Millions of women experience the symptoms associated with vaginal relaxation.
A widening vaginal canal is due to giving birth, pelvic surgery, and natural ageing. The labia major and the perineum also become larger.
These changes are responsible for vulvo-vaginal atrophy or shrinkage, genitourinary syndrome and vaginal sagging.
This sagging diminishes the capacity for vaginal orgasm as the vagina has become bigger.
Vulvo-vaginal atrophy causes dyspareunia, vaginal dryness and itching.
TYPES OF VAGINAL MUCOSE
Mucosa in pre-menopause. Patient under 35 years old.
Mucosa in peri menopause. Patient between 35 and 55 years old.
Muqueuse en post ménopause. Patiente âgée de plus de 55 ans.Mucosa in postmenopause. Patient over 55 years old.
In theory, it is possible to reduce the width of the vagina using hyaluronic acid injections. In practice, even if the practitioner is very experienced (with the ability to correctly place the product in the sub-mucosa, and with perfect knowledge of the localised anatomy), this technique carries the risk of wounding surrounding structures, and one cannot inject a huge amount of the product (and the vagina will only narrow slightly). No scientific study has been carried out on the effectiveness of this particular procedure.
In some indications the laser replaces surgical vaginoplasty.
Two or three sessions at an interval of 4-6 weeks are generally recommended. 70% of patients need 2 sessions.
A maintenance session is necessary every year, or every two to three years, depending on the underlying state of the vagina.
Patient satisfaction rates are high. Benefits are physical and psychological (with improved self-confidence). Endoscopic examinations show how this treatment narrows the vagina.
A general gynaecological examination must take place in the three months prior to the first treatment session in order to treat any infections or neoplasia.
A urine test must also be conducted a few days before the session; any urine infections are prohibitive of laser treatment.
The gynaecological examination that I carry out before the session must be normal (no lesions or infections).
The vaginal canal, entrance and opening will be disinfected, then the vaginal canal will be wiped down in order to assure the correct laser penetration.
No prior anaesthetic or preparation is required.
A sterile hand piece is used.
This hand piece has a centimetre scale which allows for accurate positioning in the vagina.
The treatment is carried out in three phases with parameters adapted to the hormonal state of the patient.
Side effects and precautions
No post-op precautions are necessary. The patient can return straight away to their normal daily activity.
Sexual activity should be avoided for three days.
An anti-herpes treatment will be proscribed for those who have a history of perineal herpes.
Reddish discharge is normal for 3-4 days.
Giving birth is possible after the treatment.
The indications of laser vaginoplasty are :
Average and moderate vaginal sagging without associated muscular sagging.
Those who wish to accentuate their pleasure. A single session will be sufficient.
If the vaginal widening is too great, the width will be reduced but treatment often depends on surgery.
Conditions prohibiting laser vaginoplasty include :
– Lesions and/or infections on the zone to be treated.
– Undiagnosed vaginal bleeding.