Genitourinary Syndrome of Menopause (GSM)<\/h2>\n<\/div><\/div><\/div><\/div><\/i><\/i><\/span>What is Genitourinary Syndrome of Menopause (GSM)?<\/span><\/a><\/h4><\/div>\nGenitourinary Syndrome of Menopause (GSM) is a newer term for the symptoms commonly associated with the histologic\/physiologic changes associated with vaginal atrophy and genital estrogen loss. These symptoms generally start at menopause and then progressively worsen. Effective hormonal treatments include vaginal estrogens (Estrace, Premarin, Estradiol, Intrarosa). Unfortunately, many women either don’t want to, or can’t, use hormonal treatments.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>What Are Symptoms ?<\/span><\/a><\/h4><\/div>\nCommon Symptoms:<\/p>\n
\n- Vaginal Dryness, burning, irritation<\/li>\n
- Loss of vaginal lubrication<\/li>\n
- Discomfort\/dryness during intercourse<\/li>\n
- Urinary urgency and mild stress incontinence<\/li>\n
- External dysuria (pain\/irritation at urethral opening while urinating)<\/li>\n
- Recurrent urinary tract infections (UTI)<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Common Is It ?<\/span><\/a><\/h4><\/div>\nBetween 45-63% of postmenopausal women report experiencing symptoms of GSM. The REVIVE study reported that vaginal symptoms negatively affected enjoyment of sexual activity (59%), sleep (24%), and overall enjoyment of life (23%)<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>Will Symptoms Go Away On Their Own?<\/span><\/a><\/h4><\/div>\nUnlike hot flashes, which generally improve with time, GSM symptoms get progressively worse after menopause – this will not just go away and generally requires treatment.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Women Who Can't Use Hormone Treatments (Estrogen)<\/span><\/a><\/h4><\/div>\nBreast Cancer survivors
\nGynecologic Cancer survivors
\nWomen with recent history of:<\/p>\n
\n- Myocardial Infarct (heart attack)<\/li>\n
- Cerebrovascular Accident (stroke)<\/li>\n
- Bleeding\/Clotting disorders<\/li>\n
- Chronic Liver Disease<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Non-Hormonal Treatments for GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 Vaginal Laser Therapy is a safe and effective non-hormonal treatment for GSM. This treatment is safe for women who can’t use estrogen\/hormone therapy options.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/div><\/div>Fractional CO2 Vaginal Laser Therapy<\/h2>\n<\/div><\/div><\/div><\/div><\/i><\/i><\/span>A Safe, Non-Hormonal Treatment For GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is an effective treatment option for women who either don’t want to, or can’t, use hormone therapies. It is completely non-hormonal and is safe for women who can’t use Estrogen such as breast cancer survivors, gynecologic cancer survivors, stroke\/heart attack survivors, etc…. It is a safe and precise therapy for vaginal tissue and only acts on the most superficial layers of vaginal skin to cause change.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>An Effective Treatment For GSM<\/span><\/a><\/h4><\/div>\nSeveral years of studies have demonstrated persistent benefit for women using fractional CO2 vaginal laser therapy. Over 90% of women remained satisfied or extremely satisfied 1 year after treatment. Breast cancer survivors who were treated with fractional CO2 vaginal laser therapy showed significant improvement in vaginal dryness, itching\/stinging, pain with intercourse, and dysuria. These benefits have been demonstrated with several different C02 laser machines over a prolonged time period and are based on improvement in validated questionnaires, examination, and microscopic evaluation of tissue specimens.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Does It Work ?<\/span><\/a><\/h4><\/div>\nA special type of CO2 laser delivers pulses of focused laser energy to the vaginal epithelium in order to stimulate collagen + elastin neogenesis, increase blood flow, and create a thickened and normalized epithelium. Essentially, the fractional CO2 laser creates microscopic pinholes in the vaginal epithelium and heats surrounding tissue on a superficial microscopic level to induce tissue change, growth, and release of growth factors.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>What Is Treatment Like ? Does It Hurt ? What Is Recovery Like ?<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is painless and uses a small probe a little wider then a quarter which easily passes into the vagina. This probe uses a sterile probe cover that is only used for that specific patient (this prevents contamination between patients and is different from other similar devices). The treatment itself is done in our office and takes approximately 5-10 minutes from start to finish with no anesthesia necessary. A total of 3 of these treatments (each a month apart) is required to compete therapy. A women can go back to work, life, etc… right after treatment and there are very few immediate post treatment restrictions other than a few days of vaginal rest.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>What is Genitourinary Syndrome of Menopause (GSM)?<\/span><\/a><\/h4><\/div>\nGenitourinary Syndrome of Menopause (GSM) is a newer term for the symptoms commonly associated with the histologic\/physiologic changes associated with vaginal atrophy and genital estrogen loss. These symptoms generally start at menopause and then progressively worsen. Effective hormonal treatments include vaginal estrogens (Estrace, Premarin, Estradiol, Intrarosa). Unfortunately, many women either don’t want to, or can’t, use hormonal treatments.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>What Are Symptoms ?<\/span><\/a><\/h4><\/div>\nCommon Symptoms:<\/p>\n
\n- Vaginal Dryness, burning, irritation<\/li>\n
- Loss of vaginal lubrication<\/li>\n
- Discomfort\/dryness during intercourse<\/li>\n
- Urinary urgency and mild stress incontinence<\/li>\n
- External dysuria (pain\/irritation at urethral opening while urinating)<\/li>\n
- Recurrent urinary tract infections (UTI)<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Common Is It ?<\/span><\/a><\/h4><\/div>\nBetween 45-63% of postmenopausal women report experiencing symptoms of GSM. The REVIVE study reported that vaginal symptoms negatively affected enjoyment of sexual activity (59%), sleep (24%), and overall enjoyment of life (23%)<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>Will Symptoms Go Away On Their Own?<\/span><\/a><\/h4><\/div>\nUnlike hot flashes, which generally improve with time, GSM symptoms get progressively worse after menopause – this will not just go away and generally requires treatment.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Women Who Can't Use Hormone Treatments (Estrogen)<\/span><\/a><\/h4><\/div>\nBreast Cancer survivors
\nGynecologic Cancer survivors
\nWomen with recent history of:<\/p>\n
\n- Myocardial Infarct (heart attack)<\/li>\n
- Cerebrovascular Accident (stroke)<\/li>\n
- Bleeding\/Clotting disorders<\/li>\n
- Chronic Liver Disease<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Non-Hormonal Treatments for GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 Vaginal Laser Therapy is a safe and effective non-hormonal treatment for GSM. This treatment is safe for women who can’t use estrogen\/hormone therapy options.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/div><\/div>Fractional CO2 Vaginal Laser Therapy<\/h2>\n<\/div><\/div><\/div><\/div><\/i><\/i><\/span>A Safe, Non-Hormonal Treatment For GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is an effective treatment option for women who either don’t want to, or can’t, use hormone therapies. It is completely non-hormonal and is safe for women who can’t use Estrogen such as breast cancer survivors, gynecologic cancer survivors, stroke\/heart attack survivors, etc…. It is a safe and precise therapy for vaginal tissue and only acts on the most superficial layers of vaginal skin to cause change.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>An Effective Treatment For GSM<\/span><\/a><\/h4><\/div>\nSeveral years of studies have demonstrated persistent benefit for women using fractional CO2 vaginal laser therapy. Over 90% of women remained satisfied or extremely satisfied 1 year after treatment. Breast cancer survivors who were treated with fractional CO2 vaginal laser therapy showed significant improvement in vaginal dryness, itching\/stinging, pain with intercourse, and dysuria. These benefits have been demonstrated with several different C02 laser machines over a prolonged time period and are based on improvement in validated questionnaires, examination, and microscopic evaluation of tissue specimens.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Does It Work ?<\/span><\/a><\/h4><\/div>\nA special type of CO2 laser delivers pulses of focused laser energy to the vaginal epithelium in order to stimulate collagen + elastin neogenesis, increase blood flow, and create a thickened and normalized epithelium. Essentially, the fractional CO2 laser creates microscopic pinholes in the vaginal epithelium and heats surrounding tissue on a superficial microscopic level to induce tissue change, growth, and release of growth factors.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>What Is Treatment Like ? Does It Hurt ? What Is Recovery Like ?<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is painless and uses a small probe a little wider then a quarter which easily passes into the vagina. This probe uses a sterile probe cover that is only used for that specific patient (this prevents contamination between patients and is different from other similar devices). The treatment itself is done in our office and takes approximately 5-10 minutes from start to finish with no anesthesia necessary. A total of 3 of these treatments (each a month apart) is required to compete therapy. A women can go back to work, life, etc… right after treatment and there are very few immediate post treatment restrictions other than a few days of vaginal rest.<\/p>\n<\/div><\/div><\/div>
Genitourinary Syndrome of Menopause (GSM) is a newer term for the symptoms commonly associated with the histologic\/physiologic changes associated with vaginal atrophy and genital estrogen loss. These symptoms generally start at menopause and then progressively worsen. Effective hormonal treatments include vaginal estrogens (Estrace, Premarin, Estradiol, Intrarosa). Unfortunately, many women either don’t want to, or can’t, use hormonal treatments.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>What Are Symptoms ?<\/span><\/a><\/h4><\/div>\nCommon Symptoms:<\/p>\n
\n- Vaginal Dryness, burning, irritation<\/li>\n
- Loss of vaginal lubrication<\/li>\n
- Discomfort\/dryness during intercourse<\/li>\n
- Urinary urgency and mild stress incontinence<\/li>\n
- External dysuria (pain\/irritation at urethral opening while urinating)<\/li>\n
- Recurrent urinary tract infections (UTI)<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Common Is It ?<\/span><\/a><\/h4><\/div>\nBetween 45-63% of postmenopausal women report experiencing symptoms of GSM. The REVIVE study reported that vaginal symptoms negatively affected enjoyment of sexual activity (59%), sleep (24%), and overall enjoyment of life (23%)<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>Will Symptoms Go Away On Their Own?<\/span><\/a><\/h4><\/div>\nUnlike hot flashes, which generally improve with time, GSM symptoms get progressively worse after menopause – this will not just go away and generally requires treatment.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Women Who Can't Use Hormone Treatments (Estrogen)<\/span><\/a><\/h4><\/div>\nBreast Cancer survivors
\nGynecologic Cancer survivors
\nWomen with recent history of:<\/p>\n
\n- Myocardial Infarct (heart attack)<\/li>\n
- Cerebrovascular Accident (stroke)<\/li>\n
- Bleeding\/Clotting disorders<\/li>\n
- Chronic Liver Disease<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Non-Hormonal Treatments for GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 Vaginal Laser Therapy is a safe and effective non-hormonal treatment for GSM. This treatment is safe for women who can’t use estrogen\/hormone therapy options.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/div><\/div>Fractional CO2 Vaginal Laser Therapy<\/h2>\n<\/div><\/div><\/div><\/div><\/i><\/i><\/span>A Safe, Non-Hormonal Treatment For GSM<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is an effective treatment option for women who either don’t want to, or can’t, use hormone therapies. It is completely non-hormonal and is safe for women who can’t use Estrogen such as breast cancer survivors, gynecologic cancer survivors, stroke\/heart attack survivors, etc…. It is a safe and precise therapy for vaginal tissue and only acts on the most superficial layers of vaginal skin to cause change.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>An Effective Treatment For GSM<\/span><\/a><\/h4><\/div>\nSeveral years of studies have demonstrated persistent benefit for women using fractional CO2 vaginal laser therapy. Over 90% of women remained satisfied or extremely satisfied 1 year after treatment. Breast cancer survivors who were treated with fractional CO2 vaginal laser therapy showed significant improvement in vaginal dryness, itching\/stinging, pain with intercourse, and dysuria. These benefits have been demonstrated with several different C02 laser machines over a prolonged time period and are based on improvement in validated questionnaires, examination, and microscopic evaluation of tissue specimens.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Does It Work ?<\/span><\/a><\/h4><\/div>\nA special type of CO2 laser delivers pulses of focused laser energy to the vaginal epithelium in order to stimulate collagen + elastin neogenesis, increase blood flow, and create a thickened and normalized epithelium. Essentially, the fractional CO2 laser creates microscopic pinholes in the vaginal epithelium and heats surrounding tissue on a superficial microscopic level to induce tissue change, growth, and release of growth factors.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>What Is Treatment Like ? Does It Hurt ? What Is Recovery Like ?<\/span><\/a><\/h4><\/div>\nFractional CO2 vaginal laser therapy is painless and uses a small probe a little wider then a quarter which easily passes into the vagina. This probe uses a sterile probe cover that is only used for that specific patient (this prevents contamination between patients and is different from other similar devices). The treatment itself is done in our office and takes approximately 5-10 minutes from start to finish with no anesthesia necessary. A total of 3 of these treatments (each a month apart) is required to compete therapy. A women can go back to work, life, etc… right after treatment and there are very few immediate post treatment restrictions other than a few days of vaginal rest.<\/p>\n<\/div><\/div><\/div>
Common Symptoms:<\/p>\n
- \n
- Vaginal Dryness, burning, irritation<\/li>\n
- Loss of vaginal lubrication<\/li>\n
- Discomfort\/dryness during intercourse<\/li>\n
- Urinary urgency and mild stress incontinence<\/li>\n
- External dysuria (pain\/irritation at urethral opening while urinating)<\/li>\n
- Recurrent urinary tract infections (UTI)<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Common Is It ?<\/span><\/a><\/h4><\/div>
\nBetween 45-63% of postmenopausal women report experiencing symptoms of GSM. The REVIVE study reported that vaginal symptoms negatively affected enjoyment of sexual activity (59%), sleep (24%), and overall enjoyment of life (23%)<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>Will Symptoms Go Away On Their Own?<\/span><\/a><\/h4><\/div>
\nUnlike hot flashes, which generally improve with time, GSM symptoms get progressively worse after menopause – this will not just go away and generally requires treatment.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Women Who Can't Use Hormone Treatments (Estrogen)<\/span><\/a><\/h4><\/div>
\nBreast Cancer survivors
\nGynecologic Cancer survivors
\nWomen with recent history of:<\/p>\n- \n
- Myocardial Infarct (heart attack)<\/li>\n
- Cerebrovascular Accident (stroke)<\/li>\n
- Bleeding\/Clotting disorders<\/li>\n
- Chronic Liver Disease<\/li>\n<\/ul>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>Non-Hormonal Treatments for GSM<\/span><\/a><\/h4><\/div>
\nFractional CO2 Vaginal Laser Therapy is a safe and effective non-hormonal treatment for GSM. This treatment is safe for women who can’t use estrogen\/hormone therapy options.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/div><\/div>Fractional CO2 Vaginal Laser Therapy<\/h2>\n<\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>A Safe, Non-Hormonal Treatment For GSM<\/span><\/a><\/h4><\/div>
\nFractional CO2 vaginal laser therapy is an effective treatment option for women who either don’t want to, or can’t, use hormone therapies. It is completely non-hormonal and is safe for women who can’t use Estrogen such as breast cancer survivors, gynecologic cancer survivors, stroke\/heart attack survivors, etc…. It is a safe and precise therapy for vaginal tissue and only acts on the most superficial layers of vaginal skin to cause change.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>An Effective Treatment For GSM<\/span><\/a><\/h4><\/div>
\nSeveral years of studies have demonstrated persistent benefit for women using fractional CO2 vaginal laser therapy. Over 90% of women remained satisfied or extremely satisfied 1 year after treatment. Breast cancer survivors who were treated with fractional CO2 vaginal laser therapy showed significant improvement in vaginal dryness, itching\/stinging, pain with intercourse, and dysuria. These benefits have been demonstrated with several different C02 laser machines over a prolonged time period and are based on improvement in validated questionnaires, examination, and microscopic evaluation of tissue specimens.<\/p>\n<\/div><\/div><\/div>
<\/i><\/i><\/span>How Does It Work ?<\/span><\/a><\/h4><\/div>
\nA special type of CO2 laser delivers pulses of focused laser energy to the vaginal epithelium in order to stimulate collagen + elastin neogenesis, increase blood flow, and create a thickened and normalized epithelium. Essentially, the fractional CO2 laser creates microscopic pinholes in the vaginal epithelium and heats surrounding tissue on a superficial microscopic level to induce tissue change, growth, and release of growth factors.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div><\/div><\/i><\/i><\/span>What Is Treatment Like ? Does It Hurt ? What Is Recovery Like ?<\/span><\/a><\/h4><\/div>
\nFractional CO2 vaginal laser therapy is painless and uses a small probe a little wider then a quarter which easily passes into the vagina. This probe uses a sterile probe cover that is only used for that specific patient (this prevents contamination between patients and is different from other similar devices). The treatment itself is done in our office and takes approximately 5-10 minutes from start to finish with no anesthesia necessary. A total of 3 of these treatments (each a month apart) is required to compete therapy. A women can go back to work, life, etc… right after treatment and there are very few immediate post treatment restrictions other than a few days of vaginal rest.<\/p>\n<\/div><\/div><\/div>
![](\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/Premenopausal-Vaginal-Tissue.jpg\" "\\"Premenopausal")
<\/span><\/div><\/div>![](\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/Postmenopausal-Vaginal-Tissue.jpg\" "\\"Postmenopausal")
<\/span><\/div><\/div>![](\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/After-CO2-Laser-Therapy.jpg\" "\\"After")
<\/span><\/div><\/div>![](\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/Vector-Smart-Object.png\" "\\"Vector-Smart-Object\\"")
<\/span><\/div>