Gynecological Laser Therapy Wand

• Targets mild cervical erosion
• cervicitis
• columnar ectopy
• non-specific vaginitis
• pelvic floor rehabilitation.

①It is estimated that approximately 14% of adult women suffer from chronic pelvic pain (CPP) . A recent study of almost 50,000 female US veterans found a 30% incidence of CPP and a 16.8% incidence of opioid use amongst sufferers . The incidence of opioid use amongst CPP patients in the general population is consistent with the military cohort . The majority of CPP sufferers share a treatable pathology, hypertonicity, and tenderness of the pelvic muscles, levator myalgia (myofascial pelvic pain). It is estimated that 60 to 85% of women with CPP have levator myalgia . Alleviation of this tender pelvic muscle hypertonicity is the mainstay of CPP treatment.

②As with medications, the correct dose of NIR energy must be delivered over the correct amount of time to achieve the desired outcome. Numerous investigators have reported optimal irradiance and fluence. Bolton et al. noted that although 810 nm irradiance of 800 mW/cm2 at a fluence of 2.4 J/cm2 produced greater cell proliferation than irradiance of 400 mW/cm2, the higher irradiance lost effect at 7.2 J/cm2 . However, at 400 mW/cm2 and 7.2 J/cm2, proliferation remained significantly increased. More recently, Anders et al. found optimal effects at irradiances between 10 mW/cm2 and 50 mW/cm2 delivered to a fluence of 200 mJ/cm2 .

③Although an underreporting of irradiance by investigators in the field has hastened the development of a precisely defined dosing regimen, ideal irradiance most likely exists in the range of 10 mW/cm2 to 400 mW/cm2, and ideal fluence most likely exists in the range of 0.075 to 8.0 J/cm2. This dosing must occur at the level of the target tissue and not the overlying skin or mucous membrane. Only a small fraction of the energy applied to the skin or mucous membrane of an organism will reach the target tissue. Hence, the ideal power settings of a laser can only be determined by knowing both the irradiance at the level of the skin and the percentage of the irradiance that will reach the target tissue. Although there may be a consistent pattern of energy decay per millimeter of various tissue types traversed en route to a target tissue, an estimate of such decay is best made for each specific target. The pathway to each unique target tissue represents pathways through unique chromophores. The primary objective of this study is to determine the irradiance needed at the surface of the vaginal mucosa to achieve therapeutic irradiance at the levels of the levator ani muscle and bladder. A secondary endpoint of this study is to determine if this novel transvaginal infrared laser system is capable of delivering such irradiance.