Can the MonaLisa Touch fix my vaginal atrophy if I am not in "menopause"?

I have recently had a laparoscopic hysterectomy in May 2016 (kept ovaries) 42 years of age due to fibroids in uterus. My estrogen levels have declined since my procedure (estrogen level 43) but my FSH level is around 8.4 which the doctor states I am not in menopause yet. Can the Monalisa Touch help me with my vaginal atrophy if I am not what is termed as "menopausal"?

Doctor Answers 8

Low estrogen effect reversed?

You have not said what your symptoms are, but let us assume it is dryness and intercourse pain. MLT will aid you but you are still pretty close to your surgery. Your estrogen level will vary depending on the day of your cycle so it is not constant. 43 as a "high" is low but FSH is down possibly from surgical shock or you are going to bounce back. There would be no problem with vaginal estrogen for now and see if you recover. Yes MLT can help off label in any lowered estrogen state.

Encinitas OB/GYN
5.0 out of 5 stars 2 reviews

Vaginal atrophy is a visible condition, not a number and is always treatable with FemiLift or MonaLisa

Most women develop vaginal atrophy at least 1-2 years into menopause, but that doesn't mean you can't experience it sooner. Vaginal atrophy is very easily diagnosed on clinical exam and requires no numbers. If your doc feels hesitant ignoring the numbers over common sense, take a drive up to NJ and I'll be more than happy to help you out. I use the FemiLift to do this - it's the same technology, the same protocols, same results. View the video and browse my website for more info. Contact me for pricing.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

The MonaLisa Touch will improve vaginal dryness caused by a decline in estrogen levels.

A decline in estrogen, which happens during menopause, can occur independently of menopause. Regardless, of the underlying cause of a decrease in estrogen, if the symptoms you are having are vaginal dryness, the MonaLisa Touch laser will most likely significantly improve vaginal moisture.

Karny Jacoby, MD
Seattle Urologist
5.0 out of 5 stars 5 reviews

MonaLisa for Vaginal Atrophy

Yes! A woman does not have to be in active menopause to benefit from the MonaLisa treatment. The MonaLisa is intended for women who have low or no estrogen production for any reason and suffer from any symptoms like dryness, atrophy, and burning. The unique laser stimulates blood flow and collagen production which regenerates and tightens vaginal walls with increased sensitivity and lubrication.

Heripsime Ohanian, MD
Paramus Physician
5.0 out of 5 stars 2 reviews

Vaginal dryness after laparoscopic hysterectomy

MonaLisa Touch can be used during the perimenopausal period if you are experiencing menopausal symptoms such as vaginal dryness, irritation, and discomfort during intercourse due to the natural drop in estrogen.  You will likely experience immediate results after the first treatment since you are in the early stages of menopause.  If you undergo the procedure now, you will likely have long lasting effects, especially if you continue with regular sexual activity.

L. Jennifer Murphy, MD
Valparaiso OB/GYN
5.0 out of 5 stars 5 reviews

MLT great option for atrophy.

Atrophy is a clinical diagnosis that does not require blood work or a pathology specimen. That said, ovarian function is often altered after hysterectomy leading to decreased estrogen levels relative to preoperative values.   Studies have shown women who have had a hysterectomy go into menopausal several years earlier than women who have not had a hysterectomy.  Assuming atrophy is the cause of your symptoms vaginal estrogen or MLT would be options.  I would suggest waiting at least 3 month postop to determine your baseline and then proceeding with treatment if your symptoms are persistent.  You could use estrogen in the interim. 


Patrick Nosti, MD, FACOG, FPMRS
Shawnee Mission Urogynecologist
5.0 out of 5 stars 6 reviews

Mona Lisa - YES for vaginal atrophy

The MonaLisa Touch is ideal for you if you have vaginal atrophy, regardless of your FSH level. As we know, a decline in your estrogen levels can result in thinning of your vaginal walls, dryness, and painful intercourse .It is important for your Gyne to rule out any infectious etiology first that may be causing your discomfort and once that is done you should move forward with the treatment. 

I have had several patients with these same issues (vaginal dryness, thinning, and painful intercourse) several years before they completed menopause and they have been successfully treated with the MonaLisa Touch. The increase in collagen, elastin, and blood vessels will also help the laxity of the vagina, which you may or may not experience. 

Kelley London, MD
Lake Forest OB/GYN
5.0 out of 5 stars 5 reviews

Vaginal atrophy before Menapause

The Mona Lisa laser will increase blood flow to the vagina. The new protein/collagen production helps with laxity and incontinence. The increased secretions during stimulation and extra layer of vaginal skin will improve intercourse.  I have had several women claim " why wouldn't a women have it down".Hopefully this helps.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.