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    Brand new Emergency room:YAG is considered the “next age bracket” out-of thermotherapy for VVA

    03.11.2022 san jose escort service  No comments

    Both CO2 and Er:YAG lasers have been evaluated for their ability to rejuvenate vaginal tissue. 64 The Er:YAG laser emits light at a wavelength of 2.94 µm and escort services in San Jose is 16 times more highly absorbed by water than the CO2 laser light. 65-67 Because of this higher water absorption rate, the Er:YAG causes much more superficial penetration and ablation of tissue. Most importantly, the Er:YAG laser does not increase the zone of thermal damage with each subsequent laser impact, as the CO2 laser does. Currently, the Er:YAG is the most commonly used laser treatment for VVA.

    Towards the Emergency room:YAG laserlight clients are often managed monthly for step three months. Women can be trained to avoid gender for at least dos days just after procedures. Laser light treatments target brand new vagina simply, not the perineum. Composed studies means this new solutions should be constant a-year. 68,69

    The brand new Emergency room:YAG laser has actually demonstrated encouraging outcomes for cancer of the breast survivors. In one studies 43 postmenopausal cancer of the breast survivors had been given step three laser software all the thirty day period. Its periods was analyzed just before procedures and immediately following step 1, step three, 6, several, and eighteen months, having fun with dos procedures: personal graphic analogue level (VAS) and purpose Genital Wellness List Score (VHIS). For everyone of one’s women in the analysis, vaginal dry skin, VAS, dyspareunia, and VHIS results significantly increased following the third cures. Brand new ratings declined in the twelve and you may 1 . 5 years however, were still rather enhanced compared with standard. The study ways “vaginal erbium laser is useful and you may safe for the treating genitourinary disorder off menopausal into the breast cancer survivors.” 68

    Using laser devices for VVA truly is a formative science, and we do not have definitive answers about the optimal number and frequency of treatments. Athanasiou and Pitsouni aimed to address this question in a recently published study. 69 In their study, 55 women received 3 sessions of CO2 laser therapy, 53 had an additional fourth session, and 22 had an additional fifth session. Results of their study are summarized in Figure 1.

    Shape 1. Improvement in sex-relevant variables one of females addressed with carbon laser beam medication to have vulvovaginal atrophy immediately following step three, cuatro, and 5 treatments.

    The brand new article writers figured laserlight treatment could possibly get contribute to over regression away from dyspareunia and dryness inside the a dose-impulse style. An additional 4th or 5th session get then boost the GSM symptom-free rate.

    Radiofrequency products to have vulvovaginal restoration

    Radiofrequency products certainly are the most recent choices for remedy for VVA. New radiofrequency treatments are monopolar, bipolar, and you may multipolar products. We have far fewer studies so you’re able to corroborate its security and you may capabilities in contrast to laser treatments.

    Radiofrequency treatments are repeated weekly to monthly, usually for a total of 3 treatments. While the CO2 and Er:YAG lasers treat only the vagina, the radiofrequency devices rejuvenate the perineum as well. Women can have intercourse the same day. Like the laser treatments, the effects of radiofrequency treatments diminish over time and likely need to be repeated annually. 70

    Article on nonsurgical treatment for vulvovaginal atrophy

    Both the laser and radiofrequency treatments offer viable options for nonhormonal treatment of VVA. The CO2 and Er:YAG lasers have been used clinically for a couple of decades, while the radiofrequency devices offer promising new treatment options. The Er:YAG laser has been shown to benefit both VVA and mild to moderate stress urinary incontinence (SUI). 71 Less is known about the effectiveness of the radiofrequency devices for treating SUI, but they have the added benefit of treating the perineum as well as vaginal tissue. Insurance companies do not currently cover either laser or radiofrequency treatments for VVA or SUI, and the out-of-pocket expenses are customarily $1,000 per treatment.

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