The latest Er:YAG is definitely the “second generation” regarding thermotherapy to have VVA

The latest Er:YAG is definitely the “second generation” regarding 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.

Into Emergency room:YAG laserlight people are usually treated monthly for step three months. Women can be taught so you can refrain from sex for at least 2 weeks after medication. Laser light treatments target the new genitals merely, not the newest perineum. Blogged research indicates the brand new services must be constant annually. 68,69

This new Er:YAG laser has actually presented promising outcomes for breast cancer survivors. In one single investigation 43 postmenopausal breast cancer survivors was basically treated with step three laser apps all of the thirty day period. Its symptoms was indeed analyzed prior to treatment and shortly after step one, step 3, 6, 12, and you will 1 . 5 years, having fun with dos procedures: subjective artwork analog measure (VAS) and you will goal Genital Health Index Score (VHIS). For everybody of women in the study, vaginal dry skin, VAS, dyspareunia, and you will VHIS scores significantly increased pursuing the 3rd medication. The new results declined within a dozen and you may 1 . 5 years but were still somewhat improved in contrast to baseline. The analysis indicates “genital erbium laser works well and safe for the treatment of genitourinary Elizabeth escort girls syndrome regarding menopause when you look at 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.

Figure 1. Improvement in sex-associated details certainly ladies treated with carbon dioxide laser cures having vulvovaginal atrophy once step 3, cuatro, and you will 5 solutions.

The brand new experts concluded that laser treatment will get contribute to complete regression regarding dyspareunia and you will dryness from inside the a dose-response styles. An extra last otherwise 5th session get then help the GSM symptom-100 % free price.

Radiofrequency products for vulvovaginal rejuvenation

Radiofrequency devices are the current alternatives for therapy of VVA. The new radiofrequency services were monopolar, bipolar, and you may multipolar gizmos. You will find far fewer degree to corroborate their coverage and you will 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

Article on 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, and the out-of-pocket expenses are customarily $1,000 per treatment.

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