The Er:YAG is definitely the “second generation” out-of thermotherapy to have 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 laser beam people are addressed once per month having step 3 weeks. Ladies are educated to abstain from gender for at least dos months just after procedures. Laser treatments target the latest pussy only, maybe not brand new perineum. Blogged studies indicates new services have to be repeated a-year. 68,69

The newest Emergency room:YAG laserlight have displayed promising outcomes for breast cancer survivors. In one data 43 postmenopausal breast cancer survivors was in fact given step three laser beam applications most of the 1 month. Its periods was in fact examined before medication and shortly after 1, 3, six, 12, and 18 months, having fun with dos actions: subjective graphic analog measure (VAS) and you will goal Genital Fitness Directory Score (VHIS). For all of the ladies in the research, genital dry skin, VAS, dyspareunia, and you may VHIS score somewhat enhanced adopting the third https://datingreviewer.net/escort/columbia/ procedures. The latest score rejected within a dozen and you can 18 months however, were still somewhat improved compared to baseline. The research means “genital erbium laser beam is effective and you will not harmful to treating genitourinary disorder from menopausal inside 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 1. Improvement in sex-associated parameters among ladies given carbon dioxide laser beam cures to possess vulvovaginal atrophy shortly after 3, 4, and you may 5 service.

The brand new experts figured laserlight medication get contribute to complete regression of dyspareunia and you can dry skin for the a dose-impulse style. An extra next otherwise fifth tutorial get further increase the GSM symptom-free rate.

Radiofrequency gadgets to own vulvovaginal rejuvenation

Radiofrequency equipment will be newest options for treatment of VVA. The radiofrequency providers become monopolar, bipolar, and you may multipolar gadgets. We have far fewer degree in order to validate their safeguards and you can effectiveness in contrast to laser light 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 solution 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.