Vaginal dryness, dyspareunia, painful episiotomy scars

Beautiful Attractive Asian woman wearing white shirt sitting on bed have a bladder pain or uti pain after wake up in the morning feeling so illness,Healthcare Concept.

Dyspareunia is a condition characterised by pain during sexual relations. It most often affects women and can be acute or chronic. Superficial or light dyspareunia is when the pain involves the vulva, the clitoris or the vagina and appears at the start of sexual contact, even with the slightest touch.

Profound or deep dyspareunia occurs when the penis is inserted into the vagina, and sometimes only during certain positions.

The causes of dyspareunia might include:
– Organic/physical: a local infection, uterine or ovarian diseases.
– Lack of vaginal lubrication: sexual relations without stimulation, menopausal decline in oestrogen.
– Psychological.

Most of the urogenital diseases connected with the menopause follow a reduction in the production of estrogen by the ovaries. This involves the gradual thinning of genital epithelial tissues, vaginal and vulvar mucosa, which reduce in thickness and moistness becoming more fragile, irritable and sensitive to trauma.
For this reason hormonal therapy has been for a long time the gold standard treatment for postmenopausal symptoms.

In order to ease this pain, one must first of all conduct a gynaecological exam to identify the cause. Lubricants and oestrogen are often prescribed. Hyaluronic acid injections offer a revolutionary solution to this problem.


seringue acide hyaluronique

Hyaluronic Acid

Hyaluronic acid injections are performed with DESIRIAL®DESIRIAL® is the first hyaluronic acid specifically formulated for intimate feminine problems, and benefits from the CE safety mark. It has been approved by the authorities for gynaecological specifications (mucus rehydration, remodelling of the labia majora and G-spot injections).
The results are immediate and last 8 to 12 months.


The injection is performed at the clinic without speculum. The doctor administers a local anaesthetic
The sides of injections are  :
– vaginal mucus: the side and back walls of the vagina are injected, following the multipoint technique. The injections are very shallow, at 0.5-1cm deep. Ideally, 0.5-0.8ml of hyaluronic acid should be injected per patient.
– the vestibule (junction between the labia minora and the entry to the vagina): injections are performed according to the multipoint technique

After effects

This injection only very rarely leads to light bleeding without consequences, or a temporary local inflammation.
Sexual contact should be avoided for 12 hours following the injections. All other physical activity is possible straight away.


The laser is a non-invasive treatment that improves the condition of the mucosa by stimulating the formation of a new collagen and regenerating the microcirculation.
From the first treatment the symptoms improve. Humidification, elasticity and tonicity of the internal mucosa are restored; itching, irritation and pain during intercourse disappear.
As many patients report, the results are noticeable after a month.

Photo traitement laser secheresse vaginale


Because of menopause, I suffered from vaginal dryness. Doctor Romano treated it with injections. More than satisfied.


I had irritations and vaginal discomfort. My best friend was relieved by hyaluronic acid injections done by Doctor Romano. I tried this treatment and do not regret it.


Sexual relations were painful because of a lack of lubrification. Doctor Romano did hyaluronic acid injections and changed my life.


I had vaginal irritations, Doctor Romano did hyaluronic acid injections and my problem is fixed. A big thank you.



Type of consultation Amount generally charged
Hyaluronic Acid350€ each syringe. It need 1-2 syringes.
Laser600€ each session, it needs 1- 3 sessions.

Written by Valeria Romano

Former intern at the Hospitals of Paris Graduate of the Faculty of Medicine, University of Paris 7 – Paris Diderot Registered with the medical board of Paris, n° 75/80452 More informations

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