A hysteroscopy is done when there are problems with the uterus that need to be diagnosed or treated. When a hysteroscopy is done, a thin tube with a light at the end is used, called a hysteroscope. This is inserted through your vagina and into your uterus, which then sends an image of the uterus to a screen for diagnoses. A hysteroscopy is done when the cause of abnormal uterine bleeding needs to be found. This can mean a heavier than normal menstrual flow or bleeding between menstrual periods.
An endometrial ablation is the removal of the uterine lining, which is what causes heavy bleeding. Done in just 5 minutes, this procedure is quick and simple. An endometrial ablation is meant for premenopausal women with heavy periods who are not going to have any more children. Pregnancies that occur after the procedure can be dangerous. During the procedure, a netted device is inserted into your uterus and expands to fit the size and shape of your uterus. A radiofrequency energy is transmitted through the netting for about 90 seconds. The netting is then removed. This procedure is not recommended for women who suspect uterine cancer or have an active genital, urinary, pelvic infection, or an IUD. Rare, but serious risks include thermal injury, perforation and infection. Temporary side effects may include cramping, nausea, vomiting, discharge and spotting.
This procedure is used to see inside the cervix. A magnifying device, called a colposcope, is used to shine a light into the vagina and onto the cervix. This will allow the gynecologist to find problems that cannot be seen from plain view. This procedure is done after a cervical cancer screening and there are abnormal changes in the cells of the cervix. During a colposcopy, if there are abnormal areas, a biopsy of these areas may be done. A colposcopy without a biopsy should not have any side effects. If a biopsy is done, it may result in discomfort for a few days.
Mona Lisa Touch
What is the Mona Lisa Touch (MLT) Laser?
Carbon dioxide microablative laser (CDML) is an emerging therapy to restore health to vaginal tissue. MLT is the name of the laser unit developed at San Raffaelle Hospital in Milan, Italy. The name is a nod to the enigmatic painting by the Italian artist Leonardo DaVinci. It was FDA approved in November 2014.
What is it used for?
MLT is used to treat Vulvovaginal atrophy (VVA), a chronic, progressive condition caused by a lack of estrogen usually due to menopause. However, it can occur before menopause from premature ovarian failure, chemotherapy or other medications, and after pregnancy. In VVA, vaginal and vulvar tissue thins and loses elasticity. There are fewer blood vessels to supply nutrients and water to cells. The vaginal opening may become constricted and vaginal length can shorten. The vaginal pH rises which can lead to genital and urinary tract infections. Even urinary function can be affected by VVA. Symptoms include dryness, itching, bleeding, pain with intercourse, and urinary dysfunction. Other conditions it is used for including painful intercourse, vaginal dryness, lichen sclerosus, vestibulodynia, urinary incontinence, and recurrent UTI’s.
How does it work?
The laser supplies light energy to the vaginal walls, targeting water under the surface. Hundreds of tiny “pin pricks” are “stamped” 360 degrees around the full length of the vagina. These are very superficial and painless, but they stimulate a healing response. Special proteins stimulate development of new blood vessels, moisture-making cells, and fibroblasts, which produce new collagen.
What type of results can I expect?
Nearly all treated patients report a reduction in dryness, burning sensation, pain during intercourse, and urinary symptoms which contributes to a substantial improvement in quality of life. You may notice increased normal vaginal discharge as vaginal tissue becomes healthier. Patients treated for external vulvar conditions see less burning, itching, and pain.
Where can I have this done?
The MLT is an in-office procedure done in our office.
Does the procedure hurt?
The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort the first time the probe is inserted, but the actual treatment is not painful. We recommend trimming long pubic hair prior to the procedure. We can apply topical anesthetic if necessary for patients who receive treatment to the vulva.
How long does it take? The actual treatment takes less than 5 minutes.
When will I see results? Most patients feel improvement after the very first treatment, although the protocol is three treatments over a 12-week period.
How long do the benefits last?
Patients should expect to come back annually for a single maintenance treatment, although some patients may not need any further treatment. Use of vaginal or oral medication may prolong the results and the benefits of CMDL.
What are my limitations after the procedure is done?
We ask that you refrain from sexual activity for 2-3 days.
Are there any post procedure side effects?
You may experience slight spotting or mild discomfort for 1-2 days.
What are other options to treat VVA?
Lubricants, vaginal estrogens or an oral, non-hormonal treatment are commonly used. Lubricants decrease friction but do not heal or improve tissue. These can be used in conjunction with MLT.
Are there any contraindications?
If you have an active genital infection such as herpes or yeast, please let us know. We recommend treatment prior to the procedure.
Is this the same as “vaginal tightening” or “vaginal rejuvenation”?
No, it is not. This is not a cosmetic or medical aesthetic procedure. This is sophisticated medical technology to treat VVA.
How much does it cost?
Unfortunately Insurances don’t cover this treatment at this point. Call out office at 215-444-3411 to get the cost of the 3 treatments. You will also have an office visit with each treatment and a copay will be required.
Have you experienced changes in your vaginal health since menopause? Did you know that as many as 50% of postmenopausal women suffer from changes in their vaginal health.
It’s OK to talk about it – because now you can do something about it!
MonaLisa Touch®: A Novel Laser Therapy for Vaginal Health
Patients are calling it “Life-Changing”
MonaLisa Touch delivers gentle laser energy to the vaginal wall tissue that stimulates a healing response by generating new collagen, elastin and vascularization. A typical course of treatment is three procedures over 18 weeks.
· In-office procedure
· Requires no anesthesia
· No downtime
· Minimal side effects
· Each treatment is <5 minutes
· 8 Published Studies
· 6 Ongoing Studies
· Thousands of women have been treated worldwide since 2012
In both European and US clinical trials, women reported symptom relief after the very first treatment and even greater improvement after treatments 2 and 3.
Ask us today if the MonaLisa Touch is right for you.