Is there any evidence to suggest that Monalisa Touch can alter the PH and potentially clear up chronic vaginal yeast infection?

I developed my first yeast infection since hitting menopause. It has been 9 months and nothing seems to help .

Doctor Answers 7


Yes there is evidence for this.

In fact this paper:

Climacteric. 2016 Oct;19(5):512-8. doi: 10.1080/13697137.2016.1212006. Epub 2016 Aug 24.

The effect of microablative fractional CO2 laser on vaginal flora of postmenopausal women.

Athanasiou S1, Pitsouni E1,2, Antonopoulou S3, Zacharakis D1, Salvatore S4, Falagas ME2,5,6, Grigoriadis T1.

Conclusion: MFCO2-Laser therapy is a promising treatment for improving the vaginal health of postmenopausal women by helping repopulate the vagina with normally existing Lactobacillus species and reconstituting the normal flora to premenopausal status.

More studies are being published on this every month.  Its a significant area of research interest in the last few years.  This wealth of publication is the reason our practice recently decided to move away from RF based treatments to a CO2 laser.  We are using FemiLift, which is quite similar to MonaLisa Touch.  Both lasers basically do the same thing, with a different brand on the laser.

Portland OB/GYN
5.0 out of 5 stars 2 reviews

The MonaLisa Touch laser and vaginal yeast infections.

The MonaLisa Touch vaginal laser will increase blood flow and stimulate collagen growth resulting in thicker vaginal tissue and moisture. For vaginal yeast infections please see a gynecologist. Since it hasn't resolved in 9 months it's quite possible it's something else. Laser treatments are NOT indicated for the treatment of yeast infections.

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

If you itch and burn, see your gynecologist

If you haven't seen your gynecologist, go now. Most self diagnosed yeast infections are something else. When you say nothing seems to help, you probably haven't tried everything. I wouldn't jump into a laser procedure looking to cure a yeast infection. There is no data, just speculation based on more speculation.

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

Normalization Vaginal Ph reducing infections

The Deka pulse of the Mona Lisa laser works to stimulate new collagen synthesis, new blood vessels, thicker vaginal tissue lining, more lubrication, glycogen production which promotes a more normal acidic vaginal environment. The  growth of lactobacilli which is natural to the vaginal environment prevents yeast and other problematic bacteria from causing infections. We have seen resolution of recurrent bladder infections with this therapy.

MLT and yeast infections

Great question. I believe the best answer is no---no evidence. Yeast or monilia requires sugar to grow and menopause is a time when the sugar content of the vaginal secretions decrease, like when your period starts or postpartum. MLT changes these to more resemble a higher estrogen-like state with more mucous, higher sugar content. Therefore it could make this possibly worse. BUT, it hasn't been studied to my knowledge. "Menopausal vaginal atrophy" doesn't include this indication.  Sorry, you may waste your money, or get worse.

Lawrence Eisenhauer, MD
Encinitas OB/GYN
5.0 out of 5 stars 2 reviews

MonaLIsa Tougch can help with chronic vaginal infection

Yes, the MonaLisa Touch fractional laser treatment will restore the vaginal epithelial wall and in turn create the proper environment for lactobacillus.   Lactobacillus is the healthy flora of the vagina that creates the acidic pH that keeps away other vaginal infections, like yeast infections.   Evidence has shown that the vaginal pH does change to a healthier level after treatment.

Christina Pramudji, MD
Houston Urogynecologist
4.8 out of 5 stars 6 reviews

MonaLisa Touch and vaginal symptoms

The MonaLisa Touch can help restore pH balance because of the return of glycogen and hyaluronic acid to the tissues at the cellular level. This in turn allows lactobacillus, the normal vaginal flora, that maintains the appropriate pH. Often times women confuse the symptoms of vaginal atrophy, which include itching and irritation, as a yeast infection. I recognize this when menopausal patients tell me they are repetitively self treating with over the counter yeast suppositories or frequently calling my office for prescription treatments. Please seek a gynecologist who offers the MonaLisa Touch for a history and physical to determine if your symptoms are caused by vaginal atrophy as opposed to recurrent yeast infections. 

Warm Regards, Jennifer Murphy, MD, FACOG

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

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.