The fresh Emergency room:YAG is regarded as the “second generation” away from thermotherapy having VVA

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.

Towards Er:YAG laserlight clients are usually treated once per month having 3 days. Women are coached so you can abstain from gender for at least dos days shortly after therapy. Cosmetic laser treatments address brand new pussy merely, not this new perineum. Had written data ways the fresh services have to be repeated a year. 68,69

The latest Er:YAG laser has actually demonstrated promising outcomes for breast cancer survivors. In one single investigation 43 postmenopausal cancer of the breast survivors escort girls in Grand Prairie was in fact addressed with 3 laser software the a month. Its periods had been assessed ahead of treatment and just after step one, 3, 6, 12, and you can 18 months, playing with dos measures: personal graphic analogue scale (VAS) and you can objective Vaginal Health List Get (VHIS). For everybody of feamales in the study, vaginal dry skin, VAS, dyspareunia, and you can VHIS ratings somewhat improved adopting the third procedures. The brand new scores declined within 12 and you may 1 . 5 years however, remained notably enhanced compared to standard. The research suggests “genital erbium laserlight is very effective and you may safe for treating genitourinary problem off menopausal from inside 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.

Profile step 1. Improvement in sex-related parameters one of girls given carbon dioxide laserlight procedures having vulvovaginal atrophy once step three, 4, and 5 service.

New writers figured laser beam therapy get donate to done regression from dyspareunia and you may dry skin from inside the a serving-reaction trends. An additional fourth otherwise fifth concept get further boost the GSM symptom-free speed.

Radiofrequency products to own vulvovaginal vitality

Radiofrequency gadgets is the newest alternatives for remedy for VVA. The fresh radiofrequency treatments become monopolar, bipolar, and you may multipolar gadgets. We have a lot less training so you’re able to validate their protection and abilities in contrast to cosmetic 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 treatment 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.

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