Society for the Study of Women's Sexual Health), ISSVD (International Society for the Study of Vulvovaginal Disease), and The Menopause Society (NAMS). She attends international conferences regularly, stays at the forefront of the research, and brings that specialist-level knowledge directly into patient care.
Have you been told "everything looks normal" while still in pain? There's a reason — and there's usually a solution.
Book a ConsultationEach of these is a recognized medical condition — not "normal aging," not anxiety, not something you should simply accept.
"You may have been dismissed, told it's in your head, or handed a pamphlet. You deserve a physician who has read the research, knows the treatments, and will sit with you long enough to make a real plan."
The right treatment depends on the right diagnosis. Dr. Toubi takes time to understand your full picture before recommending anything.
Dr. Toubi takes pain control for in-office procedures and examinations seriously. An exam should not be traumatic. Procedures like IUD insertions, Botox injections, clitoral adhesion lysis, and biopsies are performed with appropriate local anesthetic and careful technique. For patients with anxiety or heightened pain sensitivity, nitrous oxide (laughing gas) is available in the office — offering safe, effective relaxation with no recovery time. If you've avoided care because of fear of pain, please know that this is a priority here.
A non-invasive radiofrequency device that stimulates collagen, elastin, and tissue hydration — particularly effective for painful sex, vaginal laxity, and stress urinary incontinence. No downtime. Comfortable in-office sessions. Patients consistently describe it as transformative.
Estrogen, testosterone, and progesterone are central to sexual function. Dr. Toubi offers systemic HRT, local vaginal estrogen, and testosterone therapy — individualized to your symptoms and goals. She also carefully reviews whether any current medications (including hormonal contraceptives) are contributing to dysfunction.
Acoustic wave therapy to the pelvic and clitoral region stimulates new blood vessel growth, improves tissue health, and enhances arousal and sensitivity. Painless, in-office, no downtime.
For vaginismus and pelvic floor hypertonicity, Botox injections into the pelvic floor musculature can reduce muscle spasm profoundly — allowing pelvic floor physical therapy to proceed and penetration to become possible. Performed with local anesthetic. Nitrous oxide available for anxious patients.
For women with congenital provoked vestibulodynia who haven't responded to conservative treatment, surgical removal of the affected vestibular tissue is a well-studied, highly effective option. Performed with thorough pre-operative preparation and attentive post-operative support.
Lichen sclerosus, lichen planus, and other vulvar skin disorders significantly impact sexual function. Dr. Toubi specializes in vulvovaginal dermatology — conditions frequently missed at routine visits.
FDA-approved treatments for HSDD, off-label options for arousal disorders, and careful review of any current medications contributing to sexual dysfunction.
Most patients arrive not knowing what to expect — and leave wishing they had come sooner. Here's what a new patient visit looks like.
Active member of ISSWSH, ISSVD, and The Menopause Society. Attends international conferences. Applies the latest research directly to patient care.
Whatever you haven't been able to say at other appointments — this is the place to say it. No raised eyebrows, no minimizing.
Examinations and procedures performed with comfort as a priority. Nitrous oxide available for anxious patients.
Educated women make excellent choices. You'll leave understanding your diagnosis and your options — not just with a prescription.
Whether you're dealing with pain, a loss of desire, difficulty with orgasm, or simply want a thorough evaluation — this is the right place to start. Most patients wish they had come sooner.
Book a Consultation
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