Vulvo-vaginal atrophy: A new treatment modality using thermo-ablative fractional CO2 laser

Highlights • Vulvo-vaginal atrophy is a progressive, chronic condition that manifests as involution of the vulvo-vaginal mucous membranes and tissues due to the menopausal drop in estrogen levels. It can worsen over the years and negatively influence quality of life. • The use of CO2 laser has been widely adopted in medicine, especially in dermatology and plastic surgery. It consists of a CO2 ray, which generates heat and vaporizes the water content of target cells. • Laser technology can be used to achieve vaginal “regeneration” with a minimally invasive procedure, thereby improving elasticity and hydration of the vaginal walls and relieving discomfort in menopausal women. • We report our experience about the application of the fractional CO2 Laser treatment to determine the safety and efficacy of this treatment in improving VVA symptoms in post-menopausal women.