Vaginal fractionated laser therapy (vulvovaginal laser therapy) – innovative, minimally invasive, non-surgical and non-hormonal procedure for the treatment of vulvovaginal dysfunctions, mostly recurrent, difficult to treat, especially concerning sexuality and diseases in the intimate area. Predominantly women in premenopausal/menopausal or other estrogen deficiency situations suffer from it. Mild forms of urinary incontinence (bladder weakness), urge symptoms, nocturia (nocturnal urination), chronic recurrent cystitis (recurrent bladder infections), and descensus complaints can also improve. Particularly noteworthy are the excellent results in the treatment of lichen sclerosus, usually eliminating the need for cortisonetherapy.Impressive is the minimal rate of side effects and the absence of complications with this method, as well as the possibility of use after chemotherapy or radiation therapy. However, evaluation by controlled studies is still lacking. For details see chapter: “Vulvovaginal laser therapy“, “Laser therapy for bladder problems in women“, laser therapy for lichen sclerosus“.
Psychotherapy
If the cause lies in a psychological conflict, then psychological counseling or sex therapy can help to cure dyspareunia. For this purpose, no standardized therapeutic procedure has been established so far.