What is MonaLisa Touch fractional CO2 laser treatment?
MonaLisa Touch is a gentle laser designed specifically for vaginal use that delivers controlled energy to vaginal wall tissue. It restores vaginal health by stimulating natural growth factors and signaling tissue to generate new collagen, elastin, and improve blood vessel supply.

How does it work?
MonaLisa Touch laser treatment uses CO
2 fractional laser energy on the exterior and interior of the vaginal canal. It is very different from YAG or RF-based lasers which were not designed specifically for vaginal use. The MonaLisa Touch targets surface (epithelial) tissue and deep (lamina propia) tissue to promote vaginal mucosa which restores youth to the vagina.

Who should use MonaLisa Touch laser treatment?
Treatments are recommended for women who wish to treat or prevent vaginal atrophy symptoms due to lack of estrogen. These include women:

  • who are going or have gone through menopause and have vaginal dryness, pain with intercourse, urinary incontinence, recurrent urinary or vaginal infections, or lack of sensation
  • experiencing post-menopausal vaginal symptoms from a hysterectomy or breast cancer and/or cannot receive estrogen therapy
  • who prefer not to use hormone therapy
  • who are recovering from childbirth and have “loose vagina”

Can MonaLisa Touch laser treatment be used to treat vaginal laxity?*
MonaLisa Touch laser treatment may be appropriate in cases where the “loose vagina” is due to mucosal loss in the vaginal lining. “Loose vagina” refers to a condition where the vaginal diameter has increased over time. This occurs from giving birth or tissue relaxation due to aging. It is important for our Rockhill Women's Care doctors to evaluate the cause and state of the vagina in order to exclude a pelvic organ prolapse or an involvement of pelvic muscles/tissues.

Is the fractional CO2 laser procedure safe for women with breast cancer?
MonaLisa Touch Laser Treatment is particularly well-suited for women who cannot receive or prefer not to receive estrogen therapy because it is a non-hormonal treatment.

How many MonaLisa Touch laser treatment sessions are needed?
Clinical protocols recommend 3 initial treatments spaced approximately 6 to 8 weeks apart, especially because subsequent treatments increase in laser strength and symptom abatement. Additional maintenance treatments may be needed yearly or every other year depending on initial response and symptom severity. Our Rockhill Women's Care doctors, after a careful consult examination, evaluate and recommend your optimal treatment plan.

Does MonaLisa Touch laser treatment hurt?*

The procedure is virtually painless and requires no anesthesia. Some patients may experience slight discomfort the first time the probe is inserted, but the actual laser treatment is not painful. Many describe the internal application as a “gentle vibration.” Numbing cream is applied for the external treatment due to the nerve sensation in that area. A feeling of slight sunburn may persist for a few days following treatment on the exterior of the vagina since both the outside and inside are treated for maximum benefit.

​How long does a treatment take? 
The actual overall treatment is brief, only 5 minutes. However, for the external treatment, numbing cream is applied, which will extend the pre-treatment time by 20 minutes.

Who performs the treatment? 
Only our highly qualified Rockhill Women's Care doctors who have actually experienced the MonaLisa Touch laser procedure will perform the treatments. You will not be treated by a nurse or nurse practitioner.

What is the recovery process?
Some women report slight localized discomfort for a few days following the laser treatment. We send you home with a gel ice pack in case some cooling is desired. Sexual activity should be restricted for 2 to 3 days after treatment. NO time off work is necessary. Most women almost immediately resume their normal routine.

When will I see results and how long do the effects of MonaLisa Touch laser treatment last?*

The results are immediate, beginning within the first week after the first treatment for most patients.  Progressive improvement was reported in clinical trials over subsequent treatments and months and was also observed in our own experience and among our patients. The laser is increased in strength on subsequent sessions so it is important to complete the 3-treatment package for optimal results. Single session re-treatment may be need every 12 to 18 months.

How soon can I resume sexual activity?

Typically sexual activity can be resumed several days following treatments but 7 days are recommended.

What clinical trials have been conducted on MonaLisa Touch laser treatment?
Clinical trials have been conducted in the US and Europe, both demonstrating significant benefit. 
US trials were conducted on postmenopausal women and breast cancer survivors experiencing vaginal health issues. Trials assessed the use of CO
2 fractional laser therapy on these women. Significant improvement was shown in both symptoms and quality of life. Results from trials indicated:

  • Overwhelming positive and immediate results

  • Statistically significant improvement in symptoms following the first treatment

  • Escalation of symptom improvement after each subsequent treatment

Where can I have this done?
Rockhill Women’s Care offers MonaLisa Touch laser treatment in the Menorah Medical Center office at 5701 W. 119th St., Suite 225, Overland Park, Kansas, 66209, laser@rockhillwc.com   
Dr. Carla Pearman and Dr. Mara Galvin have both personally experienced the process and can speak woman-to-woman with you about it. If you are an existing patient and have been seen in the past year, you can call to schedule MonaLisa Touch laser  treatment. If you are a new patient, a consult can be made with either doctor in order for them to evaluate you and recommend the optimal course of treatment. Your pap smear must be up-to-date. The cost of the consult is included in the treatment package. 

Is the procedure FDA-cleared?
MonaLisa Touch laser treatment was cleared by the FDA in 2014.

Are there any risks with MonaLisa Touch laser treatment?*
Risks are minimal. There have not been any significant complications reported in over 20,000 women treated worldwide. Most women report temporary side effects of slight redness or swelling or some discomfort that usually resolves completely within days of treatment.

Are there patients who should not get MonaLisa Touch laser treatment?
There are no absolute exclusion criteria other than those related to serious local or systemic diseases. Nearly all patients with genitourinary syndrome may be safely treated.
MonaLisa Touch laser treatment might not be appropriate for the following conditions so we suggest our doctors consult with you if you suffer from: undiagnosed vaginal/cervical/other lesions, have vaginal or vulvar infections, have prolapse beyond hymen, have a history of reconstructive pelvic surgery, have a history of impaired healing or significant keloid formation, or have known anticoagulant or thromboembolic condition. We do not recommend treatment for pregnant women or those within 3 months postpartum.

How much will treatment cost?
Please contact us at laser@rockhillwc.com or call 913 601 4023 or 816 416 8790 for pricing. 

Will it be covered by insurance?
Insurance coverage is not available at this time. Our price includes your initial consult. 

May I use my FSA or HSA account to pay for the procedure?
MonaLisa Touch laser treatments can be paid using FSA of HSA accounts because it is a medical procedure that is conducted in a doctor's office. 

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* Results may vary from person to person