Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review
نویسندگان
چکیده
Genitourinary syndrome of menopause (GSM) causes significant symptomatic aggravation that affects the quality life (QoL). Vulvovaginal atrophy (VVA), hallmark GSM, is managed with topical non-hormonal therapy, including moisturizers and lubricants, estrogen application. Patients not responding/being unsatisfied previous local therapies are candidates for a noninvasive modality. Carbon dioxide (CO2) laser especially fractionated type (FrCO2), has drawn considerable attention over past two decades as non-invasive treatment GSM. This systematic review describes accumulated evidence from 40 FrCO2 studies (3466 participants) in GSM/VVA. MEDLINE, Scopus Cochrane databases were searched through April 2021. We analyze effects therapy on symptoms, sexual function, QoL patients As shown this review, GSM shows good efficacy safety. modality potential to advance female wellness. Patient satisfaction was high included review. However, there lack level I evidence, more randomized sham-controlled trials required. Furthermore, several clinical questions, such number sessions required determine cost-effectiveness, should be addressed. Also, whether may exert synergistic effect systemic and/or hormonal/non-hormonal treatments, energy-based devices, other modalities treat GMS requires further investigation. Lastly, compare devices erbium:YAG radiofrequency.
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ژورنال
عنوان ژورنال: Cosmetics
سال: 2021
ISSN: ['2079-9284']
DOI: https://doi.org/10.3390/cosmetics8030056