By 3 years after menopause, more than half of women experience atrophy in their vagina resulting from a lack of estrogen. Marked by a thinning of the epithelium, reduced blood supply, and loss of glycogen, vulvovaginal atrophy is to blame for Genito-urinary-syndrome of the menopause.Despite a lack of evidence and high cost, laser therapy continues to attract many women seeking "vaginal rejuvenation" to help reverse the physical symptoms of menopause.
Recent reviews of the medical literature continue to show that laser treatment appears to be less effective than estrogen at improving vaginal dryness and pain during sex.
Laser for genitourinary syndrome of menopause is showing some promise, but patients need to be offered approved treatments prior to considering laser.
