Straight answers about MonaLisa Touch — from someone who listens.
Vaginal dryness, burning, painful sex, and recurring irritation after menopause are common, treatable, and worth talking about. Call the hotline to learn whether fractional CO2 laser therapy is a reasonable option for you — with no pressure and no sales pitch.
Mon–Fri, 8am–7pm ET · Requests answered within one business day
Trained intake specialists answer the line. Clinical questions are routed to a licensed clinician who calls you back. Not an emergency service.
Request a call backA short in-office laser procedure aimed at the tissue changes that follow menopause
MonaLisa Touch is a fractional CO2 laser. A slim probe delivers pulses of energy to the vaginal wall, creating controlled micro-injuries that prompt the body's own repair response — new collagen, better blood flow, and a thicker, better-lubricated mucosa. It is used most often for genitourinary syndrome of menopause (GSM), the umbrella term for the dryness, thinning, and irritation caused by falling estrogen.
The session
Typically about five minutes in the treatment room. No incisions, no anesthesia for most patients, and most people go back to their day right after.
The course
Most protocols use three sessions spaced roughly six weeks apart, with an annual touch-up. Your clinician may adjust this.
The aftercare
Clinicians usually advise pausing intercourse and tampon use for a few days. Mild spotting or discharge in the first 48 hours is common.
You are not being dramatic, and you are not alone
Roughly half of postmenopausal women have GSM symptoms, and most never raise it with a clinician. The women who call this line usually describe some version of the following.
- Dryness, burning, or itching that moisturizers no longer touch
- Sex that has become painful, or that you have quietly stopped having
- Recurring UTIs or urinary urgency that started around menopause
- A breast cancer history that makes systemic estrogen complicated
- Vaginal estrogen that helped a little, or that you would rather not use
- A provider who said "that's just aging" and moved on
Before you consider laser therapy
First-line treatments for GSM are well studied and inexpensive: over-the-counter moisturizers and lubricants, and low-dose vaginal estrogen or other prescription options. Major medical societies still recommend trying these first.
Evidence for laser therapy is mixed. Some trials show meaningful symptom relief; others found no advantage over a sham procedure. It is generally considered for women whose symptoms persist despite first-line care, or who cannot use hormonal options.
A good hotline call should leave you clearer about that tradeoff — not more certain than the evidence allows.
How the call works
- You describe what's going onIn your own words. Nothing you say will surprise the person on the other end.
- We map what's already been triedMoisturizers, vaginal estrogen, pelvic floor therapy, prior procedures — so nothing gets repeated needlessly.
- We walk through the honest pictureWhat the procedure involves, what the research supports, what it costs, and what it won't fix.
- You get names, not a hard sellCredentialed clinicians near you who treat GSM — including ones who don't own a laser.
- We follow up only if you askNo drip campaigns. Your information is never sold.
Asked most often
Does it hurt?
Most patients describe a vibration or warmth rather than pain. Treatment of the vulvar area, when included, is more sensitive and is usually done with topical numbing cream. Tell your clinician immediately if anything is sharply painful.
Is MonaLisa Touch FDA approved?
This is worth being precise about. The device is FDA-cleared, but energy-based devices in this category are cleared for uses such as treating abnormal or pre-cancerous cervical and vaginal tissue and genital warts — not specifically for "vaginal rejuvenation" or menopausal symptoms. In 2018 the FDA issued a safety communication warning against marketing these devices for such uses. Many clinicians use it off-label for GSM, which is legal and common, but you should hear it described accurately.
How much does it cost?
Typically several hundred to over a thousand dollars per session in the U.S., with a three-session course priced as a package by many practices. Insurance rarely covers it because of the off-label indication. Ask for the total course price in writing before booking.
How soon would I notice a difference?
Patients who respond often report changes after the first or second session, with fuller effect a month or two after completing the series. Some patients notice no meaningful change — that outcome is real and should be part of the conversation up front.
What are the risks?
Reported adverse events include burning, scarring, persistent pain, and painful intercourse. These appear uncommon, but the FDA has explicitly cited them. Risk rises with inexperienced operators, so ask how many procedures your clinician has performed.
I've had breast cancer. Can I be treated?
Many women with a breast cancer history look into laser therapy because systemic estrogen is off the table for them. Laser therapy is non-hormonal, but the evidence in this group is still limited, and low-dose vaginal estrogen is considered acceptable for many survivors. Decide with your oncologist involved.
Who answers the phone?
Trained intake specialists. They are not clinicians and will not diagnose you; clinical questions get escalated to a licensed clinician who returns the call.
Prefer not to call?
Leave your details and a specialist will reach out at a time you choose. You only need to tell us enough to start the conversation — the rest can wait until you are actually talking to someone.
Rather just call?
1-904-654-9282
Mon–Fri, 8am–7pm ET