Regenerative gynaecology

Women today are no longer the same as years ago. Instead, she is an empowered woman who gives importance to her sexuality and personal wellbeing, demanding treatments to improve her quality of life.

Regenerative gynaecology came about to solve various problems related to female intimate wellbeing that previously had no answer.

Its efficacy is based on regenerating damaged or aged tissue using different equipment and biostimulant treatments.

As a result, we achieve 3 benefits:

  • Regenerative: because it biostimulates genital and pelvic tissue to restore health and alleviate the signs of ageing.
  • Aesthetic: because it beautifies the woman’s external genitalia, giving a healthier and more harmonious appearance.
  • Functional: because it helps resolve various urinary and genital pathologies.

The main treatments are:

C02 vaginal laser

The vaginal laser is a cutting-edge technology in regenerative gynaecology that, using a photothermal effect, induces the formation of new collagen and elastin fibres and stimulates the neoformation of blood vessels. This improves the tone, elasticity, sensitivity and lubrication of the vaginal canal and vulva.

It is performed in the consulting room and is painless, although used with local anaesthesia in cream if the vulva is treated. The number of sessions varies according to the pathology (generally from 3 to 5)

INDICATIONS: vaginal rejuvenation, postpartum vaginal tightening, urinary incontinence, vaginal dryness, recurrent candidiasis and recurrent urinary tract infections, Menopausal Genitourinary Syndrome, atrophic lichen sclerosus, vaginal prolapse.

Radiofrequency

Radiofrequency is a biostimulant treatment that, when applied to the vaginal or vulvar area, stimulates cellular activity in the tissues to continue or return to function correctly and more efficiently. Its light thermal effect with a pleasant warming effect supplies nutrients and oxygen, accelerating the metabolic reaction of our organism, favouring the regeneration of the tissues. It also improves the ability of the pelvic muscles to contract and relax, reducing pain.

It is performed painlessly in the consulting room. The number of sessions will depend on the pathology to be treated.

INDICATIONS: Pelvic pain, dyspareunia (pain during sexual intercourse), vaginal rejuvenation, vaginal hyperlaxity, stress incontinence, menopausal genitourinary syndrome, pre- and post-surgery treatment (labiaplasty, caesarean section, hysterectomy, etc.), wound and scar treatments (episiotomies, tears, surgeries, etc.), burns, skin tightening of the labia minora and labia majora, treatment of the abdomen breasts postpartum breasts (after breastfeeding)

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Platelets rich in growth factors

Platelet-rich plasma is a regenerative substance extracted from the patient’s blood and centrifuged in special tubes that select the highest concentration of platelets. These cells possess substances called “growth factors” that promote cell migration and division, stimulating the repair of damaged tissues.

It is performed in the consulting room under local cream anaesthesia. The number of sessions varies according to the pathology (generally 1 or 2)

INDICATIONS: loss of sensitivity of genitals, severe vulvovaginal atrophy, vaginal dryness, atrophic lichen sclerosus. Combined with other techniques for treating urinary incontinence, painful or fibrous scars, and postpartum vaginal hyperlaxity.

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Hyaluronic acid

Hyaluronic acid is a naturally present substance in our body. It is known for its water-retaining properties, which means its use can improve skin hydration and firmness, helping alleviate the signs of vulvovaginal ageing.

High-density hyaluronic acid can also be used to plump the labia majora, helping rejuvenate and harmonise the vulva.

It is performed in the consulting room under anaesthesia by injections in the vulvar area, labia majora or mons pubis.

INDICATIONS: vaginal dryness, pain with intercourse, vaginal atrophy, atrophic lichen sclerosus, genital rejuvenation, labia majora enlargement, vulvar harmonisation.

Carboxytherapy

Carboxytherapy consists of administering carbon dioxide (CO2) through superficial punctures of the skin and mucosa. In the vagina and vulva, it has a vasodilatory effect, which facilitates the supply of oxygen and nutrients to the cells from the blood, promoting tissue remodelling and repair.

It is performed on an outpatient basis, with local anaesthesia to reduce the impact of the punctures, in 6 to 12 sessions. It is used as a sole or complementary treatment to other techniques.

INDICATIONS: vulvar and vaginal dryness, Menopausal Genitourinary Syndrome, atrophic lichen sclerosus, urinary incontinence, treatment of episiotomy scars or postpartum tears. It is also used to improve the appearance of the skin and smoothness of the labia majora, and lipolysis of the mons pubis.

Vulvar harmonisation

These are different surgical procedures that seek to restore the natural anatomy and harmony of the genitals.

Vaginoplasty or perineoplasty can solve the problems of vaginal hyperlaxity (feeling of an “open” vagina) or postpartum tears. The technique narrows the vaginal canal or introitus by repairing and repositioning the torn muscles in their natural position, restoring their functionality and anatomy.

Ninfoplasty or labiaplasty consists of surgically reducing the labia minora vulvae in women who have discomfort due to their excessive size or simply prefer to model their shape or symmetry.

It is performed in the operating theatre under anaesthesia and on an outpatient basis.

INDICATIONS: episiotomy and postpartum tear repair, closure of the introitus, narrowing of the vaginal canal, reduced sensitivity due to friction during sexual intercourse, vulvar discomfort due to hypertrophy of the labia minora, asymmetry of the labia minora, genital aesthetics.

Treatment of vaginismus and pain with intercourse

Vaginismus is the involuntary contraction of the pelvic floor muscles due to pain (or fear of pain), which causes vaginal closure and makes penetration impossible or, if penetration is achieved, very painful, which maintains the cycle of contraction-pain-contraction.

This situation seriously affects women’s quality of life, limiting or making it impossible for them to have sex (including gynaecological visits), creating intimacy-avoidance mechanisms and causing relationship problems.

The solution to this problem requires a gynaecological sexology evaluation, followed by different therapies case-by-case. The situation will be resolved by the patient’s commitment (and her partner’s, if applicable) to her healing and the time of evolution of the case.

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