Articles / A Leading Expert Discusses Vaginal LASER Therapy… Is This Really an Effective Treatment for Menopausal Vulvovaginal Symptoms? | Part 1
writer
Gynaecologist and Laparoscopic Surgeon; Royal Hospital for Women; Professor of Gynaecological Surgery, UNSW
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.
These are activities that require reflection on feedback about your work.
These are activities that use your work data to ensure quality results.
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.
These are activities that require reflection on feedback about your work.
These are activities that use your work data to ensure quality results.
Practice points
• A woman doesn’t need to have atrophy to have vulvovaginal symptoms due to menopause.
• Fractionated laser treatments only damages approximately 4% of the vulvovaginal tissue, so there is no full thickness burn and it is quite superficial.
• The clinical presentation is about symptoms, and we must change those symptoms to be recommending this as a reasonable and worthwhile treatment, because it is also not cheap. The cost of the treatment needs to be taken into consideration as well.• The outcome of Prof. Abbott’s double-blind, randomised and placebo-controlled trial was that laser therapy is not any more effective than placebo for the management of vulvovaginal symptoms due to menopause.
• We have to go to the science and make sure that this is driving our care for patients.
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writer
Gynaecologist and Laparoscopic Surgeon; Royal Hospital for Women; Professor of Gynaecological Surgery, UNSW
Yes, if the referral process involves meaningful collaboration with GPs
Yes
No
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