bioidentical hormone replacement therapy

Bioidentical Hormone Replacement Therapy (BHRT) is a treatment that uses artificial hormones to treat symptoms of hormonal imbalance. BHRT can help with symptoms like hot flashes, mood swings, weight gain, vaginal dryness, low energy levels, and night sweats. BHRT can be used for a number of reasons, including menopause, life changes, or not producing enough hormones naturally.

FemTouch

FemTouch is a laser procedure used to treat a range of vaginal conditions, including bladder leakage, recurrent infections, and pain during intercourse. It’s an option for women who are bothered by these conditions but aren’t interested in surgery or hormone replacement therapy—the more conventional solutions to such vaginal conditions. It’s especially beneficial for perimenopausal and postmenopausal women experiencing dryness, irritation, and incontinence.

FemTouch is performed with an AcuPulse CO2 fractional laser—an ablative laser that works on and below the surface of the vaginal skin, stimulating new collagen production.

According to the manufacturer, FemTouch laser thickens vaginal wall tissues, induces healthy cell growth, and improves vaginal lubrication. It can also help restore healthy bacteria levels within the vagina, to prevent yeast overgrowth and recurrent urinary tract infections.

FemTouch has been FDA-cleared as safe to use for gynecological purposes, but it is not specifically approved for “vaginal rejuvenation”—that is, treating symptoms related to menopause, urinary incontinence, or sexual function. According to the FDA, “The safety and effectiveness of energy-based devices for treatment of these conditions has not been established.” However, doctors commonly use FemTouch (and similar devices) off label to treat vaginal dryness and atrophy, since the medical literature supports their safety and effectiveness.

“The laser and energy vaginal devices in question have not been FDA-approved for the claims that are frequently made about them, but they work well anecdotally and in clinical practice,” explains New York City–based plastic surgeon and RealSelf Chief Medical Editor Dr. Lara Devgan.

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