I am 56, menopausal for 6yrs, used vagifem for dryness for 12mths then went onto bio identical hrt 18mths. The vaginal atrophy has worsened over the last year. I use paw paw ointment for paper cuts on the outside of the vulva, have continual uti's after intercourse (taken an antibiotic within 2hrs only thing that helps). My sensitivy has slowly been eroding over the last 12mths and find it really hard to have an orgasm. I also have a minor rectocele. I had my first treatment last week, internal and external. The internal was fine but I did have burning pain on the external area for the first day. Once I applied Aquaphor cream and a ice pack this did settle. There was also incredible burning when doing a wee but diluting the urine with water was very helpful! I did notice that the flow of urine was stronger. One week down and my vag looks neater lol. We've also tried it out and my husband tells me the feeling was incredible! There was definately more sensation and lubrication was good too! I have to say if it is like this after only a week I can't wait to see and feel the result after 3months!! I would recommend this to anyone but it does annoy me that something that can improve a womens quality of life so much is out of reach for many because of the cost! I hope this review helps someone out there, I will post again after my next treatment.