Does the Monalisa Touch laser treatment work for vulvadynia?

I have vulvadynia which may be csused at least in part by menopause - that was when I started noticing pain with intercourse which eventually became chronic vulva/vaginal pain which is most often felt as a burning abd or irritation.. Would the Monalisa Touch laser work for me? I've also had shrinking of the inner labia.

Doctor Answers 7

Mona Lisa Laser and vulvodynia.

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vulvodynia is a common source of vaginal pain, related to atrophy of the entrance to the vagina, which is often irritated by environmental factors such as soaps, creams, or other sources of irritation.  There is hope that the laser treatment to the area of discomfort will help with this , and there ares studies that are underway to help establish standardized protocols.  The pain you are having with intercourse will be alleviated by the Mona Lisa Laser.

Will MonaLisa Touch help vulvodynia

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Since your symptoms have worsened with estrogen deficiency and you have noticeable atrophy you should benefit from MonaLisa laser therapy.  You might benefit from some desensitization as well with pelvic floor therapy or dilatation but would not add those therapies until after all three laser treatments.

Judy Corbett, MD, FACOG
Orange Beach OB-GYN

Definitely, maybe!

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The MonaLisa Touch will help with the trophy and symptoms that are associated with it.  There are studies underway on vulvodynia specifically, so the jury is still out, however, it sounds like your symptoms will respond to the therapy if they increased with menopause.

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MonaLisa Touch for vulvadynia

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Based on your history of increasing pain with menopause, you may have some loss of estrogen causing the pain, in which case MonaLisa Touch could be beneficial.   The fractional CO2 laser will increase the health of the vaginal skin which could decrease your pain.   

Best regards!

Christina Pramudji, MD
Houston Urogynecologist

Will the MonaLisa Touch help wit vulvadynia

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We aren't sure.  
Sometimes though, if there is significant vaginal atrophy, continued neurological windup from that pain source can flare up the vulvadynia.  
Vulvandynia is a complex regional pain syndrome so a multimodal approach is best.  We are using the external probe on the MonaLisa Touch to treat lichen sclerosis patients.  I would consider using it to treat vulvadynia if you have tried everything else first as we have no specific data yet.

Vulvadynia

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The Monalisa is currently FDA approved for what is now called genitalurinary syndrome of menopause (GSM). Currently people are studying the Monalisa for vulvar skin disorders and are having good success. I have talk to several people from around the country that have used the Monalisa for painful vulvar syndrome and have seen good results. As of right now it's not indicated for this but may be helpful. Painful vulvar syndrome is a very difficult condition to treat. Since the Monalisa is a simple non invasive treatment it maybe worth a try. One other treatment that I have had good success with is vulvar Botox injections. Just another option for you to consider. 

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You need a thorough gynecologic evaluation to determine the source of your symptoms. Many of these pain syndromes are caused by skin infections. FemiLift and MonaLisa are designed to treat the skin of the vaginal canal and not the vulvar area.

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.