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Vaginal Rejuvenation

In every woman's life, natural events like childbirth, aging, and the effects of menopause can all play a role in diminishing the look and feel of the vulva and vagina. Vaginal dryness due to decreasing hormone levels occurs in 40 to 60% of women. These changes can have real consequences for a woman's confidence, her sensation during sex, relationships, and self-esteem. With the nonsurgical CO2RE® Intima laser or PRP therapy treatments, gentle and comfortable vaginal rejuvenation without surgery is possible here in Spokane and Coeur d'Alene.

Is Vaginal Rejuvenation Right for Me?

Women seek vaginal rejuvenation (sometimes called vaginal restoration or reconstruction) treatment for many different reasons, as vaginal childbirth and aging can have multiple effects on the vaginal tissues. Some have experienced a decrease in sexual satisfaction, vaginal sensation, or tone; painful intercourse; frequent urinary tract infections; vaginal dryness; or the onset of urinary incontinence. Others feel uncomfortable when wearing tight-fitting clothing, or have noticed cosmetic changes with the look, or feel of the internal and external labia and have considered labiaplasty (a surgical procedure).

Accordingly, the best indicator of an ideal patient is a woman who wants to reverse the effects of childbirth, aging, and hormonal changes. Adult women of any age are eligible for treatment, provided that tissue rejuvenation can offer a significant improvement to their vaginal health, unwanted symptoms, and urinary incontinence.

vaginal illustration

How It Works

The CO2RE Intima is a fractionated CO2 laser that delivers pulses of laser energy to the vaginal wall and the vulvar tissue, via a simple handheld device. There is no incision or need for sedation. The laser energy gently heats up the tissue, which promotes collagen rebuilding. This encourages the body to produce new collagen — the building block for smoother, tighter tissue. This results in tightening of the vaginal canal and labia, tightening and support of the urethra and bladder, and improves blood flow and lubrication.

Comparison to Other Devices

Other devices currently claim similar benefits and indications for treatment to CO2RE Intima, but there are some clear differences. The following table illustrates why we've chosen CO2RE over ThermiVa® for our Spokane and Coeur d'Alene patients:

CO2RE Intima®

ThermiVa®

Ablative CO2 laser

Non-ablative radiofrequency energy

10 minutes per treatment

45 minutes per treatment

FDA Indications for Use

510(k) Number: K151655
Device Name
Syneron CO2RE Laser System

Indications for Use:

  • Gynecology - Laser incision, excision, ablation and/or vaporization and of soft tissue in gynecology for the treatment of conization of the cervix, including cervical intraepithelial neoplasia (CIN), vulvar and vaginal intraepithelial neoplasia (VIN, VAIN);
  • condyloma acuminate, including cervical, genital, vulvar, perineal, and Bowen's disease, (Erythroplasia of Queyrat) and Bowenoid papulosis (BP) lesions
  • Leukoplakia (vulvar dystrophies)
  • Herpes vaporization
  • Urethral caruncle vaporization
  • Cervical dysplasia
  • Benign and malignant tumors

*FDA-approved for internal and external use and specifically approved for vaginal and vulvar tissue

FDA Indications for Use

510(k) Number: K 130689
Device Name
ThermiC~en Symphony RE Generator

Indications for Use:

  • Dermatological and general surgical procedures for electrocoagulation and hemostasis
  • To create lesions in nervous tissue when used in combination with Neuromhermn (previously Smith&Nephew) thermal/coagulation probes

*Not FDA-approved specifically for internal use or vaginal or vulvar tissue

How CO2RE Intima compares to ThermiVa®

The CO2RE Intima device is nimble, giving us the precise control we need to adjust the intensity, pattern, and depth of the laser. A treatment can improve external vulvar tissue (labia), the introitus, and the vaginal canal in as little as 10 minutes.

Your Treatment & Results

During treatment, there is no need for anesthesia. You will feel the sensation of heat in the treatment area, but at a level that's comfortable. As the CO2RE Intima laser passes over your vaginal and vulva tissue, it applies pulsed energy. The heat delivered by the pulses stimulates new collagen growth, with minimal discomfort. The healing response also enhances moisture levels in the vaginal canal.

Immediately after treatment, you may have some mild swelling and redness. There may also be some mild cramping if the vaginal wall is treated. These are all normal effects. You will need to refrain from sexual activity for the first 7 days after treatment, but may otherwise resume your normal routine right away.

While many patients see and feel an improvement soon after the first treatment, you will continue to see results develop over time. Patients typically receive 3 in-office treatments, spaced about 4 weeks apart. This gives the body adequate time to heal between treatments and allows us to evaluate how your results are progressing.

Once the third treatment is complete, an annual maintenance treatment can help you preserve the results for many years to come.

To learn more about treatment with the CO2RE Intima laser, read Dr. Johnson's blog post on this topic.

PRP (The "O Shot")

Dr. Johnson also offers platelet-rich plasma (PRP) therapy as another nonsurgical option for restoring greater sensation during sexual intercourse. Sometimes referred to as the "O shot," PRP therapy uses platelets separated from your own blood. Dr. Johnson injects PRP after using a topical anesthetic to numb the treatment area.

Common Questions

What is the difference between vaginal rejuvenation and labiaplasty?

"Vaginal rejuvenation" is a general term that refers to any procedure, surgical or not, that improves the look or feel of the vaginal and vulva tissues‐inside or out. Some of these procedures focus more on the "feel" of the vaginal canal and aim to tighten stretched tissues. This is what Dr. Johnson offers here in Spokane and Coeur d'Alene. Labiaplasty is a surgical procedure that reduces or evens the size of the labia minora, and may be performed for cosmetic or functional reasons‐or both. Dr. Johnson does not offer labiaplasty.

Will CO2RE Intima change the appearance of this area?

The CO2RE Intima device can remodel labial and vulvar tissue fibers, providing some improvement in flexibility and shape. It can also lighten the color of the inner labia or entrance of the vagina and improve skin texture and tone.

Are there any risks?

Although no procedure is completely risk-free, CO2RE Intima has been well studied and deemed exceedingly safe. It uses FDA-cleared technology and a sterile, single-use handpiece that ensures the treatment is hygienic.

For a discreet, compassionate, and honest discussion about vaginal rejuvenation at our locations in Spokane or Coeur d'Alene, request a consultation or give us a call at (208) 676-8346 .

From the Blog

From the Blog

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