Erbium Laser for Treatment of Vaginal Looseness and Sexual Dysfunction.

The Affect of Erbium Laser Treatments on Vaginal Looseness and Sexual Dysfunction in Pre-menopausal Female Individuals.

Patients with a primary complaint of vaginal looseness and sexual dysfunction, visiting a sexual dysfunction clinic at a tertiary medical center will undergo randomization to either a series of 3 laser treatments or 3 sham treatments, and the effect of these treatments will be measured by several validated questionaires and by means of gynecological examination.

Patients suffering from vaginal looseness and sexual dysfunction, as a primary sexual dysfunction complaint will be recruited, sign an informed consent and will receive a thorough explanation regarding the side effects and possible beneficial affects the laser treatments may bestow.

Patients will undergo randomization to either a series of 3 laser treatments or 3 sham treatments, and the effect of these treatments will be measured by several validated questionaires and by means of gynecological examination.

Follow up after treatment cessation will be for 12 months post-treatment.

Inclusion Criteria:

• Premenopausal women.
• Women with vaginal looseness and sexual dysfunction as a primary complaint.

Exclusion Criteria:

• Vaginal bleeding of unknown source.
• Repeated vaginal infections.
• Known or suspected cervical pre-malignant neoplasia.
• Previous treatment with vaginal laser or other forms of energy-based treatment modalities.
• Pregnancy.
• Current pelvic inflammatory disease or urinary tract infection.
• Vaginal surgery during the year preceding study participation.
• Treatment with systemic or vaginal hormone replacement therapy.
• Current pelvic floor physiotherapy.