George Branning, MD

Hello! Thank you for your question. The best non-surgical, minimal downtime, vaginal rejuvenation treatment out there (in my opinion) is the diVa vaginal laser. It is a hybrid laser that helps increase stimulation, lubrication, and helps with laxity in the vagina. The diVa takes only 3-5 minutes, and has no downtime at all. You can go play tennis right after if you wanted! The only restriction we give after diVa is nothing in the vagina until the discharge stops (2 days- one week usually) and no soaking in water (bathtub, pool, etc) until the discharge stops. 

We do 3 treatments, separated by 4-6 weeks, and then one treatment every year as maintenance. My patients have seen great improvements, and most have not felt their negative symptoms come back even at that year maintenance treatment. 

Find a diVa provider near you for a consult! It sounds like the diVa would be a great option for you given your description of your complaints and situation. You could also try diVatyte on your labia to tighten the excess skin that you mentioned above.

I was glancing at others who answered your question, I don't believe any of them mentioned the diVa vaginal laser. This is a non surgical vaginal rejuvenation therapy. In my office I have seen my patients have long last results, we recommend that all patients do yearly maintenance treatments, but some have gone as long as 2-3 years, and their symptoms of incontinence, dryness, and lack of arousal were still not back! If you want long lasting results I suggest the diVa.

If you are looking for minimal downtime and vaginal rejuvenation, consider the diVa vaginal laser therapy as your number one option. Minimal downtime, with lasting results. The diVa is a laser placed in the vagina, it helps with lubrication, laxity, and helps gain more stimulation. If you are concerned about the outside, consider diVatyte therapy, it uses BBL therapy to help swell and tighten the skin. When you have found a provider, they will be able to examine you and tell you exactly what options will be best for you.

If you lack desire, no amount of diVa or O-shot will change that. If your libido is lacking you should have your hormones tested. If you are having vaginal dysfunction again, talk to your diVa provider and see what settings they used, if they did not increase the laser settings at each treatment, it may not have been used to the full potential to give you lasting benefits. As far as the O-shot is concerned, some of my patients require two o-shots a year the first couple times, and then we can do yearly maintenance. You had a good response, longevity seemed to be the issue, you will most likely have a good response again, and then perhaps longevity will come with a second one. Do not lose heart on the O-shot or diVa yet. 

I cannot quote any direct studies for you, but diVa vaginal laser therapy does help with postmenopausal dryness. Many of my patients have commented they are much more lubricated in the vagina after diVa. I would also suggest having your hormones tested. DiVa works best when you have estrogen therapy as well, whether that be through a cream, or pelleted estrogen.