Laser Treatment of Genito-urinary Syndrome in Women

Inclusion Criteria: * menopause i.e. age more than 50 years and absence of menstruation for twelve months * breast cancer * endometrial cancer * symptoms of vaginal dryness * dyspareunia rated as moderate or severe most bothersome symptoms Exclusion Criteria: * use of vaginal moisturizers, lubricants or any other local preparation within the thirty days prior to inclusion * acute or recurrent urinary tract infections * active genital infections i.e. herpes genitalis, candida * previous reconstructive pelvic surgery * pelvis organ prolapse stage 2 * any serious disease or chronic condition that could interfere with study compliance except from breast and endometrial cancer * psychiatric disorders precluding informed consent