Elizabeth Kavaler, MD

Yes! The Mona Lisa Touch laser is an excellent treatment for Lichen Sclerosis. There is a special setting on the machine that we use to treat Lichen Sclerosis. More than three treatments may be necessary. A patient physician will be able to get excellent results in women with Lichen Sclerosis with the Mona Lisa Touch laser. 

The Mona Lisa Touch laser will not affect the sensation of the clitoris. The laser does not penetrate the tissues deeply enough to injure the nerves of the clitoris or the vagina. The clitoris is not directly treated with the laser. The outside of the vagina is treated without altering the sensation of the tissues in any way. On the contrary, the tissues become more responsive as a result of the treatment. 

The Mona Lisa Touch Laser treatment helps to restore the natural lubrication of the vaginal tissues. The O-shot is meant to increase the sensitivity of the "G-spot' which is an area of the vagina that lies behind the pubic bone. O-shot injections do not restore lubrication. There are no published studies that have assessed the benefit of the O-shot. The Mona Lisa Touch laser has been studied with multiple publications available that confirm its benefit in women. A physician with experience in helping women restore their sexual function will be able to advise regarding the best approach. 

The MLT does not help with vaginal tightening. It helps to restore  the natural response to sexual stimulation by increasing lubrication. Vaginal tightening is usually not needed for satisfying sexual relations. If the vagina feels open, exercises can ofter help. If the open feeling is from childbirth, restoring the opening of the vagina is achieved through surgical correction. 

The Mona Lisa Touch vaginal laser does not help with vulvadynia, but many women with vulvadynia also suffer from vaginal dryness. A specialist in vaginal health will be able to determine if the laser would be beneficial in a particular women, who suffers with vulvadynia. Integrative therapy with a physician who understands both conditions is the best approach