Inclusion Criteria:  English speaking Diagnosis of female sexual dysfunction, pelvic floor dysfunction, genito-urologic issues (stress urinary incontinence, urge urinary incontinence, pelvic organ prolapse, interstitial cystitis, pelvic pain, dyspareunia, lichen sclerosis) Manual dexterity to use vibrator  Exclusion Criteria:  Non English speaking Pregnancy or <12 months postpartum Poor manual dexterity