Fractional / Pixel CO2 Laser Treatment of Vulvar Atrophy and Lichen Sclerosus

Vaginal Atrophy - Inclusion Criteria * Menopause for more than one year * One or more of the following symptoms: sensation of dryness, itch, irritation, burning, discomfort, dysuria, dyspareunia * Characteristic atrophic changes on gynecological examination * Laboratory workup: pH \>4.5, characteristic microscopic smear (increased number of para-basal cells) * Normal Pap-smear within 12 months * Negative vaginal culture for fungi or relevant bacteria * Negative test for STD pathogens (chlamydia, gonorrhea, genital mycoplasma and trichomonas) Exclusion Criteria * Genital skin disease * Active infection * Pelvic organs prolapse above grade 2 * Previous surgery for pelvic organs prolapse * Use of systemic or local hormonal preparations during 6 months preceding the study treatment * History of malignant diseases * Undiagnosed vaginal bleeding * Use of analgesics or antidepressants * Use of anticoagulants Lichen Sclerosus Inclusion Criteria * Age 18-80 * Biopsy demonstrates characteristic changes for lichen sclerosus * One or more of the following symptoms: sensation of dryness, itch, irritation, burning, discomfort. * Characteristic changes for lichen sclerosus on gynecological examination * Negative vaginal culture for fungi or relevant bacteria * Negative test for STD pathogens (chlamydia, gonorrhea, genital mycoplasma and trichomonas) Exclusion Criteria * Use of steroid-containing creams for the vulvar region two months preceding recruitment * Additional genital skin d…