A system and method for endovaginal delivery of therapeutic treatment energies. The system and method include an applicator having a body with a treatment window. The treatment window may include one or more transducers and one or more electrodes for delivering the therapeutic treatment energies to a target tissue in the vagina. The system and method may include a rollerball tip, an optical window, and ultrasonic imaging. The vagina may be mapped and the applicator may be located at a target tissue selected based on the map to deliver one or more treatment energies.