摘要

Objectives: The aim of this study is to provide an overview of existing non-invasive solutions that would be able to tackle these major vulvovaginal changes. Introduction: The natural aggravating vulvovaginal changes are unfortunately a normal part of women’s aging described as vulvovaginal atrophy. It is characterized by a broad spectrum of genital (dryness, burning, and irritation), sexual (reduced lubrication, dyspareunia), and also urinary symptoms due to weak pelvic floor muscles (PFM). Materials / method: To deliver a complex treatment solution for the patient, it is necessary to target both factors of women's aging, the weak pelvic muscles as well as the atrophying vaginal tissue. Weak pelvic muscles highly contribute to urinary symptoms and have a negative effect on sexual life. Vaginal atrophy symptoms negatively affect the intimate life of the patients by dyspareunia. A complex solution to intimate health appears to be the combo treatment with HIFEM technology that stimulates the pelvic floor muscles and the Monopolar RF that restores vaginal elasticity. Results: Vulvovaginal changes appear to have a great impact on the QOL of affected women since these symptoms in most cases deteriorate if left untreated. The RF and HIFEM combo treatment leads to the improvement of vaginal laxity through collagen and elastin structural remodeling and the alleviation of UI symptoms due to PFM augmentation. Further, patients are highly satisfied with the mitigation of vaginal atrophy symptoms such as vaginal dryness, itching, and related dyspareunia, resulting in increased QOL including pleasure from their sexual and fitness life. Conclusion: The combined treatment of monopolar RF and HIFEM procedure effectively enhances female pelvic floor health. The induced changes may have a serious impact on the subject’s quality of life by decreasing incontinence severity and improving sexual function.