eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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vol. 21
Original paper

Ladylift® non-ablative laser technology for the treatment of menopausal vestibulodynia and genitourinary syndrome

Guglielmo Stabile
Maria Sole Scalia
Stefania Carlucci
Francesco De Seta

1 Department of Obstetrics and Gynaecology, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, Trieste, Italy
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
Department of Obstetrics and Gynaecology, Azienda Sanitaria Universitaria Giuliano-Isontina, San Polo Hospital, Gorizia- Monfalcone, Italy
Menopause Rev 2022; 21(4): 253-258
Online publish date: 2022/12/30
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Introduction: Genitourinary syndrome of menopause (GSM) affects up to 48% of pre-menopause women and up to 90% of menopausal women. Many menopausal women with dyspareunia have significant vestibular tenderness due to oestrogen deficiency, which increases the density of sensory nerve fibres in the vulva and the vagina. For this reason, GSM is recognized as one of the causes of provoked vestibulodynia. Few therapies have proven to be effective for provoked vestibulodynia. Many studies have shown the efficacy of laser CO 2 therapy, proving its cost- effectiveness and safety for vaginal health.

Material and methods
In this article we tested a new non-ablative solid-state laser: Ladylift®. The main difference between Ladylift® and other laser technologies is the use of a non-ablative laser wavelength of 1470 nm, without causing ablative thermal injury on the surface of the mucosa. We enrolled 18 post- menopausal women presenting to a private clinic with GSM symptoms and provoked vulvodynia.

The treatment protocol consists of 4 sessions of laser, 2 weeks apart, of the duration of 4 minutes. Benefits to menopause symptoms, reported with a numeric rating scale, and to epithelium trophism reported with the vaginal health index were apparent since the first session. Patients undergoing laser therapy have had evident benefit both from the point of view of pain and from that of vaginal health.

All the women tolerated the therapy well without any adverse effects. However, the beneficial effect tended to gradually decrease over time, suggesting the need to perform more therapy sessions.


laser; vestibulodynia, menopause, genitourinary syndrome

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