Atrophic colpitis: treatment with CO2 laser

e — the term is relatively new, but summarizing the advanced perspective direction in aesthetic gynecology. A safe, minimally invasive outpatient solution that incorporates CO2 laser technology and delivers optimal high-end results for the following women's concerns:

• atrophic colpitis;

• vaginal relaxation syndrome;
• vaginal dryness and recurrence of infection;
• genitourinary syndrome of menopause;
• postnatal rehabilitation.

In the article estet-portal.com you can get acquainted in detail with the professional view and personalized solution to the problem of atrophic colpitis and genitourinary syndrome of menopause

The causative factor in vaginal atrophy is the progressive loss of estrogen. As a result develops: • morphological changes in the mucous membrane and walls of the vagina (thinning, dryness, loss of elasticity);

• the number of blast cells decreases (for example, instead of fibroblasts, only fibrocytes are observed that are not able to actively produce hyaluronic acid), as well as all components of the extracellular matrix;

• decrease in vascularization;

Instagram • change in the bacterial flora (due to the decrease in the concentration of lactic acid, the pH changes);

• risk of neoplasia;

• a decrease in the level of collagen in the connective tissue of the vaginal mucosa, the role of which is to maintain the epithelium structurally and functionally, which leads to a loss of folding and the formation of tissue rigidity.

Vaginal relaxation is accompanied by dyspareunia, vaginal bleeding during intercourse, sexual dissatisfaction of both partners.

How does vulvitis affect a woman's reproductive function Atrophic colpitis: genitourinary syndrome of menopause

Urinary tract problems are also considered symptoms of vaginal atrophy: • nocturia;

• dysuria;

• imperative urge to urinate;

• postcoital infections;

• urinary incontinence.

Stress urinary incontinence results from weakness of the pelvic floor muscles and/or insufficiency of the urethral sphincter.

1. urethral hypermobility — displacement of the position of the urethra due to increased pressure in the abdominal cavity;

2. sphincter insufficiency — failure to seal effectively.

Ivan Treshchak: laser therapy in the treatment of genitourinary menopausal syndrome Laser Vaginal Rejuvenation: CO2 Laser Working Principle

Laser energy is delivered to the vaginal tissues through a diffractive optical element that pixelates (splits) the beam into 81 microscopic pixels. Microscopic columns of thermal energy penetrate deep into the submucosa, leaving the surrounding tissues intact, with minimal ablation. Pixel pattern promotes rapid healing.

A deep thermal effect is performed to remodel the vaginal collagen without resorting to aggressive ablation. CO2 laser works by deep thermal effect and micro-ablation.

Laser application in gynecology — one of the priority areas Atrophic colpitis: clinical effects of vaginal lifting with CO2 laser

The impact process can be divided into 3 phases: 1. Early thermal effect (first 48-72 hours): edema, synthesis of inflammatory mediators, micro-denaturation of collagen and elastin fibers;

2. Proliferation (next 30 days): replenishment of fibroblasts, synthesis of a new extracellular matrix, synthesis of new collagen fibers;

3. Remodeling (after 30-40 days): functioning of new collagen fibers, increased elasticity, neovascularization, pH change.

• reduction of existing collagen and elastin fibers;

• stimulation of the formation of new collagen fibers;

• neovascularization;

• normalization of the pH and flora of the vagina;

• increased local reactivity of the immune system and elimination of chronic vaginal infection;

• restoration of mucosal quality and increased sensitivity.

As a result, the epithelium thickens, the vaginal diameter decreases, and the amount of vaginal lubrication increases.

Correction of the thickness of the vaginal wall, increased contractility and collagen synthesis provides better support for the urethra and affects the manifestations of the genitourinary syndrome of menopause.

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