No, the treatment is not painful. You may feel discomfort on insertion of vaginal probe especially if you have not been sexually active for a while. Dr Novikova uses oil over the vaginal probe to make insertion less uncomfortable. During the procedure you may feel warmness in the vagina. If you feel any discomfort or pain, Dr Novikova will adjust the laser settings to keep you comfortable.
Dr Novikova uses CO2 laser called Femilift. This laser is approved by FDA. Alma laser has been on the market for decades and the company is a leader in laser industry. It’s the only vaginal laser that has disposable probe to cover vaginal hand piece which avoids transmission of any infection.
Vaginal skin contains collagen fibers that give the skin flexibility and strength. Femilift vaginal laser gently heats vaginal skin. This heat contract existing fibers. The trauma (very minimal and superficial) caused by heat stimulates the growth of new collagen and healthy vaginal skin. This process improves normalizes the blood flow in vaginal skin, increases lubrication, restores strength and elasticity of vaginal wall.
You expect to feel the full (maximum) result 3 months after your last 3rd procedure. Some women (especially these suffering from vaginal dryness and recurrent infection) feel significant improvement of their symptoms after the 1st treatment. Women with stress urinary incontinence may feel some improvement after 2nd session, but the full effect is felt three months after the last treatment.
Generally 3 treatments are enough to achieve desired result. If the results has not achieved you may need an alternative treatment such as sling procedure for stress urinary incontinence, vaginoplasty for vaginal tightening.
Occasionally doctors will choose to do more treatments (usually 4-6 treatments every 2 weeks) if a lower energy of laser has to be used during treatments.
Depending on the problem, vaginal laser treatment improves symptoms of atrophic vaginitis in majority of women, it works for mild to moderate stress incontinence in 4 out 5 women. We do not know how well vaginal laser treatment works for vaginal tightening.