Bisi Aluko, MBChB, CCFP

First most medical group like to avoid the term medical rejuvenation as this seems to be getting ambiguous so my suggestion will be to see a physician who can take a good history, examine you and listen to what your expectations are and then decide which of these two lasers will give you a satisfying result and expectation. 

Thanks for your question. Typically burning should not be ongoing for this long after treatment. First thing is that you are doing the right thing using aquaphor only. I also hope you did avoid baths, hot tubs, swimming pools and sexual intercourse as these can cause inflammation or infection if done within the first week of treatment. If you have been avoiding all these listed activities and still has burning, I will encourage seeing your physician to get an exam done. 

Yes hormone use after MonaLisa treatment will surely space out treatment, both estrogen and vagina DHEA can be use after Mona Lisa treatment. However , if you did MonaLisa to get away from the hormonal treatment in the first place, then getting maintenance MLT as needed will be the best line of care for you. Ideally no vagina hormone therapy should be needed after MLT, but in a few patients with very severe cases of GUS of menopause, it is okay to continue the vagina HT until the vaginal health index id excellent at 5. 

Thanks for your questions.

Yes MonaLisa will work well. You are a perfect candidate for this novel treatment. It is non hormonal. Will help new blood vessels, collagen and elastin growth in the vagina which will increase natural secretion and lubrication. This should also improve sexual satisfaction and orgasm, however note that the treatment is not marketed for this indication. MonaLisa has no safety concerns for  causing cancer.

Thanks for this question.

In the hands of a well trained physician, MonaLisa touch used in external treatment should not cause less clitoral sensitivity. I have actually had quite a few of my patients reporting increased sensitivity and better orgasm after their treatment with MonaLisa Touch. In my training also, I was advised not to laser the top of the clitoris, because, theoretically speaking, if the physician treats aggressively, this may cause scarring which could reduce nerve ending sensitivity. Hope this answers your question. All the best.