Vaginal atrophy - a treatable condition

Author: The London Vaginal Atrophy Clinic

Date: Aug 2017

Poor vaginal lubrication, vulvar itching, dryness, mild urinary incontinence, heaviness and painful intercourse can occur during pre-menopause or after child birth. The main cause is often atrophic vaginitis: a disease that adversely affects your life and the relationship with your partner.

But there is good news - through painless lasers, you can achieve harmony again and relief from this daily discomfort.

The Mona Lisa Touch treatment can address problems that are often neglected, which often have a significant impact on the quality of life.

Who is the treatment for?

  • Peri-menopausal women (women in their late 40s) who have been troubled by vaginal dryness and are not willing to take HRT
  • Women who tried HRT and did not find relief for vaginal dryness
  • Women who can’t take HRT such as women who have been treated for breast cancer
  • Women who have tried different modalities to treat vaginal dryness such as local Oestrogens, creams, and gels and did not find relief
  • Peri-menopausal women (women in their late 40s) who have been troubled by vaginal dryness and are not willing to take HRT
  • Women who have had pelvic radiation therapy for cancer
  • Women who have had chemotherapy for cancer and/or as a side effect of breast cancer hormonal treatment

How does the treatment work?

MonaLisa Touch treats vaginal atrophy by promoting the recovery of the genital mucosa in a safe, painless way. The effect on vaginal mucosa tissue stimulates the production of collagen, improves functionality of the treated area and restores proper blood flow reversing the effects of vaginal atrophy. Treatment is virtually painless and the procedure lasts less than five minutes.

What symptoms can this treat?

- Vaginal dryness

- Vaginal burning

- Discomfort or painful intercourse

- Vaginal discharge

- Genital itching

- Burning with urination

- Frequent urinary tract infections

- Urinary incontinence

- Decreased vaginal lubrication during sexual intercourse

Mona Lisa Touch Treatment for Lichen Sclerosus

Lichen Sclerosus is a chronic inflammatory mucocutaneus disorder affecting both females and males.

Women are affected more than men and is common in pre and post-menopausal women and is characterised by vulvar atrophy, hyperkeratosis and scarring.

Patients commonly present with intense vaginal itching, burning, pain, difficulty passing urine and pain during sexual intercourse.

Common signs of Lichen Sclerosus are scar formation, white blanching of the tissues, adhesion formation and secondary ulceration.

The course of the disease is chronic, and treatment is unsatisfactory. Symptoms may wax and wane and in females vulval itching is the most common symptom.

The primary lesions are flat ivory coloured spots, which may merge together into crinkly thin or hyperkeratotic patches. Scarring is common and occurs in 80% of women with Lichen Sclerosus.

This may lead to loss of the labia minora, possible midline fusion with loss if the clitoral hood and narrowing of the vaginal introitus.

Increased risk of Lichen Sclerosus is seen in parous women compared to nulliparous women, a family history of Diabetes mellitus, pelvic surgery, vulvitis and urethritis.

Lichen Sclerosus has a huge impact on the quality of life. The majority of women report that it has a detrimental effect on sexual life, with problems including dyspareunia, apareunia and difficulty achieving orgasm. Many affected people feel embarrassed; some have persistent itch and pain despite successful control of the inflammation, and many are concerned about how the disorder may progress. This affects daily private life and work.

Treatment of Lichen Sclerosus is the topical application of potent or ultra-potent steroids such as clobetasol propionate 0.05% cream or preferably ointment and has been shown to be safe and effective in treating both women and men and is recommended in many guidelines

Topical corticosteroids are the mainstay of treatments for Lichen Sclerosus in females.

Using Mona Lisa Touch CO2 fractional laser has given patients suffering from Lichen Sclerosus another option to reduce their symptoms of itching, burning and helps to restore sexual function.

The Mona Lisa touch treatment has been shown to extremely beneficial in menopausal women suffering from vaginal atrophy. Studies have shown that using the Mona Lisa Touch for Lichen Sclerosus has been very successful. Patients are given 3 treatments at 6-week intervals.

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Last revised: 23 August 2017

Next review: 24 August 2018