Both CO2 and Er:YAG lasers have been evaluated for their ability to rejuvenate vaginal tissue. 64 The Er:YAG laser emits light at a wavelength of 2.94 µm and is 16 times more highly absorbed by water than the CO2 laser light. 65-67 Because of this higher water absorption rate, the Er:YAG causes much more superficial penetration and ablation of tissue. Most importantly, the Er:YAG laser does not increase the zone of thermal damage with each subsequent laser impact, as the CO2 laser does. Currently, the Er:YAG is the most commonly used laser treatment for VVA.
On Er:YAG laserlight patients usually are addressed once a month to own 3 weeks. Women can be instructed so you can abstain from gender for around dos weeks shortly after medication. Cosmetic laser treatments target brand new snatch simply, not the newest perineum. Published data suggests the solutions should be regular a-year. 68,69
The latest Er:YAG laser enjoys exhibited promising outcomes for cancer of the breast survivors. In one single data 43 postmenopausal cancer of the breast survivors was in fact given 3 laser beam applications all of the 30 days. The periods were analyzed just before therapy and you may just after 1, step three, 6, 12, and you may eighteen months, using dos steps: personal artwork analogue measure (VAS) and you will mission Genital Health Index Get (VHIS). For everybody of your own ladies in the research, vaginal dry skin, VAS, dyspareunia, and you may VHIS results notably increased following 3rd medication. Brand new results rejected on twelve Jurupa Valley CA escort girls and you will 18 months however, were still rather enhanced in contrast to standard. The research suggests “genital erbium laserlight is effective and safe for the management of genitourinary syndrome regarding menopausal in the cancer of the breast survivors.” 68
Using laser devices for VVA truly is a formative science, and we do not have definitive answers about the optimal number and frequency of treatments. Athanasiou and Pitsouni aimed to address this question in a recently published study. 69 In their study, 55 women received 3 sessions of CO2 laser therapy, 53 had an additional fourth session, and 22 had an additional fifth session. Results of their study are summarized in Figure 1.
Figure step 1. Improvement in sexuality-associated variables certainly one of females addressed with carbon dioxide laser therapy to have vulvovaginal atrophy once 3, 4, and you will 5 service.
The latest authors figured laser beam cures will get contribute to done regression of dyspareunia and dry skin from inside the a dose-impulse trends. A supplementary next or fifth course get subsequent boost the GSM symptom-totally free speed.
Radiofrequency devices having vulvovaginal restoration
Radiofrequency devices are the newest alternatives for therapy of VVA. The fresh radiofrequency treatments become monopolar, bipolar, and you will multipolar products. I have fewer education to validate their defense and abilities compared with laser treatments.
Radiofrequency treatments are repeated weekly to monthly, usually for a total of 3 treatments. While the CO2 and Er:YAG lasers treat only the vagina, the radiofrequency devices rejuvenate the perineum as well. Women can have intercourse the same day. Like the laser treatments, the effects of radiofrequency treatments diminish over time and likely need to be repeated annually. 70
Writeup on nonsurgical cure for vulvovaginal atrophy
Both the laser and radiofrequency treatments offer viable options for nonhormonal treatment of VVA. The CO2 and Er:YAG lasers have been used clinically for a couple of decades, while the radiofrequency devices offer promising new treatment options. The Er:YAG laser has been shown to benefit both VVA and mild to moderate stress urinary incontinence (SUI). 71 Less is known about the effectiveness of the radiofrequency devices for treating SUI, but they have the added benefit of treating the perineum as well as vaginal tissue. Insurance companies do not currently cover either laser or radiofrequency treatments for VVA or SUI, and the out-of-pocket expenses are customarily $1,000 per treatment.