Fractional CO2 Laser Therapy in Minimizing Genitourinary Syndrome of Menopause in Gynecological Cancer Survivors

Inclusion Criteria: * Women with cervical, endometrial, vaginal, vulvar or ovarian cancer who have completed all cancer related treatment \>= 6 months prior to enrollment * Any form of hysterectomy, including radical hysterectomy permitted * Must have no evidence of recurrent disease on pelvic exam within past 3 months * Radiation therapy is permitted but not required * Patient reported dyspareunia and/or vaginal dryness with severity of \>= 4 on a scale from 0 (none) to 10 (most severe) that has been persistent over \>= 4 weeks and/or the inability to be sexually active due to pain Exclusion Criteria: * Patients with recurrent or metastatic endometrial, vaginal, vulvar, cervical, or ovarian cancer * Pelvic organ prolapse stage II or higher * Prior reconstructive pelvic surgery involving mesh * Hormone replacement therapy or vaginal estrogen therapy within 6 weeks prior to enrollment