Cdear doctor, since I’ve been in menopause I can no longer have intercourse because I feel pain. Could the laser help me?
Thank you,
M.
Doctor Cinzia Polo answers
Specialist in Gynecology and Obstetrics, Menopausologist, la Doctor Cinzia Polo for years it has been carrying out dissemination and training work on the physical and psychological transformations that accompany menopause, with the aim of giving women a freer, more informed and positive approach.
Co-founder and vice-president of the Association Menopauseboost, Dr. Polo is also part of the parliamentary commission established for women’s rights which brought the revision of the leaflets to the attention of both the Chamber of Deputies and Montecitorio.
In this column, the expert answers the most current and useful questions to help women better experience the delicate period of menopause through the sharing of scientific information.
Doctor Cinzia Polo.
“I can no longer have intercourse because I feel pain, can the laser help?”
Dear reader,
pain during intercourse in menopause is a very common disorder that affects over 80% of women and it has a very specific cause: the estrogen deficiency and sometimes even of androgenswhich makes the vaginal and vulvar mucous membranes thinner, fragile and poorly lubricated.
Genitourinary syndrome
It’s about the genitourinary syndrome since the symptoms are so many that they involve various areas: vulvovaginal, urinary and sexual. This can have a decidedly negative impact and frustrating about your sex life and on the couple, as well as on the women themselves who sometimes tell me with great regret that they feel they have lost their femininity.
The help of laser in menopause
Laser treatment can definitely be very useful, as it stimulates, with its thermal effect, the regeneration of the superficial and intermediate cell layers of the mucous membranes and which therefore, once “reactivated”, will resume their physiological function as producers of collagen and elastin with consequent restoration of elasticity, tone and turgor as well as lubrication.
Usually a cycle of regenerative laser therapy, with sessions spaced approximately 30–40 days apartis sufficient to restore optimal trophism of the vulvovaginal mucous membranes and ideal at the same time to resolve that unpleasant small leak of urine that women often do not admit.
The laser must be associated with Hormone Replacement Therapy
But true success is achieved by combining laser treatment with hormonal and non-hormonal topical therapies, which precede and accompany the laser treatment, amplifying and prolonging its effectiveness.
Today they are supported by much scientific evidence on their effectiveness and safety of use, such as:
Vaginal estrogens such as creams, vaginal tablets, gels, ovules;
Vaginal DHEAwhich acts on both estrogen and androgen receptors, great friends of women;
Lubricants and moisturizers good quality vaginal;
Alpha Slea ABAderived from snail slime with mucoimmetic and regenerative effect;
Ospemifenea molecule for oral intake but with a local vaginal effect on estrogen receptors.
Often the combination of a topical therapy and, if indicated, a laser treatment can give great results.

