A 38-year-old woman presents to the GP with vaginal laxity and reduced sensation during intercourse following two vaginal deliveries. She asks about v...

Question

A 38-year-old woman presents to the GP with vaginal laxity and reduced sensation during intercourse following two vaginal deliveries. She asks about vaginal rejuvenation laser treatment. Which is the most appropriate advice?

Accepted Answer

Laser vaginal rejuvenation is not recommended by NICE or RCOG - pelvic floor exercises should be offered as first-line, with surgical referral considered for symptomatic prolapse

Answer

Laser vaginal rejuvenation is well-evidenced and should be recommended

Answer

Only surgical vaginoplasty is effective

Answer

Kegel exercises have no evidence and she should proceed directly to surgery

Answer

Topical oestrogen cream will restore vaginal tone

uk-drcog MCQ (SBA): Vaginal Laxity - No Evidence for Laser

A 38-year-old woman presents to the GP with vaginal laxity and reduced sensation during intercourse following two vaginal deliveries. She asks about vaginal rejuvenation laser treatment. Which is the most appropriate advice?