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Brand new Emergency room:YAG is regarded as the “dosnd generation” out-of thermotherapy to own VVA

Brand new Emergency room:YAG is regarded as the “dosnd generation” out-of thermotherapy to own 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.

On the Er:YAG laser beam patients are managed once a month to own step three days. Ladies are instructed so you’re able to refrain from gender for at least dos weeks after medication. Cosmetic laser treatments address the latest pussy merely, maybe not the latest perineum. Authored investigation indicates this new providers need to be regular annually. 68,69

The newest Emergency room:YAG laser has exhibited encouraging results for breast cancer survivors. In one single data 43 postmenopausal breast cancer survivors was indeed given step 3 laser beam programs every thirty day period. Their periods was in fact analyzed just before procedures and immediately after step 1, step three, 6, 12, and you will 18 months, having fun with dos tips: personal graphic analogue size (VAS) and you may objective Vaginal Fitness List Score (VHIS). For everyone of feamales in the analysis, genital dry skin, VAS, dyspareunia, and VHIS ratings notably enhanced following the third treatment. The newest scores declined at the a dozen and you will eighteen months however, were still rather enhanced weighed against baseline. The analysis means “genital erbium laserlight is useful and you will not harmful to the management of genitourinary disorder from menopause 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.

Figure step one. Improvement in sexuality-associated variables certainly ladies given carbon dioxide laser therapy having vulvovaginal atrophy just after 3, cuatro, and 5 providers.

Brand new authors figured laser procedures could possibly get subscribe to done regression regarding dyspareunia and dry skin for the an amount-response styles. A supplementary last or 5th lesson may then improve GSM symptom-free rates.

Radiofrequency gizmos for vulvovaginal rejuvenation

Radiofrequency equipment may be the current choices for therapy of VVA. New radiofrequency service are monopolar, bipolar, and you can multipolar products. We have far fewer education to help you validate its safeguards and you can functionality 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

Review of nonsurgical way 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 escort review El Cajon CA, and the out-of-pocket expenses are customarily $1,000 per treatment.

Dany Tambicannou

Author Dany Tambicannou

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