Laser and radiofrequency devices heat the vaginal and vulval tissue to encourage it to remodel. They are promoted for dryness, laxity and mild leaking. They are newer treatments, and it is worth knowing where the evidence stands before trying one.
What happens
A probe is placed at or in the vagina and delivers controlled energy for a few minutes. No cuts are made and no anaesthetic is usually needed. Treatment is often given as a short course of sessions.
What the evidence shows
Studies so far are small and mostly short-term. Regulators, including the US Food and Drug Administration in 2018, have cautioned against marketing these devices for "vaginal rejuvenation" or sexual function, and reported burns, scarring and pain in some cases. We use them, where we use them at all, only after other options have been discussed, and never with a promised result.
Who performs it
Every procedure in this unit is performed at Pearl by Dr. Jigna Jasoliya and Dr. Hardik Vansjaliya together, with female staff present throughout.
Questions we are asked most
What are the risks?
Discomfort, burns, scarring, pain during intercourse, and no noticeable change.
What are the alternatives?
Vaginal moisturisers and lubricants, local hormone treatment where suitable, pelvic floor physiotherapy, PRP, or surgery for specific problems.
Will anyone else know why I came?
No. Consultations in this unit are private, your records are confidential, and the front desk books the visit as a gynaecology consultation. You do not have to explain your reason to anyone but the doctor.