The MonaLisa Touch

We offer a number of in-office treatments at the Charlotte Center for Pelvic Health.

Relief from Vaginal Dryness, Itching and Discomfort

Vaginal atrophy is a real problem. Millions of women who are post-menopausal or have undergone breast cancer treatment experience some negative symptoms of vaginal atrophy, including vaginal discomfort, dryness, discharge, bleeding, urinary incontinence, or pain during intercourse.

Fortunately, a new, clinically proven solution can provide safe and immediate relief. The MonaLisa Touch is a laser treatment for vaginal rejuvenation. Instead of having to use messy creams or expensive oral medications, the MonaLisa Touch is a relatively painless treatment that uses a laser to gently create micro-lesions in the vaginal wall, which triggers the restoration of the vaginal mucosa. This safely and painlessly re-establishes the proper function of the urogenital structures and eliminates the symptoms associated with vaginal atrophy.

Not only can the MonaLisa Touch relieve vaginal discomfort, dryness and discharge, but it can also improve both the tone and elasticity of vaginal tissue, thus improving your personal relationships and quality of life. Also, the MonaLisa Touch is the only non-hormonal option available for breast cancer survivors who can no longer take estrogen medications to restore vaginal health.

1. Wysocki, S., Kingsberg, S., & Krychman, M. (2014). Management of Vaginal Atrophy: Implications from the REVIVE Survey. Clinical Medicine Insights. Reproductive Health, 8, 23–30.

Symptoms Treated by the MonaLisa Touch

Charlotte's Most Experienced MonaLisa Touch provider

The Charlotte Center for Pelvic Health has been providing the MonaLisa Touch treatment longer than any other clinic in Charlotte. Our extensive experience gives us the expertise to optimize the treatment to achieve the best results possible. Dr. Hettaiarachchi's ability to manipulate both the MonaLisa Touch laser with your unique tissue provides the best results possible.

The Mona Lisa Touch Improves Lives

Mary Jo speaks about her experience with Dr. Hettiarachchi and the MonaLisa Touch procedure, including the what women with severe vaginal dryness can expect from the procedure.

Learn More About the MonaLisa Touch

See How MonaLisa Touch Has Helped Other Patients

Discussion with Dr. Karram about MonaLisa Touch

Learn How the MonaLisa Touch Procedure Works

Professional Help

At Charlotte Center for Pelvic Health, we prioritize your health and comfort. To ensure your maximum confidence, we guide you through each process and stay updated with the newest methods of how to treat vaginal dryness.

Contact our team to set an appointment and learn how we can help you today.

Frequently Asked Questions About MonaLisa Touch

Is Treatment Covered by Insurance?

Treatments have not been medically coded and therefore can not be submitted to health insurance companies. However, treatment may be covered by your FSA or HSA, Health Savings Plans. There are also many medical financing options available including interest deferred payments with monthly payments as little as $45. (include financing links here)

How much do the vaginal treatments cost?

After your consult with Dr Hettiarachchi, the Dr will recommend a treatment plan specifically tailored to your needs. Cost is dependent on your personalized treatment plan. Female Pelvic Treatment plans start at $1200 with monthly payments as low as $45.

How long is the treatment?

Expect to spend 60 minutes in our office total for a consult. The treatments themselves:  10 minutes for numbing plus 5-10 minutes for internal and external Monalisa Touch therapy 3 treatments 6 weeks apart.

Does it Hurt?

For both the O-shot and the Monalisa treatment, we provide numbing externally using a very effective agent specially compounded by the pharmacist. For the O-Shot women have reported either no sensation of being injected at all or a slight pinch during the procedure and slight "full" sensation in the area treated right after the procedure. For the Monalisa treatment, 95% of women report a slight buzzing, humming or vibration during the internal portion of the treatment and may feel an itchy or pricklly feeling if at all during the external treatment. If any patient does feel discomfort during the treatment, Dr Hettiarachchi immediately adjusts the laser settings to ensure the patient can tolerate the treatment.

I have never been able to have an orgasm from sex. Can the Mona Lisa Touch fix this?

The MonaLisa Touch may not be your best option unless you have undergone early menopause leading to vulvovaginal atrophy( thin dry vaginal skin). This may also happen after removal of the ovaries or chemotherapy treatments for breast cancer.  The MLT will help restore healthy vaginal tissue and collagen to promote better lubrication and reduce any painful intercourse. While orgasm are a complex set of chemical, nervous, and muscle reactions. Women can have orgasms via vaginal or clitoral stimulation. The O-shot maybe a better option for you. It is obtained by spinning a small amount of your own blood and concentrating the platelet rich plasma.  This concentration includes growth factors, stem cells and platelets.  It is then injected into the clitoris and G spot. Over time sensation in these areas increase and may help you achieve an orgasm with sex.

I have severe vaginal itching/burning. Will Mona Lisa Touch help me?

We have treated many women with vaginal and itching on the outside of the vagina with the MonaLisa procedure, including Lichen sclerosis, very effectively. We have certain protocols for the laser for those patients. It is important to properly work up the cause of the itching which may include a biopsy or dermatology evaluation. An experienced physician who understands the laser and pathology should help you.

Does the MonaLisa Laser therapy do anything to relieve hot flashes and sleep problems?

Mona Lisa touch laser will restore symptoms of vaginal atrophy such as vaginal dryness and painful intimacy. It can also improve incontinence. It does not specifically relieve hot flashes and sleep problems. However, with a good dose of intimacy and less running to the bathroom in the middle the night, you should get a better nights sleep. Consider hormonal therapy if the hot flashes are intolerable.

Will the MonaLisa Touch affect sensation in the vagina?

In our experience, MonaLisa Touch treatments help to restore the tissue resulting in healthy looking tissue NOT bleached appearance. Immediately following the external treatment, the treated area appears white which subsides in 3-7 days. This is not a bleaching of the tissue. The appearance is due to the micro-injuries of the laser. The therapy treats painful intercourse, mild bladder leaks, vaginal atrophy and Lichens Sclerosis. If anything, it would enhance sensation. Please research all medical treatments before you proceed and the professional performing the treatments.

Does MonaLisa Touch tighten you up? Since I had surgery, I am wide.

The MonaLisa Touch is a CO2 fractional vaginal laser. The laser promotes healthy vaginal skin and collagen. Multiple scientific studies prove the MonaLisa Touch treats  vaginal atrophy and is a alternative to Estrogen, lubricants or surgery. There are other associated benefits with the MonaLisa Touch including reduction in urinary leaking and improvement in the laxity. This is caused by the build up of collagen along the vaginal canal. The bladder is then better supported and the vaginal canal can return to the youthful appearance with better tighter vaginal folds. Many of our patients and partners describe more sensation during intercourse after the MonaLisa Touch. At our center we take a thorough history and perform pelvic exam that help us guide the best treatment options for our patients.  We offer multiple laser and radiofrequency vaginal treatment options including the Geneveve which has been shown to have greater build up of collagen to help improve vaginal laxity and sexual function.

"The Doctors" feature on MonaLisa Touch

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