Fractional CO2 Laser Vaginal Rejuvenation

For treatment of the symptoms vulvovaginal atrophy

Sexual health is an important aspect of overall health that changes over a women’s lifetime and problems in sexual health may adversely affect quality of life. Vulvovaginal atrophy (VVA) is a common and underreported condition that can occur at any time in a women’s life, but is more common following menopause due to changes in hormone levels and the effect that they have on the vaginal mucosa.

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A new approach to treating the symptoms of vulvovaginal atrophy is using fractionated CO2 laser technology with minimal downtime or discomfort. The CO2RE Intima by Candela is a safe and quick non-surgical treatment that delivers controlled CO2 energy to the vaginal tissue to induce remodelling of the tissue and stimulation of new collagen. This TGA approved device allows treatment of the superficial and deep skin layers of both the internal vaginal canal and external vulval skin. Treatments taken only 10 to 15 minutes and have minimal downtime. Patients receive 3 treatments spaced 4 weeks apart and each year thereafter receive a single treatment to maintain results. In a recent clinical study 81% of patients reported improved sexual gratification following treatment with CO2RE Intima3.

Symptoms of this condition include:

  • Vaginal dryness
  • Irritation
  • Soreness
  • Increased urinary frequency
  • Urinary urgency
  • Urge incontinence
  • Pain during intercourse

Studies have shown the prevalence of these symptoms to be up to 50% in post-menopausal women1 and that this subsequently affected sexual satisfaction and general quality of life2. Current treatment options for this include systemic hormone replacement, topical treatments, pelvic floor exercises and surgery.

CO2RE Intima is an in-office, non-surgical laser treatment that treats:

  1. Loss of vaginal tone due to childbirth and ageing
  2. Loss of vaginal elasticity due to lack of collagen
  3. Stress urinary incontinence
  4. Painful intercourse
  5. Loss of lubrication due to reduced estrogen levels


Am I a good candidate for CO2RE Intima laser treatment?

If you experience any symptoms of vulvovaginal atrophy then you are a candidate for treatment. The most common reasons that women would seek CO2RE Intima treatment include relief from loss of vaginal tone, loss of elasticity, lack of lubrication, urinary stress incontinence, enhancement of sexual function or cosmetic vaginal improvement.

Is there any downtime?

There is no downtime following the CO2RE Intima treatment. Each treatment takes 10 to 15 minutes to perform and, as they are non-surgical, you can immediately return to your daily routine. Patients are asked to refrain from sexual activity for one week to allow the cells to heal.

How many treatments are required?

Patients received three in-office treatments spaced 4 weeks apart. Following this they would generally receive a single treatment annually to maintain results.

What results will I notice?

After the series of 3 treatments spaced a month apart, women reported improvement in vaginal tone and elasticity, improved lubrication and decreased pain during intercourse. In addition most patients had relief from urinary stress incontinence and an improvement in their sexual experience. Many of these women reported these improvements after their first treatment.

Who is this treatment most suitable for?

CO2RE Intima is designed for women who want to relieve the signs of childbearing and ageing in their vaginal area. This includes post-childbearing and perimenopausal women, women for desire enhancement in sexual functioning and a better sexual experience, women who seek cosmetic vaginal improvement and women who want to feel more confident about their sexual health.

Who is this treatment not suitable for?

Prior to your treatment you will have a medical consultation with a  Doctor who will assess your suitability for the CO2RE Intima treatment. However some common contraindications to treatment with this device include:

  • Vaginal or pelvic surgery in the last 12 months
  • Implants or mesh in the treatment area
  • History of genital herpes
  • Uterine prolapse
  • Pelvic infection
  • Active cancer or cancer treatment in the last 5 years
  • Currently pregnant or breastfeeding

In some instances we may require a letter from your General Practitioner or Gynaecologist to proceed with the treatment, however this will be discussed at your initial consultation.

How to I prepare for CO2RE Intima treatment?

During the initial consultation detailed pre-treatment instructions will be discussed to ensure the safest and most effective treatment. Prior to the treatment it is required that patients have had a normal cervical screening test (pap smear) with their GP or gynaecologist in the past 12 months. On the day of treatment patients will need to arrive to the clinic free of any hair in the treatment area and should not be actively menstruating or about to start their cycle.

What are the possible side effects?

As with any medical procedure there are possible side effects that may be experienced during treatment or shortly afterwards. Although these side effects are rare, and usually temporary, they should be reported to the clinic as soon as they are recognized. The side effects that may appear in the treatment area include:

  • Pain
  • Excessive skin redness
  • Damage to the natural skin texture (crusting, blistering, burns)
  • Change to pigmentation (increased or decreased)
  • Bruising
  • Infection

What is the aftercare required?

Following the treatment patients should wash gently with lukewarm water and soap-free wash. Patients should refrain from sexual intercourse and use of tampons for 7 days post-procedure. These instructions will be discussed in more detail at your initial consultation.

How do I book in for the CO2RE Intima treatment?

Contact the clinic on 1300 165 374 to book a consultation with Dr. Scott to assess your suitability for this treatment.

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