What is the Diva Laser?
Doctor Answers 7
The Diva laser for vaginal resurfacing
I love the diVa Laser!
I have actually had the diVa procedure done and can say it works! I've given birth to twins so had some of these issues, so I got two treatments (patients usually need patients need 2-3 treatments spaced about a month apart). Also it only takes 3 minutes and didn't hurt, so you can get in and out of the doctor's office pretty quickly!
Best of luck in your search!
Too many Lasers to pick from?
The genitourinary syndrome of menopause (Menopause) cause Vulvavaginal atrophy as most women reach their early 50s. These women may complain of vaginal dryness, painful intercourse and incontinence due to the lack of estrogen and the thinning of the vaginal tissue. The diVa is a new technology with no long term data (more than 1 year) in the laser vaginal revitalization realm. It works at a different wavelength than the first vaginal laser created the MonaLisa Touch (MLT). The MLT appears to be the most effective laser since it is being performed at major hospitals in the country including Cleveland Clinic and Stanford. The diVa is a erbium laser and theoretically goes deeper into the tissue. However, the MLT a fractional Co2 laser has scientifically proven biological changes to the vaginal tissue to restore the vaginal lining, collegen and blood vessels to premenopausal age.
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Why diVa is better
hot spots in the vaginal canal, which can be caused by the other
technology available. The procedure is very fast, three
minutes per treatment, and comfortable. The dilator isn't moving during
the treatment, which is very important when the patient is really dry.
Diva is a consistent treatment producing consistent predictable
results, with only 3 treatments for the majority of patients, and no
adverse events reported. Diva delivers both ablative and non-ablative
wavelengths to the same treatment area, with this laser there's a 2940
nm wavelength for ablation (superficial treatment that stimulates
collagen re-growth and plumping of the tissue), and a 1470 nm wavelength
for coagulation to the vaginal mucosa (for the tightening effect).
This gives me the ability to customize treatments based on the patient's
concerns like laxity and stress urinary incontinence.
Balanced opinions are hard to find
When doctors get excited about which wavelength is better, typically there are very few papers that are head to head studies. Interestingly, there are papers showing that the exact same lasers from two different companies (CO2 versus CO2) dont even perform the same. To then argue wavelength versus wavelength becomes very precarious indeed. Those arguments are typically fraught with bias and misinformation.
Two or three things make DIVA stand out. First, it has a proven wavelength (erbium:YAG). But it also has a wavelength (1470 diode) that has demonstrated effects stimulating collagen in regular skin and now vaginal tissue. Adding heat from any source (radiofrequency, infrared, ultrasound) can cause collagen production. I believe all these energies can be helpful. I also believe CO2, erbium:YAG, 1470 diodes, 1540nm and any laser that causes heat can have some benefit.
However, the wavelength alone is not what makes the procedure stand out. DIVA brings to the market an automated, fast and relatively pain-free procedure. Patients are uniformly happy. I guess thats the only fact that matters. Providers who look at the histology from DIVA (the pulses are more uniform and evenly spaced than other vaginal lasers, and a higher percentage of tissue is treated) and the automated format typically much prefer it. DIVA also brings flexibility because there are two wavelengths that can be tuned to a patients needs or situation.
In the end, it is the user not the tool. A simple pencil in an artists hands is much greater than a whole painting studio to a novice. If your doctor has a CO2 laser for vaginal rejuvenation, and you trust your doctor, then be assured they know what they are doing. If your doctor has a DIVA, then be assured they have effective technology and patients are highly satisfied with it. Doctors, myself included, tend to get very excited and territorial when it comes to lasers. I work closely with Sction. That makes me slightly biased because Im familiar with the technology. I know it like the back of my hand. But thats ok with me. Im also biased towards my children. That doesnt mean they arent amazing.
I hope you find my response helpful. Best of luck.
The Diva Laser
Patients report improved sexual function, less irritation/dryness, and improved leaking (especially after childbirth). What I love about this laser is that it does not require an in and out motion during the treatment like the others (I wouldn't feel comfortable, even as a woman, with the "manipulation" required by the other treatments out there). The treatment takes 3 minutes and is very well tolerated with just numbing cream.
All in all, an awesome thing to do for yourself.
Hope that helps!