If you complete a series of MLT, the vaginal tissues usually are restored to a significant degree, but over time, without some form of vaginal estrogen, the same symptoms of vaginal dryness, burning and pain with intercourse can slowly return. The manufacturer suggests one MLT treatment every 12 months to maintain the benefits. In our practice, some patients need a treatment sooner, and some have waited as long as 2 years before they felt that they needed another treatment. Maintenance also is usually one session, whereas the series is usually 3 sessions spaced 4-6 weeks apart.
