Objectives: To review Lasers CO2 and Erbium Yag, lasers tissue interaction, delivery systems and their clinical applications relevant to vulvo-vaginal area.
Comparison between the two lasers concerning their indications, their results and their side effects and complications

Introduction: Aesthetic and regenerative gynecology is a relatively new and growing subspecialty of gynecology.
Its objective is to improve the appearance and restore the function of the vulvo-vaginal region which may have been damaged during pregnancy, childbirth, or during tissue changes induced by aging and menopause.
The use of minimally invasive energy treatments as well as other methods which may be medical or surgical are used to achieve the dual goals of satisfactory function and appearance.
Among EBD for vaginal procedures , CO2 and Erbium Yag lasers are the most widely used applications.

Materials / method: An exhaustive review of the literature on the CO2 laser and the Erbium Yag Laser, as well as a personal experience are described and make it possible to establish a comparison between the 2 Lasers in their female genital applications.

Results: C02 and Erbium Yag lasers applied to the female genital area seem to improve functional signs as well as genital restoration.
Depending on the indication, the results are variable, and the CO2 Laser seems to prevail in certain indications, just like the Erbium Yag Laser offers better results in others.
But in the end, there would not be a big difference in the results between the two lasers just like for the side effects and the complications which seem very rare for the two devices.

Conclusion: New energy-based technologies such as CO2 and Erbium Yag lasers make it possible to treat certain pathologies of the female genital area in a non-invasive way.
CO2 and Erbium Yag Lasers seem to be equivalent in terms of their protocols, their results, their short and long-term effects and the virtual absence of side effects or complications.
However, other studies and randomized trials of greater magnitude and long term must confirm these very good results of lasers in the female genital area.

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Objectives: To study the efficacy of RF devices for Intimate rejuvenation.I use non invasive monopolar RF device for vaginal rejuvenation.

Introduction: Intimate Rejuvenation or Vaginal rejuvenation consists of surgical and nonsurgical treatments that firm,tighten and rejuvenate the skin around the vagina or tighten the vaginal canal.It helps improve issues such as sexual dysfunction, urinary incontinence and vaginal dryness.It also helps in relieving pain during sex,treats urinary incontinence or improves the skin quality of the vagina.Mostly women inquire about these treatments after childbirth and during pre and post menopause.
At my clinics we use Monopolar RF for non invasive vaginal rejuvenation for treating vaginal relaxation

Materials / method: We treated 16 cases with Monopolar RF for Intimate rejuvenation.Average Age group was 35yrs and Average 6 sessions were done at once a week protocol. Evaluation was done by Patient Satisfaction Scale (level 1-5). Patient Satisfaction Scale was filled by the subjects after 3 months of their last treatment.

Results: 65% percent of Women experienced better sex life. Because vaginal rejuvenation tightens the vaginal canal, friction is increased during intercourse and causes greater stimulation and pleasure during sex. It is not only the vaginal structure that improves sexual satisfaction, but the improvement in the aesthetic appearance enhances their self confidence resulting in increased libido

Conclusion: Monopolar RF is a promising non invasive modality for intimate rejuvenation.

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