MonaLisa Touch: Who Is A Candidate?
Doctor Answers 15
MonaLisa Touch: Who Is A Candidate?
Non-surgical Vaginal Tightening with Mona Lisa Touch
As I stated in an earlier post, I find the use of radio frequency to be superior to any of the vaginal lasers because it can treat the external labia and tighten it and reduce the "Camel Toes" that the lasers really cannot do. I find the radio frequency treatments inside the vagina to be much superior also in terms of tightening effects, increased lubrication and moisture, and even reduction in leaky bladders and overactive bladders. Surprisingly radio frequency effects can also help with orgasmic dysfunction. Those who take a long time to achieve orgasms or are anorgasmic have been helped with radio frequency devices. It is known that radio waves have a tissue healing and regenerative effect that stimulates your own cells to produce growth factors, collagen, and improved blood flow to local areas. In my practice I have been amazed at the results obtained using radio frequency in an extremely safe, comfortable manner with zero downtime. The effects lasts an average of 9-12 months. For full disclosure, I am biased because I helped invent and develop the radio frequency device and have almost ten years of experience working with the technology. Radio frequency devices for vaginal use will enter the US and European markets in May, 2015.
Hope this helps.
Red Alinsod, MD
Who is the best candidate for the Mona Lisa Procedure?
In my medical practice, the ideal candidate for the Mona Lisa, or any of the other vaginal radio frequency heat or laser treatments, is a woman experiencing symptoms related to aging, menopause or childbirth. Symptoms include vaginal dryness, painful intercourse, urinary frequency, urgency or stress urinary icontinence. Women experiencing difficulty reaching orgasm and/or diminished vaginal sensation also benefit from these procedures in my experience.
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Symptoms and Candidacy for CO2 laser treatment
The MonaLisa Touch (A fractionated CO2 laser) is designed to treat the vaginal and vulvar tissues that are effected by estrogen deficiency, either from spontaneous menopause, surgical menopause, or postnatally. Lack of estrogen often results in thinning of the vaginal lining (mucosa) and lack of moisture and lubrication, both of which can result in painful intercourse, burning, and itching in vaginal and vulvar skin. The loss of collagen and support in the vaginal mucosa/bladder/urethra can also increase urinary discomfort, pain, frequent urinary tract infections, and mild incontinence. Treatment with CO2 lasers stimulates the production of collagen in the vaginal mucosa and vulva, as well as increases blood flow, and lubrication. This treatment is offered to perimenopausal and postmenopausal women who have these issues and would like an effective and safe alternative to estrogen therapy and/or surgery. Patients who also experience these symptoms but are not yet menopausal may also benefit from treatment.
What symptoms does MonaLisa Touch help?
MonaLisa Touch can help relieve many of the symptoms women experience from the low estrogen effects of natural, surgical or chemo induced menopause. Symptoms like vaginal dryness, pain and burning with penetrative sex, urinary urgency and frequency well as recurrent bladder and vaginal infections. It is also being used to treat a vulvar condition called Lichen Sclerosis.
Will you benefit from Mona Lisa Touch Laser Therapy
Women who have the best results with Mona Lisa Touch Laser Therapy are estrogen depleted, sexually active women who do not want to use lubricants and estrogen products, or in whom lubricants don't work and estrogen is not safe. Examples of women in this demographic include women of all ages who have survived breast cancer, women who are menopausal, and women with lichen sclerosis. It really works in young women who have been treated for breast cancer with surgery and chemotherapy who are very concerned about using any estrogen products. Young women who have premature menopause do very well also. Older women who have been menopausal for years can do very well with Mona Lisa Touch Laser Therapy. And, for lichen sclerosis, it can be a lifesaver.
Mona Lisa Touch to help intimacy issues
Mona Lisa Touch is best suited to those struggling with vaginal dryness, urinary incontinence, and painful sexual intercourse related to peri and post menopausal changes from estrogen levels decreasing. Vaginal tightening may also be seen in some women. Also, women undergoing hormonal treatment of breast cancer are great candidates as well. These ladies are pushed into medical menopause with hormone blockers. Some women being treated in their early twenties for their breast cancer can have post menopausal symptoms very early in their treatment. One of my young patients described having sex like her husband was wearing a sand paper condom during intercourse. This can be improved. As a doctor who deals with breast cancer daily and a CO2 laser expert, my best advice is to get treatment early to maintain rather than wait and try the uphill battle to regain.
Non Hormone treatment for atrophy and sexual function
There are many groups who benefit from MonaLisa Touch (MLT) therapy. The top reasons that we treat patients are:
1) Vaginal atrophy in menopause. We use the MLT laser to relieve symptoms of itching, burning and pain with intercourse. It normalizes the tissues, pH and bacteria in the vagina without the use of hormones. This is especially good for women who can not use hormones (breast cancer, uterine cancer, blood clots) and those who have not had success with hormone. Some women just don't tolerate the pills or creams, and find this a wonderful alternative.
2) Urinary symptoms. Especially in menopause (but even before) we see and increase in urgency and frequency of urination and can also see an increase in stress incontinence (losing urine with cough, sneeze, exercise). MLT laser can help with all of these symptoms, as long as there is no anatomic disorder that needs to be fixed.
3) Lichen Sclerosis. Women with lichen sclerosis can see an improvement with external treatment with MLT, which may allow them to significantly reduce their topical steroid use.
I hope this helps.
Who is a Candidate for the MonaLisa Touch vaginal laser treatment?
Candidates for the MonaLisa Touch™ vaginal laser treatment include the following:
- women who wish to avoid the risks associated with hormone replacement therapy (HRT).
- GSM or vaginal atrophy, vaginal dryness – usually menopausal
- dyspareunia (painful intercourse)
- a history of breast cancer, thrombophlebitis, or other contraindications to estrogen
- poor responders to estrogen treatment
- patients with the goal of returning to premenopausal health
- women who experience medical induced menopause (surgery)
Women don't talk about it!!!
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.