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Gynecology & Obstetrics

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Vaginal Revitalization Program: Treatment for Vaginal Atrophy

Blonde women with crossed arms smiling confidently in a garden.

The Johns Hopkins Department of Gynecology and Obstetrics offers an innovative laser therapy to address the symptoms of vaginal atrophy (thinning, dryness and inflammation).

Vaginal atrophy can occur during perimenopause, menopause or as a result of cancer treatment. The condition causes vaginal dryness, inflammation and irritation, which can lead to painful intercourse and painful or frequent urination.

This cutting-edge procedure has the potential to ease the effects of natural or medically induced menopause and improve your lifestyle.

Laser Treatment for Vaginal Atrophy: Alternative to Estrogen Therapy

Traditional treatments use estrogen therapy to combat vaginal atrophy and restore vaginal health. This program provides a unique, non-hormonal alternative for hormone-sensitive women (e.g. breast cancer or other gynecologic cancer survivors) and women who do not want exposure to estrogen therapy.

This treatment is not suitable for all women. Talk to your doctor to determine your eligibility for the treatment.

Meet Our Vaginal Revitalization Experts

Photo of Dr. Jenell Sheree Coleman Fennell, M.D., M.P.H.

Coleman Fennell, Jenell Sheree, M.D., M.P.H.

Associate Professor of Gynecology and Obstetrics
Associate Professor of Medicine
Medical Director, Women's Health Center, JHOC
Director, Ob/Gyn Resident Continuity Clinic, JHOC
Expertise, Disease and Conditions: Colposcopy, Contraception, Family Planning, Fibroids, Gynecological Surgery, Gynecology and Obstetrics, HIV/AIDS, HIV/STD Interaction, Human Papillomavirus Infections, Hysterectomy, Infectious Diseases and International Health, Laparoscopic and Minimally Invasive Surgery, Menstrual Disorders, Ovarian Cysts, Pregnancy and Childbirth, Sexually Transmitted Diseases, Surgical Infections, Women's Reproductive Health
Photo of Dr. Wen Shen, M.D., M.P.H.

Shen, Wen, M.D., M.P.H.

Assistant Professor of Gynecology and Obstetrics
Expertise, Disease and Conditions: Gynecology, Gynecology and Obstetrics, Hormone Replacement, Menopause
Photo of Dr. Karen Chiu Wang, M.D.

Wang, Karen Chiu, M.D.

Assistant Professor of Gynecology and Obstetrics
Fellowship Director, AAGL Fellowship in Minimally Invasive Gynecologic Surgery
Expertise, Disease and Conditions: Abnormal Uterine Bleeding, Endometriosis, Fibroids, Minimally Invasive Gynecologic Surgery
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What to Expect During Laser Treatment for Vaginal Atrophy

  • Patients receive three treatments, spaced six weeks apart. Each treatment procedure only takes 3–7 minutes and does not require anesthesia.
  • During the procedure, a gynecologist inserts a vaginal probe that directs carbon dioxide laser energy to stimulate collagen and elastin.
  • This laser technology, already widely used by dermatologists to treat skin conditions, restores vaginal tissue and increases hydration.
  • Side effects are minimal and could include temporary burning and discomfort caused by probe insertion. These symptoms typically resolve within a few days of the procedure if they occur.

Follow-Up Care

After the initial three treatments, you meet with your doctor once a year for a treatment touchup.

Preliminary studies have shown that most patients report an improvement in vaginal health and return to intimacy within weeks of the procedure.

At this time, this procedure is self-pay. The cost may qualify for some flexible spending accounts (FSA). Upon initial assessment, our team will determine if you are a good candidate for this program and discuss the costs involved.