Laser
MonaLisa Touch®
A fractional CO2 laser used on vaginal and vulvar tissue. A non-hormonal option.
- About five minutes per treatment
- Three treatments, six weeks apart
- One maintenance treatment a year
Vaginal and Sexual Health
Comfort, Confidence and Intimacy Are Part of Your Health Too.
Vaginal dryness, discomfort and changes in sexual health are some of the most common parts of midlife, and some of the least talked about. You deserve a provider who takes them seriously and walks you through every option, not just one.
Three treatments
Three Treatments, One Conversation.
Alongside hormone therapy, Revival Medicine offers three treatments at our Reno office. Kiersten performs most of them, and some may be performed by Dr. Elizabeth Hutson, MD. Every plan starts with a conversation about what you’re experiencing and what matters to you.
Radiofrequency
Votiva With FormaV
A radiofrequency system whose FormaV handpiece delivers gentle heat to the deeper vaginal and vulvar tissue.
- About 20 minutes per treatment
- Three treatments, two to six weeks apart
- One maintenance treatment a year
Injection
PRP Treatment (O-Shot®)
Platelet-rich plasma, or PRP, from your own blood, with the goal of improving sexual sensation and function.
- Completed in one office visit
- The area is numbed first
- Improvements may develop over several weeks
Is it FDA Approved?
MonaLisa Touch is FDA-cleared as a laser for use on soft tissue in several specialties, including gynecology. Its use for vaginal dryness and atrophy is not a specific FDA-cleared use.
Does it Hurt?
Each treatment takes about five minutes. Most women feel only a vibration during the internal part, and numbing cream keeps the external part comfortable for most. For a few days afterward, many women notice a mild, sunburn-like sensation.
How Many Treatments Are Needed?
A typical course is three treatments, six weeks apart, followed by a single maintenance treatment once a year.
What May it Help With?
Some women report improvement in:
- Vaginal dryness and other symptoms of vaginal atrophy
- Vaginal pain or discomfort
- Pain with sex
- Vaginal discharge
- Recurrent vaginal or bladder infections
How Strong is the Evidence?
Research on laser treatment for vaginal atrophy is still developing, and results vary from woman to woman. It should be viewed as a non-hormonal option with possible benefits, not a guaranteed solution. Some women need more than the first three treatments.
Is it FDA Approved?
The FormaV handpiece is FDA-cleared for relieving minor muscle aches and pain and improving local blood circulation. Its use on vaginal tissue is not a specific FDA-cleared use.
Does it Hurt?
Treatment usually takes about 20 minutes, and most women describe a warm sensation. Numbing cream usually isn’t needed, and most women go back to their normal day straight afterward.
How Many Treatments Are Needed?
A typical course is three treatments, two to six weeks apart, followed by a yearly maintenance treatment.
How Strong is the Evidence?
Research on radiofrequency treatment of vaginal tissue is still developing, and results vary. It should be viewed as an option with possible benefits, not a guaranteed solution.
How is it Done?
A small amount of blood is drawn and placed into a centrifuge, which concentrates the platelets and growth factors. After the area is numbed, the PRP is injected into specific clitoral and vaginal tissues. The entire procedure is typically completed during one office visit.
What May it Help With?
Some women report improvement in:
- Clitoral and vaginal sensation
- Arousal
- Lubrication
- Ability to reach orgasm
- Orgasm intensity
- Sexual satisfaction
- Mild stress urinary leakage
- Certain types of vaginal discomfort
Results are not immediate for everyone. Improvements may develop gradually over several weeks, and some women do not experience a meaningful benefit.
What Should I Expect Afterward?
Temporary effects may include:
- Mild swelling or tenderness
- Bruising or spotting
- Pelvic pressure
- Temporary changes in sensation
- Discomfort at the injection sites
Because the PRP comes from your own blood, the risk of an allergic reaction is low. However, any injection carries a small risk of bleeding, infection, pain or tissue injury.
How Strong is the Evidence?
Early studies are encouraging, including newer research suggesting that vaginal PRP may improve sexual-function scores in some women. However, the research is still limited, PRP preparation and injection techniques are not standardized, and PRP treatment is not FDA-approved specifically for female sexual dysfunction. It should therefore be viewed as an optional treatment with possible benefits, not a guaranteed solution.
Planning your care
Finding the Right Fit for You.
Can These Be Combined?
Yes. We’ll talk through your symptoms and build a plan around them. In general, the laser treats the surface tissue, radiofrequency treats the deeper tissue, and PRP treatment may be added.
Before Choosing a Treatment
Before considering any of these treatments, it is important to look at other possible contributors to your symptoms, including hormonal changes, vaginal dryness or atrophy, pelvic-floor dysfunction, medications, pain, stress, sleep, relationship factors and testosterone status. Treatments such as vaginal estrogen, vaginal DHEA, pelvic-floor therapy, lubricants, moisturizers or other sexual-health therapies may be more appropriate depending on the cause. That is exactly what your visit is for.
How to get started
Every Plan Starts With a Conversation.
These treatments are arranged directly with Kiersten, most often as part of care you’re already receiving. Ask at your next visit, or call to talk it through.
New to Revival Medicine? Care starts with a comprehensive consultation.
This page is educational and not intended to diagnose. Treatment decisions are made individually, and results vary.