Dear Dr. Roach: I am 65, and my lady friend is 60. We are still sexually active. However, intercourse is uncomfortable and painful for her. Ive found a website that talks about a laser procedure that is supposed to be the holy grail to make intercourse enjoyable again. I would like some unbiased comments on the procedure as to what actually happens during the treatment. Is it safe, what is the efficacy of the treatment? Ive done the usual internet research but am not sure what to believe. I might add that we have tried different lubricants and non-hormonal creams (such as Replens) with little success. Im aware that there are hormonal-based treatments and would like comments on them if there is time. With this treatment, I am concerned about estrogen during sexual activity. D.S.
Answer: Im not (yet) a believer in laser vaginal regeneration techniques. The Food and Drug Administration has recently issued a warning about these devices: These products have serious risks and dont have adequate evidence to support their use for sexual function.