After listening to my vaginal menopause symptoms, including vaginal dryness, urinary urgency and painful intercourse, Dr. McNally recommended the MonaLisa touch laser treatment and I am so thrilled she did. Before the procedure I had concerns about pain level, recovery time and whether it would actually work - and I am happy to report that the results of the procedure exceeded my expectations. There is some discomfort during the procedure, but really not much at all. Recovery is quick, I wouldn't even call it downtime. And the results, as I said, exceeded expectations. I feel like she gave me an important part of my life back.
My RNP referred me to Dr McNally when I was having one issue after another post breast cancer. I was getting constant infections, vulvar dryness (like Sahara Desert dryness!) and tissue tearing. My husband was afraid to touch me and frankly I was too! I never thought I would have "issues" in that area but cancer and the immediate menopause was like someone hit the shut down switch! She recommended the MonaLisa Touch and it has been a life saver! I wasn't sure what to expect, but the procedure was explained in detail before and during the process, little to no pain and the recovery time was minimal! My process consisted of several treatments and after each one, everything was so much better. Sex and intimacy was back on the table, I was feeling more like a woman and even wearing clothing was better (I didn't realize this was an issue, until it wasn't!). I'm so thankful Dr McNally brought the MonaLisa Touch to her practice in Vancouver. Ladies - you do NOT have to suffer painful sex, tearing, bleeding and even just being uncomfortable in your underwear! Menopause is hard enough... take back your womanhood!
As a 50 something menopausal woman—post breast cancer I was desperate to reclaim ALL aspects of good health, wellness and function. The Mona Lisa was a game changer, restoring function and fun to my love life. And Dr. McNally is kind, competent and she really understood my concerns and answered all my questions, putting me at ease. The Mona Lisa treatment is in investment in wellness and I wish all middle aged women knew about it because it’s such a powerful tool in reclaiming one’s body and love life!
Thank you Dr McNally, for listening and providing options for some very challenging symptoms and issues I was having. I did the Monalisa touch laser. The procedure has given me my vaginal health back. It has provided relief of pain, dryness, constant UTI issues, leaking, all gone. Sensation back and I am experiencing intimate wellness again at 54 post menopause. Thank your Dr. McNally and thank you Monalisa touch laser for giving me quality of life back. It was quick, easy and no down time.
This is vestibular papillomatosis and is very common. You should not laser this, it is a normal variant. Most male partners really won't notice this. It is more noticeable in the photo because of the way you are spreading your labia. Your urethra looks normal.
Unfortunately, none of the lasers do not work well on fibrosis after brachytherapy. I know this is a frustrating problem. I think your best best is using graduated dilators and lots of lube and patience. I skilled pelvic floor therapist can be very helpful.
I can't say for sure without doing an exam, but it looks like enlarged hymenal tags. Most women will have visible remnants of their hymen, and for some it is more exaggerated than other. This is neither prolapse nor granulation tissue. If it really bothers you, some gynecologist can numb up the extra tissue and remove this in the office. But you do not necessarily need to do anything about this, it is common.
I think any board-certified gynecologist should be able to remove this stitch. If you can feel it, then this should be feasible in the clinic.
The key to not injuring the pelvic floor is to minimize bearing down. If you have a strong core and are isolating the targeted muscles properly, you should not adversely affect the pelvic floor. If you have not already seen a Pelvic Floor Physical Therapist (PFPT), I strongly recommend this. A skilled PFPT can make sure that you are doing these exercises properly.
