Peter D. Weiss, MD

No problem at all for the MLT in patients who have had a hysterectomy or a sling.

The only contraindication we give is for someone who has had a mesh. The CO2 laser does not treat the cuff( top) of the vagina, so no prob for the suture sites from the hysterectomy.

there are some really good responses here. The real problem needs to be addressed and the MLT or RF treatments are not the best answer for you. You should seek out a well qualified GYN or Gyn urologist to go over all options. Pessary is a very good solution, but sometimes surgery may be needed.

I would need a lot more information to give a full response. I would have to know the extent of your atrophy when you started as well as the responses you had to the prior MLT treatments. Everyone is a little different as to how long the benefits last. I have treated over a thousand women with the MLT touch for the past 4 years and find the longevity does depend on how soon treatments were started from onset of menopause. Sometimes a 4th treatment is needed to solidify the benefits. Just make sure the doctor your going to has the depth of experience to help solve your issues.

These are always hard questions to answer, having not examined or really knowing your whole history.One of the other docs answered best, by telling you to see someone who is comfortable with all aspects of menopausal vaginal health. You did get some relief which is very good. I do combine therapies when need. You may benefit from additional treatment with estrogen creams,or  vaginal DHEA.

I am also now combing RF ( radio frequency) therapies in women who have had some improvement from MLT but want to try and get even better results. Just make sure you are seeing someone who is compfrtable in all these modalities. Good luck.

You are normal. Unless you are having problems with your labia being caught and tugged during sex, I would try and talk you out of surgery. There are many qualified GYN's or plastic surgeons who can do a good labioplasty, thats not the problem. You have to find someone who's more interested in whats really good for you as opposed to who is a good surgeon. Leave your normal labia alone.
Good luck