Vaginal laser treatment tied to complications like scarring

- Vaginal laser treatments may help relieve problems associated with menopause, like dryness, pain and sexual dysfunction, but the safety of this technique is not clear, suggest the authors of a small study describing complications including scarring and penetration injuries.

Because long-term trials of lasers for vaginal atrophy haven't been completed yet,"the exact adverse effects of lasers really remain to be determined," Krychman said by email. He is a consultant for Viveve Medical, a maker of radiofrequency devices for treating sexual and gynecologic health issues. Many women may take oral hormone replacement therapy to ease these symptoms, or use vaginal estrogen in creams or other forms like suppository pills. Osphena, a prescription pill for vaginal dryness and sexual dysfunction, targets the receptors for estrogen on cells.

The third woman also had laser treatment for painful intercourse, and she, too found sex unbearable afterwards. She had severe vaginal dryness and itching, and was later diagnosed with a fibrous wall of tissue causing a blockage of the vagina. In theory, lasers could offer a nonhormonal option for vaginal, atrophy, said the coauthor of an accompanying editorial, Dr. JoAnn Pinkerton, executive director of the North American Menopause Society.

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