Expert Urogynecologist in Houston + Longevity, Hormone Health & Aesthetics

Doctor-led care from a board-certified urogynecologist in Houston, combining advanced urogynecology and surgery, longevity and hormone health, intimacy enhancement, and aesthetics.

Designed for women and men who refuse to accept decline as normal.

Women’s Choice Award

Best Doctors 2024

The Menopause Society

Certified Menopause Practitioner

Menopause Sociey

President of Medical Staff

Houston Methodist West

Led by One of the Nation’s Most Trusted Women’s Health Experts

Dr. Christi Pramudji Dawe has dedicated her career to helping women and men reclaim their quality of life through every stage of aging. Her approach blends surgical precision with modern menopause science, longevity medicine, hormone balancing, sexual health and aesthetic expertise so women and men never have to choose between medical excellence and feeling their best.

  • Board-Certified Urogynecologist & Surgeon
  • President of Medical Staff, Houston Methodist West Hospital

  • Certified Menopause Expert

  • Author of The BioVitality Blueprint – A Woman’s Plan for Elite Health and a Joyful Life

  • Women’s Choice Award – Best Doctors 2025

Dr. Christi Pramudji Dawe, urogynecologist in Houston, TX.

Board-Certified Urogynecologist & Reconstructive Pelvic Surgeon

Dr. Nina Dereska is a fellowship-trained, board-certified urogynecologist and reconstructive pelvic surgeon specializing in advanced, minimally invasive treatments for pelvic floor disorders, urinary incontinence, and pelvic organ prolapse. A Mayo Clinic-trained specialist, she delivers personalized care to help women restore comfort, confidence, and quality of life. As a competitive pro bodybuilder and certified personal trainer, Dr. Dereska uniquely combines surgical precision with a passion for women’s longevity, strength, bone health, and menopausal wellness.

Tens of Thousands

of Women Treated

And counting

You’re Not

“Aging Poorly.”

You’re Undersupported.

Bladder changes. Fatigue. Weight gain. Loss of confidence. Changes in intimacy.

Too many women and men are told these symptoms are “part of menopause.” At LifeSculpt™ by ChristiMD, our urogynecologist in Houston believes you deserve better answers and better outcomes.

A New Standard of Care for Women & Men in Midlife

LifeSculpt™ by ChristiMD is more than just a med spa and is not a typical medical practice.

We are a physician-led women’s focused health center offering an integrated approach to surgical excellence, menopause medicine, longevity care, hormones, intimate wellness and aesthetics.

Expert & Comprehensive Care that you can trust

A woman enjoying fresh air outside after her appointment with our urogynecologist in Houston.

Urogynecology & Surgery

Advanced Pelvic & Bladder Care You Can Trust

We provide expert diagnosis and treatment for pelvic floor disorders, bladder issues, prolapse, and urogynecologic conditions using minimally invasive and robotic techniques whenever possible.

Our urogynecology practice accepts most major insurance plans.

A woman who saw a urogynecologist in Houston smiles at the camera.

Longevity Medicine & Hormone Health

Precision Longevity & Hormone Care

Our longevity and hormone programs begin with in-depth BioVitality testing to understand how your hormones, metabolism, and body systems are functioning today, so we can design a clear, personalized plan forward.

Every recommendation is grounded in clinical expertise from our urogynecologist in Houston, advanced diagnostics, and a deep understanding of how our bodies change in midlife.

A woman who saw Dr. Christi, our urogynecologist in Houston for aesthetic services, smiles.

Doctor Led Aesthetics

Physician-Directed Aesthetic Care

Our skin & aesthetic treatments are designed to enhance, not change your appearance, helping you feel confident, comfortable, and aligned with how you feel inside.

A couple snuggles together after receiving intimacy care with Christi MD, a urogynecologist in Houston.

Intimacy Enhancement

Restore Confidence, Comfort, and Connection

We offer discreet, medically guided treatments designed to enhance intimacy, improve sexual function, and address changes related to hormones, aging, or life transitions, helping you feel confident, connected, and fully yourself again.

Expert Urogynecologist & Pelvic Care in Houston

When searching for a trusted urogynecologist in Houston, you deserve a specialized team that combines medical excellence with compassionate care. At LifeSculpt by ChristiMD, we provide comprehensive, advanced solutions to restore your confidence, comfort, and pelvic health.

A bladder lift repositions a dropped or sagging bladder to correct pelvic organ prolapse. By lifting the bladder back into its proper anatomical position, this procedure relieves pelvic pressure, minimizes chronic discomfort, and effectively resolves associated urinary issues.

Learn More: Bladder Lift

Designed to treat stress urinary incontinence, bladder sling surgery by our expert urogynecologist in Houston utilizes a small strip of material to support the urethra. This secure, supportive “sling” prevents unexpected urine leakage when you cough, sneeze, laugh, or exercise, allowing you to live without constant worry.

Learn More: Bladder Sling Surgery

Pelvic organ prolapse occurs when weakened muscles cause the uterus, bladder, or bowel to slip out of place. Our customized prolapse surgeries at LifeSculpt by ChristiMD repair and reinforce these supportive tissues, effectively relieving painful pelvic pressure and restoring your normal pelvic anatomy.

Learn More: Prolapse Surgery

Vaginal cysts can cause physical discomfort, pain during intimacy, or irritation during daily activities. This straightforward procedure gently removes the fluid-filled sac, alleviating your symptoms and ensuring your delicate pelvic tissues heal smoothly and comfortably.

Learn More: Vaginal Cyst Removal

Menopause brings significant hormonal changes that can cause hot flashes, mood shifts, sleep disruptions, and vaginal dryness. Our urogynecologist in Houston at LifeSculpt by ChristiMD, provides personalized management plans, including advanced hormone replacement therapies, to ease your transition and revitalize your long-term health and vitality.

Learn More: Menopause

EMSELLA is a revolutionary, completely non-invasive treatment for urinary incontinence. While remaining fully clothed, you sit on a specialized chair that utilizes high-intensity focused electromagnetic (HIFEM) technology to stimulate and strengthen thousands of deep pelvic floor muscle contractions in a single session.

Learn More: EMSELLA

Childbirth, aging, and hormonal drops can lead to vaginal laxity, dryness, and reduced sexual satisfaction. Our tailored vaginal rejuvenation treatments utilize the cutting-edge MonaLisa Touch® technology to increase blood flow, stimulate new collagen production, improve natural lubrication, and enhance both comfort and intimacy.

Learn More: Vaginal Rejuvenation

A weak or overly tight pelvic floor can cause incontinence, pelvic pain, and organ prolapse. Our specialized pelvic floor therapy at LifeSculpt by ChristiMD uses guided exercises and targeted techniques to retrain, strengthen, and relax these essential muscles, resolving symptoms at their physical root.

Learn More: Pelvic Floor Therapy

Real Patient Testimonials

“About two years ago, after having my third baby, I started experiencing extreme fatigue. I had no energy, felt mentally foggy, and struggled to get through each day. Even going to work felt exhausting. My hair also started falling out, and that was the first major symptom that made me realize something wasn’t right.

I went to my primary care doctor, who ordered extensive blood work. Because of the hair loss, I was referred to a dermatologist. I saw multiple specialists, had countless tests, and even underwent testing for autoimmune conditions. Every time, I was told the same thing: ‘Everything looks normal.’ …

Around that time, my husband and I owned a café, and one of our customers noticed how tired I looked. She recommended that I see Dr. Christi because she had such a positive experience herself. …

After just one month of treatment, I started feeling like myself again. I had more energy, my mental fog began to lift, and I wanted to be active again. …

I truly feel like I’ve gotten my life back. …

Looking back, my only regret is that I waited so long to seek help.”

Wendy A.
The LifeSculpt by ChristiMD team, featuring Dr. Christi, a urogynecologist in Houston.

Why Choose Our Urogynecologist in Houston?

Women and men come to us seeking pelvic, longevity, and aesthetic care because they want to:

Feel like themselves again, mentally, physically, and emotionally.

Resolve pelvic, bladder, or sexual health concerns with dignity.

Restore hormone balance, energy, and confidence.

Look and feel their best from the inside out

Build a foundation for a longer, healthier life.

Look as young as they feel.

Get expert care from our board-certified urogynecologist in Houston today.

See How We Help

BioVitality Methodology & Testing

Our BioVitality Testing Program, led by our urogynecologist in Houston, Dr. Christi, provides an in-depth look at key markers across hormonal health, metabolism, urologic health, intimate wellness, and body balance, so your care plan is guided by data, not guesswork.

Learn About BioVitality Testing
Bio Flyer

Feeling a Little Off?

Take our FREE hormone quiz to see if your hormones might be out of balance.

Care Designed Around You

We proudly serve women across Houston, Katy, and surrounding areas with specialized care for urogynecology, menopause, longevity, hormones, intimacy enhancement and aesthetics.

Urogynecology FAQS

A urogynecologist is a physician who specializes in treating pelvic floor disorders in women, including bladder, bowel, and pelvic organ conditions.

A general OB/GYN provides preventive care, screenings, and treatment for common reproductive health issues.

Urogynecologists specialize in pelvic floor disorders affecting the bladder, bowel, and pelvic support structures.

You may benefit from seeing a urogynecologist if you experience:

  • Urinary leakage with coughing, sneezing, or exercise

  • Sudden, urgent need to urinate

  • Frequent urinary tract infections

  • Vaginal pressure or a bulge (possible prolapse)

  • Difficulty emptying your bladder

  • Persistent pelvic pain related to bladder or support issues

Conditions a Urogynecologist Treat;

  • Urinary incontinence (leakage with coughing, sneezing, or urgency)

  • Overactive bladder

  • Pelvic organ prolapse (when organs drop or bulge into the vaginal canal)

  • Fecal incontinence

  • Chronic pelvic pain

  • Recurrent urinary tract infections

  • Complications from prior pelvic surgery

You Don’t Have to Navigate Aging Alone

Experience expert, compassionate, physician-led care, designed for women and men who expect more from their health.