A Recurring Problem for Postmenopausal Women
Many postmenopausal women face vaginal atrophy. 45% of them experience symptoms such as vaginal dryness, itching, irritation, or pain during sex intercourse. To treat vaginal atrophy, we use a therapeutic process called “Erbium Yag 2940 nm laser”. This technology consists in a circumferential photothermal treatment of the vaginal walls.
The laser stimulates collagen production in the vaginal tissue as well as enhancing the vascularization of the vagina mucous membrane. It naturally improves the condition of vaginal walls.
If you suffer from postmenopausal vaginal atrophy, this treatment is recommended for you. It is also suggested for women to whom any hormonal therapy is counter-indicated after recovering from breast cancer. Finally, this procedure is also an alternative to those who do not want either to apply topical cream or take vaginal estrogen 2 or 3 times a week.
Preliminary, Probative Efficiency
Few studies have examined laser treatments in gynecology. Yet, there are some dermatological studies based on the same fundamental concepts. Yet, the clinical evaluation has shown a preliminary, probative efficiency. The patients’ satisfaction rate about vaginal lubrification, sexual pleasure and other consequences of vaginal aging seems quite high (1).
This treatment is completely safe and lasts for about 30 minutes. Although uncomfortable, the treatment is often completed without anesthesia, or with an anesthetic cream applied on vagina external area. It is performed at the clinic and does not require any particular preparation.
The healing is extremely fast and there is no need for painkillers. Patients can get back to their day-to-day activities after one month. Please note that it is advisable to wait for a week or two before becoming sexually active.
The vaginal atrophy treatment includes a low-intensity laser procedure that we conduct over 1 to 3 sessions, every 3 weeks. Both urinary incontinence treatment and vaginal tightening treatment have a direct influence on vaginal atrophy.
You must book an appointment with Dr. Marois before the treatment to verify the integrality of your vaginal walls. Also, you need to present a negative Pap test, an essential prerequisite to the treatment. We recommend you start taking hormonal treatment 1 or 2 months before the procedure if there is no counter-indication.
To maximize the success of the process as well as your satisfaction, the laser procedure is completed at Dr. Marois’s clinic by a physiotherapist specialized in Perineal Rehabilitation. A perineal exercise program is advisable to stimulate the vascularization of the vaginal mucous membrane.
How Do We Proceed?
First, we schedule a 1-hour appointment with the physiologist to complete an evaluation, explain the details of the procedure and give some pieces of advice about habits or exercise program you could integrate into your daily routine, if necessary.
The laser treatment is conducted over one to three sessions of 30 to 45 minutes, every 3 weeks. If vaginal atrophy occurs again between 12 and 18 months after the procedure, we will consider an extra session, according to the importance of the initial atrophy level.
(1) Short-term effect of vaginal Erbium laser on the genitourinary syndrome of menopause
A Journal on Obstetrics and Gynecology
Minerva Ginecologica 2015 April; 67(2):97-102
Gambacciani M. 1, Levancini M. 1, 2
1 Department of Obstetrics and Gynecology, Pisa University Hospital, Pisa, Italy;
2 Department of Obstetrics and Gynecology, Clinica Alemana, Universidad Del Desarrollo Santiago, Chile, Climacteric. 2015 Sep 3; 18(5): 757–763.
(2) Climacteric. 2015 Sep 3; 18(5): 757–763.
(2)Vaginal erbium laser: the second-generation thermotherapy for the genitourinary syndrome of menopause
M. Gambacciani, a, * M. Levancini, a, b and M. Cervigni