Our Approach to Geriatric Gynecology
Our core philosophy at Honu Women’s Health is to help women achieve inner health and outer beauty and this applies to every patient regardless of age. Our board-certified OB/GYN, Dr. Aya Sultan, brings more than 20 years of experience in medicine and research as well as compassion to our practice, and she is a recognized expert in geriatric gynecology. As her patient, you will experience innovative, comprehensive and personalized care that is age-appropriate.
From a physician's perspective, there is a difference in caring for women of childbearing age and women of more advanced years. As a patient, you want to receive personalized care based on your unique health status. If you are an older woman seeking a gynecologist who has researched and understands the issues you are facing in your golden years, look no further than Honu Women’s Health. Dr. Sultan will apply her expert knowledge of geriatric gynecology to ensure you are living your best quality of life possible.

Find Your Inner Health and Outer Beauty™
Common Health Issues in Postmenopausal Women
Older women face estrogen deficiency which leads to loss of normal skin architecture and thinning tissue. These issues can lead to certain feminine discomforts that interfere with a woman’s quality of life.
Common Health Issues for Geriatric Patients
- Urinary complaints - including incontinence and urinary tract infections (UTIs).
- Vulvovaginal inflammation and skin disorders - including itchiness that won't go away.
- Pelvic prolapse - prolapse of the bladder, uterus or vaginal walls.
- Gynecologic cancer - diagnosis and post-treatment care.
- Breast disease
- Osteoporosis
- Painful sex/low libido
Your Customized Treatment Options
Many of these issues are treatable, oftentimes in the comfort and convenience of our own office. Possible treatments include:
Hormone Therapy
A prescription medication that contains female hormones, either estrogen alone or in combination with other hormones such as progesterone, testosterone and/or thyroid, to replace hormones that are no longer being naturally or effectively produced by the body, thereby alleviating unpleasant side effects of menopause such as hot flashes, vaginal dryness and night sweats.
Pessary Fittings
A simple and customized non-medical and non-surgical solution to many cases of prolapse.
Combination Therapy
Medical-based ointments and skin care regimens for many vulvar skin disorders and vulva inflammation.
diVa® Laser Therapy
An innovation designed to help women who are suffering from issues like vaginal looseness and vaginal thinning (commonly described as atrophy), which works to revitalize vaginal tissues in a minimally invasive fashion with no downtime.
PRP Injections
Platelet Rich Plasma (PRP) is ideal for patients experiencing vaginal discomfort including dryness, urinary incontinence or sexual dysfunction. It works by injecting your body's platelets into the upper wall of the vagina and clitoris, which triggers the growth of new tissues, promoting collagen and elastin production inside the vagina and around the clitoris. This expansion due to tissue thickening can lead to more comfortable stimulation, sexual enhancement and improved vaginal hydration.
Non-office based procedures are also offered for appropriate candidates, including surgery for:
- Pelvic organ prolapse
- Hysterectomy
- Vaginal or vulva restoration/rejuvenation.
Age Gracefully with Personalized
Women’s Health Care
Addressing the unique needs of older women and enabling them to take control of their health and wellbeing is a top priority at Honu Women’s Health. Dr. Sultan’s recognized expertise in geriatric gynecology is evident in the way she approaches the care of the older woman. The feminine discomforts that come with aging do not have to simply be accepted—they are highly treatable and in some cases, reversible.
Schedule your appointment with Dr. Sultan to find out how you can optimize your health and live life to the fullest during your golden years.