Women’s Health – Grace Fertility

Women’s health

Your health is important to us. That’s why we offer help in two important areas of women’s health: diagnosing abnormal uterine bleeding (AUB) and treating symptoms of genitourinary syndrome of menopause (GSM).

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Diagnosis & treatment for abnormal uterine bleeding (AUB)

Abnormal uterine bleeding is when bleeding from the uterus is irregular, whether longer, heavier, or lighter than usual, or occurring as spotting in between periods. AUB can be due to various factors, such as anovulation (when an egg is not released from your ovary during a menstrual cycle) or perimenopause (the body’s natural transition to menopause). Our clinic performs on-site ultrasound assessments and endometrial biopsy if necessary to help determine a course of treatment to address your needs.

Managing genitourinary syndrome of menopause (GSM)

GSM is a collection of symptoms caused by a reduction in estrogen levels, which can occur naturally during menopause or as a result of cancer treatment. If left untreated, these symptoms can lead to decreased quality of life and sexual dysfunction.

GSM, previously known as atrophic vaginitis, is characterized by:

Dryness and painful intercourse (dyspareunia)



Recurrent urinary tract infections

Mild stress incontinence

How do you treat GSM?

Treating GSM involves managing symptoms caused by the decline in estrogen levels, which can occur as a result of aging, after childbirth, or post-chemotherapy in cancer patients. Symptoms include shrinkage, dryness, burning, itching or pain in the vaginal area, bladder leaks, etc. Our clinic offers traditional hormone replacement therapy and gynecological laser treatments, such as MonaLisa Touch®, with different lasers for various needs. Your treatment plan will be tailored to your specific requirements.

What is MonaLisa Touch®?

A new fractional CO2 laser, the MonaLisa Touch® laser, has been developed specifically for women who are unable to use estrogen replacement therapy for conditions such as:

• Post-breast cancer treatment
• History of thrombophlebitis
• Inadequate response to estrogen replacement during peri- and post-menopause
• After childbirth while nursing

How does MonaLisa Touch® work?

Estrogen creams have been the main mode of treatment for GSM, but they may not be suitable for women who have had breast cancer or have other contraindications. An alternative treatment is fractional CO2 laser therapy with the MonaLisa Touch® laser. This laser delivers gentle energy to the vaginal wall tissue, promoting healing by generating new collagen, elastin, and vascularization. The treatment consists of 3 procedures, 6 weeks apart, and is performed by a gynecologist. You will be treated without anesthesia, downtime, or significant side effects. Each procedure takes less than 5 minutes.

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