Laser treatment for genitourinary syndrome of menopause SIP 2022

Question 1

What is Genitourinary syndrome of menopause (GSM)?

Answer 1

Symptoms - vuvla pain, dryness, itching, pain due SI, fragile vaginal tissues and urinary Sx (frequency, incotinence, haemautria, recurrent UTI) due to lack of oestrogen

Question 1

Traditional treatment for GSM

Answer 1

Vaingal lubricant, moisturisers or oestrogens.

Question 2

2 main types of laser used to treat GDM>

Answer 2

The Co2 Laser MonaLisa Toying

Er:YAG laser

Question 3

Summary of evidence for there use?

Answer 3

May be beneficial, studies underpwoered.
Effects seem to subside after 18 months, repeat treatments not studied.

Question 4

Adverse effects of laster?

Answer 4

Vaginal discharge 4%
Oedema
Pain during treatment
Pinpoint bleeding

All subside after 2 weeks