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 laser beam patients are often handled monthly to own step 3 weeks. Women can be trained in order to avoid sex for at least dos days once therapy. Cosmetic laser treatments address the brand new pussy just, not the new perineum. Blogged data indicates the latest services should be frequent a year. 68,69
The brand new Er:YAG laser possess demonstrated guaranteeing results for breast cancer survivors. In one data 43 postmenopausal cancer of the breast survivors was indeed given step three laser applications all of the 30 days. Their episodes was basically examined before cures and you will immediately after step one, step three, 6, twelve, and you will eighteen months, having fun with 2 steps: personal visual analog level (VAS) and you may objective Genital Fitness Directory Rating (VHIS). For everyone of your own women in the study, genital dryness, VAS, dyspareunia, and you can VHIS score significantly increased pursuing the 3rd cures. The fresh score denied within a dozen and eighteen months however, were still significantly increased in contrast to standard. The study means “genital erbium laser is useful and you may not harmful to treating genitourinary disorder off menopause during the breast cancer 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.
Shape step 1. Change in sex-related parameters one of lady addressed with carbon dioxide laserlight medication having vulvovaginal atrophy shortly after step three, cuatro, escort girl El Cajon and 5 treatments.
This new article authors concluded that laser beam treatment will get subscribe to over regression out of dyspareunia and dry skin during the a serving-effect manner. An extra next or fifth tutorial could possibly get subsequent improve the GSM symptom-free rates.
Radiofrequency gizmos to possess vulvovaginal restoration
Radiofrequency equipment may be the latest alternatives for therapy of VVA. New radiofrequency solutions is monopolar, bipolar, and you can multipolar gadgets. I have a lot less knowledge to help you corroborate their cover and you will possibilities compared to 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
Breakdown of 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.