Fay Weisberg, MD - Account Suspended

The risk of blood clots or any systemic complication with in office vaginal rejuvination techniques is not increased at all.  These treatments are safe, local procedures.  Risks of blood clot are increased with surgical techniques.

If vaginal/vulvar pain continues after the MLT, it is important that you see your physician for a complete vaginal examination.  It is my experience that many woman who continue to have discomfort may in fact have pain at the opening or entrance to the vagina (vestibule).  This area is just outside the vaginal canal and is not treated with the laser.  It is often very sensitive to environmental agents such as soap, bathing, tissue paper and even panty liners.  This area is also subject to atrophy and needs to be addressed seperately from the vagina.  

There are a few patients who complain of prolonged discomfort after the Mona Lisa treatment, and it can happen.  It has been my experience that the time of the discomfort lessens significantly with each treatment cycle.  

Laxity of the vagina is not uncommon following deliveries.  Air coming out of the vagina is often due to trapping air and then releasing .  Doing kegel exercises on a regular basis will help tighten the muscles.  THere are pelvic floor physiotherapists who could help.  Depending on the amount and type of laxity surgery may be recommended, but another option is the Viviveve treatment that uses radiofrequency in a non painful treatment to bring collagen and fibroblasts to the pelvic floor with an overall tightening effect.

Thank you for your question,  There is no reason to worry about the safety or efficacy of the Vivive treatment following a hysterectomy.  12 weeks postop the top of the vagina is well healed. and the energy used from the Vivive to strengthen the vaginal walls goes into the lower part of the vagina, far from the scar from your hysterectomy.  The treatment will not be any less succesful for you.