Procedures

Laser Treatment for Vaginal Atrophy

Procedures

Laser Treatment for Vaginal Atrophy

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Description

Erbium Yag laser treatment for vaginal atrophy — a common problem among menopausal women — is a non-invasive and painless procedure. It has become an innovative treatment in recent years, particularly in Europe. This controlled therapeutic procedure consists of a circumferential photothermal treatment of the labial and vulvar regions. The laser triggers the production of collagen, improves blood flow and helps reverse atrophy. The treatment thereby naturally restores the strong, healthy state of the vaginal wall.

 

It’s a safe procedure that’s easy to perform, as it doesn’t require an incision or much preparation beforehand. It takes about 15 minutes to complete, and the recovery period is short.

 

A lot of research still needs to be done on gynecological laser therapy. However, there are numerous studies in dermatology based on the same basic treatment principles. To date, clinical evaluations of this therapy have shown conclusive, albeit preliminary,

efficacy. Patient satisfaction with vaginal lubrication, sexual satisfaction and other improvements related to vaginal aging appears to be high.

Who is a candidate for laser treatment for vaginal atrophy?

This laser treatment targets vaginal atrophy after menopause by reducing vaginal dryness and improving lubrication. It’s a non-hormonal option that can be used by breast cancer survivors for whom hormonal treatment for vaginal atrophy is contraindicated. It’s also an effective alternative for women who don’t wish to apply topical creams or use intravaginal estrogen tablets two to three times a week.

What are some other benefits of laser treatment for vaginal atrophy?

● Improved sensitivity during intercourse
● More toned vaginal canal
● Greater ease in achieving orgasm
● Reduction of urinary incontinence, if present
● A better sex life overall

What is the procedure for this type of laser treatment?

The procedure takes little time and is easy to perform. The patient is placed in the appropriate position using stirrups, and an anesthetic cream is applied by a nurse to the vulva. While the laser treatment itself isn’t painful, there may be some discomfort at the vaginal opening (vulva vestibule) near the labia minora. Patients are required to wear safety glasses for their protection. An adapted speculum is then inserted to dry up the vaginal canal of as much secretion as possible. Next, a laser probe is inserted and gradually withdrawn. After five or six pulsations, it’s pulled back five millimetres or so. Several repetitions are necessary, so one must be able to tolerate the insertion of a speculum into the vagina. At the end of the procedure, the laser is directed around the vaginal opening (vulva vestibule) and the urinary meatus. At Cliniques Marois, our treatment protocol for vaginal atrophy automatically includes laser treatment for urinary incontinence.

How many sessions are needed to reduce symptoms of vaginal atrophy?

For many patients, two sessions are sufficient to enjoy noticeable improvements in vaginal atrophy, including a reduction in dryness and increased lubrication. At Cliniques Marois, we recommend two to three sessions performed one month apart. Our pricing has been adjusted accordingly to maximize patient satisfaction and the efficacy of the treatment.

How long does this treatment remain effective?

It’s documented that the tightening of vulvar tissues and increase of vaginal lubrication can last anywhere from 15 to 18 months. Laser treatment isn’t a permanent cure for vaginal atrophy, but can be a good complement to pelvic floor exercises, which also enhance blood flow to the tissues. Depending on their satisfaction with the treatment, patients can opt to repeat the procedure at a later date.

References

Yona Tadir, MD & al. Light and Energy Based Therapeutics for Genitourinary Syndrome of Menopause: Consensus and Controversies. Lasers Surg Med. 2017 Feb; 49(2): 137-159.

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