MonaLisa touch - Vejthani Hospital | JCI Accredited International Hospital in Bangkok, Thailand.

MonaLisa touch

Overview

MonaLisa Touch® is a noninvasive laser treatment designed to address vaginal atrophy, also known as genitourinary syndrome of menopause (GSM). GSM can lead to symptoms such as vaginal dryness and discomfort during intercourse. MonaLisa Touch offers an alternative to estrogen-based therapies like creams, lubricants, or medications, making it suitable for those who are unable or prefer not to use estrogen treatments.

The therapy uses a CO2 (carbon dioxide) fractional laser to deliver numerous small beams of light to the targeted area. This process rejuvenates the vaginal tissue by promoting the development of new blood vessels and boosting the production of collagen and elastin. As a result, it helps regenerate and repair the vaginal tissue lining, improving overall sexual comfort and health.

Reasons for undergoing the procedure

The MonaLisa Touch addresses symptoms commonly associated with GSM, which often occur during menopause. Menopause marks the cessation of menstrual periods and the loss of fertility in individuals assigned female at birth (AFAB). Decreased estrogen levels during menopause result in dry and thin vaginal tissue, leading to various symptoms such as:

  • Pain during intercourse
  • Pain and bleeding in the vagina.
  • Recurrent UTIs, or urinary tract infections.
  • Incontinence of the urine (leaking when you cough, laugh, or sneeze).
  • Burning, itching, or irritation in the vagina.

Your vagina’s tissues can regenerate and regain moisture with the aid of the MonaLisa Touch.

It’s crucial to understand that the MonaLisa Touch does not cause vaginal tightness. If fixing looseness or sagging is your goal, your doctor may recommend alternate techniques. Not necessarily its appearance, but the lubrication in your vagina is restored with the MonaLisa Touch.

The following individuals are the best prospects for MonaLisa Touch treatment:

  • You are undergoing menopause or having symptoms of low estrogen after menopause.
  • Have tried unsuccessfully various approaches (like estrogen therapy).
  • Experience symptoms from a hysterectomy, chemotherapy, or breast cancer.
  • Have vulvar problems, such as lichen sclerosus, diagnosed.
  • Is unable to take estrogen because of other medical disorders or therapies.

It might not be appropriate for you to receive MonaLisa therapy if you have any of the following medical conditions:

  • You have prolapsed bladder.
  • You are pregnant or recently gave birth within the last three months.
  • You have a vaginal infection or a Sexually Transmitted Infection (STI).
  • You have immunological thrombocytopenia or are on anticoagulants.

Discuss your symptoms and medical history with your doctor. They are able to determine whether MonaLisa Touch laser therapy is right for you.

Risks

The moderate side effects typically resolve within about 36 hours. Common adverse reactions include:

  • Light bleeding
  • Brown or pink discharge from the vagina
  • A burning or itching sensation after urination
  • Vaginal opening irritation
  • Redness or swelling near the vaginal opening

Before the procedure

No special preparation is required for the treatment. The procedure is quick and painless, and does not involve anesthesia or surgery. Before the treatment, your doctor will discuss any necessary preparations with you.

During the procedure

The MonaLisa Touch is used in the doctor’s office for treatment.

It is comparable to the process of a Pap smear:

  • You’ll lie down on an examination table after removing your underwear and pants.
  • You’ll cover your legs with a sheet or drape. You’ll put on stirrups for your feet.
  • Your doctor might apply a cream to numb the area around your vagina.
  • To start treatment, your doctor will inserta device that resembles a wand into your vagina.

The device administers small energy pulses into the vaginal area. Sensations during treatment may resemble vibrations or a slight prick, akin to a needle poke. The procedure addresses both the internal vaginal skin (where a tampon is placed) and the skin around the vaginal opening.

It takes roughly five minutes to treat someone with the MonaLisa.

Typically, three treatments are required, spaced approximately six weeks apart. Annual treatments may be advised by your provider to sustain symptom relief.

After the procedure

Recovery after MonaLisa Touch laser therapy is typically swift, allowing you to resume your usual activities. You might experience some discomfort or irritation in the vaginal area. Using a lubricant or applying ice packs may help alleviate any discomfort. It’s best to avoid activities that cause you pain during this time.

Outcome

Most people return to their usual routines the same day. However, it’s advisable to avoid sexual activity for three days. You may experience some irritation or discomfort for the first 24 to 36 hours. Be sure to discuss the details of the recovery process with your doctor to understand what to expect.