Vaginal laser rejuvenation may or may not provide relief from menopause vaginal dryness, irritation, itching, burning, painful intercourse and urinary symptoms.

Depending on the Source the definitions of genitourinary syndrome of menopause (GSM) or vulovaginal atrophy (VVA) may vary. In Vulvovaginal Symptoms After Menopause the Australasian Menopause Society’s definitions are:

Meno Martha, Vaginal Laser Rejuvenation

  • “As women age they will experience changes to their vagina and urinary system largely due to decreasing levels of the hormone oestrogen
  • Changes, which may cause dryness, irritation, itching and pain with intercourse are known as the genito-urinary syndrome of menopause (GSM) and can affect up to 50% of postmenopausal women. GSM was previously known as atrophic vaginitis or vulvovaginal atrophy (VVA)”.

In Getting Relief From Sexual Dysfunction and Incontinence Caused By Menopause the North American Menopause Society (NAMS) dated 08 October 2018, elaborate on:

“Microablative fractional CO lasers are energy-based devices designed to help manage troublesome menopause symptoms such as painful sex, dryness, itching/burning, urinary frequency, and incontinence. Although there is ongoing debate regarding the safety and effectiveness of vaginal laser surgery, a new study suggests that it may be effective, especially after multiple treatments”.

Serious Potential Harms and Financial Conflicts Missing In Recap of Study on Vaginal Laser Surgery for Menopausal Symptoms is a response to the NAMS’s article above.

In FDA Warns Against Use of Energy-Based Devices To Perform Vaginal ‘Rejuvenation’ or Vaginal Cosmetic Procedures: FDA Safety Communication [Date Issued: 30 July 2018 and Updated: 20 November 2018], the (United States) Food and Drug and Administration (FDA) elaborate on:

“Recommendations for Patients:

  • “Be aware that the safety and effectiveness of energy-based devices to perform vaginal “rejuvenation” or cosmetic vaginal procedures has not been established
  • Understand that the FDA has not cleared or approved any energy-based medical device for vaginal “rejuvenation” or vaginal cosmetic procedures, or for the treatment of vaginal symptoms related to menopause, urinary incontinence, or sexual function
  • Discuss the benefits and risks of all available treatment options for vaginal symptoms with your health care provider
  • If you have undergone treatment for vaginal “rejuvenation” and experienced a complication, you are encouraged to file a report through MedWatch, the FDA Safety Information and Adverse Event Reporting program”.

In the Statement From FDA Commissioner Scott Gottlieb, M.D. and Jeff Shuren, M.D., Director of the Center for Devices and Radiological Health, on FDA’s Updates To Medical Device Safety Action Plan To Enhance Post-Market Safety: Focusing on Women’s Health – – “Vaginal Rejuvenation” Devices dated 20 November 2018, the FDA elaborate on:

“We’re announcing today that after reaching out to the seven manufacturers marketing their devices for unapproved or uncleared uses, all of them have made significant changes to their websites to remove claims associated with vaginal rejuvenation and other unapproved treatments. Our efforts to address these safety concerns is part of our broader work to improve our analysis of data and generation of RWE concerning the safety and effectiveness of health technologies in clinical areas that are unique to women”.

In Vaginal Dryness the NAMS elaborate on:

Meno Martha, Vaginal Laser Rejuvenation

“The good news is that effective treatment options, such as nonhormone remedies or different forms of low-dose estrogen applied directly to the vagina, are available. These can be combined for optimal symptom relief:

  • Non Hormone Remedies
    • Vaginal Lubricants…
    • Vaginal Moisturizers…
    • Regular Sexual Stimulation…
    • Expanding Your Views of Sexual Pleasure…
    • Vaginal Dilators…
    • Pelvic Floor Exercises…
  • Vaginal Estrogen Therapy
    • An effective and safe treatment, low-dose local estrogen is applied directly to the vagina…
    • Government-approved low-dose vaginal estrogen products are available by prescription as vaginal creams…
    • Standard doses of estrogen therapy provided to treat hot flashes also treat vaginal dryness…
  • Other Prescription Therapies
    • Ospemifene is an oral tablet taken daily for the treatment of painful intercourse caused by vaginal atrophy…
    • Dehydroepiandrosterone (DHEA) is a hormone-containing insert placed into the vagina nightly for…”.

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Last Updated: 03 May 2019 – Last Revised: 03 December 2018
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