MonaLisa Touch®: a treatment for menopausal symptoms

Written by: Mr Nicholas Morris
Published: | Updated: 03/02/2020
Edited by: Bronwen Griffiths

During menopause, many women suffer from vaginal soreness and sensitivity that can be difficult to relieve. Laser vaginal rejuvenation is a procedure that has shown a lot of success in treating such problems. Mr Nicholas Morris, a leading obstetrician and gynaecologist, is one of a handful of specialists who offers this treatment in the UK. 

What changes occur in the vagina during menopause?

During menopause, the body undergoes a series of changes, which physically can  affect the vagina. Many women experience dryness, soreness and a persistent burning sensation which can become painful during and after intercourse (dyspareunia). Women can also experience urinary incontinence as a result of menopause. These changes are largely due to a decline in oestrogen production which causes the cellular layer of the vagina to become thin, and therefore vulnerable and  more easily damaged and to become very delicate. This is known as atrophic vaginitis. 

How can these changes be treated? What is laser vaginal rejuvenation?

Such symptoms can be treated with either with systemic  or topical oestrogen  and now with laser vaginal rejuvenation. Some women will benefit from systemic oestrogen, but many women do not want to take hormone replacement therapy (HRT) because of the potential side effects. We now know that for many women HRT does not successfully relieve the symptoms of atrophic vaginitis.

However, laser vaginal rejuvenation procedures are successful as a treatment for atrophic vaginitis. One such procedure is the MonaLisa Touch®, developed by Professor Stefano Salvatore, a leading gynaecologist based in Milan. The MonaLisa Touch® is able to help all women with raw vaginal tissues and is a pain-free, minimally invasive procedure.

How does the MonaLisa Touch® procedure work?

The MonaLisa Touch® is a three treatment programme, which is carried out over six  months. The initial treatment follows a consultation, and literally takes a few minutes. The second treatment is a month later, and the final treatment within a few months. 

The MonaLisa Touch® uses a specially designed carbon dioxide laser which is carefully placed  into the vagina. Low-energy pulses are aimed at the vaginal tissues which create micro-lesions. These micro-lesions trigger the production of collagen which restores the overall health of the vaginal wall. Over the course of the treatment programme vaginal tissue is regenerated, restoring comfort to the patient, with noticeable changes being felt after just the first session. 

How can you prepare for MonaLisa Touch®?

It is advised that women who have this treatment do not use vaginal lubricants for 48 hours before surgery, and my advice is to refrain from sexual intercourse 48 hours after the first treatment. The treatments are carried out as an outpatient procedure, which require no anaesthesia.

If you are interested in finding out more about the MonaLisa Touch®, book an appointment with Mr Nicholas Morris. Mr Nicholas Morris offers this procedure at his clinic at the Portland Hospital. Costs for a treatment cycle are approximately £1800*, excluding the initial consultation.


*Prices accurate at the time of publication. 

Mr Nicholas Morris

By Mr Nicholas Morris
Obstetrics & gynaecology

Mr Nicholas Morris a leading London obstetrician and gynaecologist with more than twenty years of experience. He is a pioneer for women's health, and works closely with his patients to ensure they receive an excellent quality of care, offering the latest advances in medical treatment whilst keeping the patient's individual and overall needs in mind.

Mr Morris established the first clinic in the UK for women who had undergone female genital mutilation (FGM), in addition to writing the FGM act of 2003 with his colleagues. Mr Morris' specialties include genital and pelvic floor surgery, pelvic pain, endometriosis, fibroids and menstrual disorders. He is also an expert witness and regularly provides medicolegal support

Mr Morris initially qualified in 1984 from St Mary's Hospital Medical School and went on to train in major London teaching hospitals. In 2007 Mr Morris received his Fellowship from the Royal College of Obstetricians and Gynaecology. On top of Mr Morris' many clinical commitments, he is also actively involved in research, with numerous awarded grants from the British Heart Foundation and the Department of Health. He has published more than 50 scientific articles on preeclampsia, pregnancy, female genital mutilation and other areas of obstetric care.

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