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 patients usually are treated once per month for step 3 months. Women can be trained so you can abstain from sex for around 2 days shortly after treatment. Laser light treatments target this new genitals just, not new perineum. Blogged studies suggests the brand new providers must be constant a-year. 68,69
The fresh Emergency room:YAG laserlight keeps displayed promising outcomes for breast cancer survivors. In one single data 43 postmenopausal breast cancer survivors was given step three laser beam programs all of the a month. Their episodes was indeed assessed ahead of cures and just after 1, step three, 6, a dozen, and you can 18 months, having fun with dos measures: personal visual analog level (VAS) and goal Vaginal Fitness List Get (VHIS). For all of one’s ladies in the research, vaginal dry skin, VAS, dyspareunia, and you may VHIS results notably improved following 3rd medication. Brand new ratings denied in the a dozen and you may 1 . 5 years however, were still somewhat increased weighed against baseline. The study means “genital erbium laser beam is effective and you can safe for treating genitourinary syndrome out of menopause from inside 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.
Profile step one. Change in sex-related variables one of people treated with carbon laser medication to possess vulvovaginal atrophy after 3, cuatro, and you may 5 service.
The new article authors concluded that laser medication could possibly get sign up for complete regression from dyspareunia and you will dryness when you look at the a serving-effect style. A supplementary 4th or 5th class get further help the GSM symptom-free speed.
Radiofrequency equipment having vulvovaginal vitality
Radiofrequency gadgets is the most recent alternatives for treatments for VVA. New radiofrequency service include monopolar, bipolar, and multipolar gizmos. I have a lot less training in order to corroborate the safety and you will features 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
Article on nonsurgical answer to 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.