The brand new Emergency room:YAG is considered the “next generation” out-of thermotherapy getting VVA

The brand new Emergency room:YAG is considered the “next generation” out-of thermotherapy getting 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.

With the Er:YAG laserlight patients are often addressed once per month getting 3 weeks. Ladies are instructed so you’re able to avoid sex for at least 2 months immediately following therapy. Laser treatments target the latest pussy merely, not the newest perineum. Blogged analysis ways the fresh treatments must be repeated per year. 68,69

Brand new Emergency room:YAG laserlight features showed encouraging results for breast cancer survivors. In a single analysis 43 postmenopausal breast cancer survivors had been addressed with 3 laserlight programs all 30 days. Their symptoms was basically analyzed in advance of cures and you will just after step 1, step 3, 6, several, and 1 . 5 years, playing with dos procedures: personal graphic analog level (VAS) and you may goal Genital Wellness Index Score (VHIS). For all of the feamales in the study, vaginal dry skin, VAS, dyspareunia, and VHIS results somewhat enhanced pursuing the third procedures. Brand new ratings declined in the a dozen and you can 1 . 5 years however, were still rather increased compared to standard. The research indicates “vaginal erbium laser beam works well and you may not harmful to the treating genitourinary problem out-of menopause in 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.

Shape 1. Change in sex-associated variables one of females treated with carbon laser medication to possess vulvovaginal atrophy immediately after step 3, 4, and 5 treatments.

The fresh new people determined that laser beam medication may subscribe over regression out of dyspareunia and you may dryness in a serving-response manner. An extra fourth otherwise 5th lesson can get next help the GSM symptom-free rates.

Radiofrequency gadgets to have vulvovaginal restoration

Radiofrequency equipment would be the current alternatives for treatments for VVA. Brand new radiofrequency solutions is monopolar, bipolar, and you will multipolar equipment. I’ve far fewer degree to help you corroborate their shelter and you may features in contrast 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

Review of nonsurgical means to fix 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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