Central Florida Laser Vaginal Therapy

Q: What does the procedure feel like? Does it hurt?

Most women say they do not feel anything. Some say it feels like bubbles in their vagina. When doing the labia, we do use lidocaine cream to numb the area so that there is no sensation. One to two hours later, clients have expressed feeling a sunburn on the area or sensation that they scratched too hard. This usually subsides in 48-72 hours.

Laser Therapy for Incontinence and Pain with Intercourse

As a Womens' Healthcare Provider for over 20 years, one of my biggest frustrations and lack of resources is with women experiencing urinary incontinence after birth or in perimenopause. You are just too young to be suffering from this. We can help.

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What is laser vaginal therapy?

Did you know that CO2 laser vaginal therapy can be used for incontinence, pain with intercourse, increasing lubrication and tone, as well as labia reduction and contouring?!

CO₂ vaginal laser therapy is a non‑surgical, in‑office treatment that uses micro‑ablative, fractional CO₂ laser energy to stimulate natural collagen regeneration, and enhance blood flow and tissue structure within the vaginal mucosa.

This can help restore the tissue’s elasticity, hydration, and thickness, offering a non‑hormonal alternative for addressing changes related to childbirth, menopause, or aging.

Potential Benefits of CO2 Laser Vaginal Therapy:

Improved Vaginal Health

Clinical studies demonstrate significant improvements in symptoms like dryness, itching, and painful intercourse (dyspareunia), as measured by the Vaginal Health Index (VHI) and maintained up to one year after a three‑session treatment course.

Enhanced Sexual Function

Research involving postmenopausal women reports improvements in sexual function—including lubrication, comfort, and overall satisfaction—following CO₂ laser treatments.

Relief for Genitourinary Syndrome of Menopause (GSM)

Many women report relief from urinary urgency, frequency, and vaginal atrophy.

Why do laser vaginal therapy with nurse midwives?

Dr Richards and Dr Starkey are specially trained in CO₂ laser techniques, often having undergone the treatment themselves to better understand the patient experience. This ensures expert care delivered with empathy and clinical precision. Dr Richards has personally received treatments and can attest to the results.

Our approach prioritizes informed, patient‑centered care. Every client receives a comprehensive assessment to determine if CO₂ laser therapy is a suitable, evidence‑based option—or if established alternatives (like topical estrogen, moisturizers, or pelvic‑floor rehabilitation) may be more effective or appropriate.

Call the office at 1-407-288-8530 for a free phone consultation with one of our Nurse Midwives.

Procedure Details

Typically 3 sessions, spaced 4–6 weeks apart
Each session takes 10–15 minutes and is performed in the office without anesthesia. Most clients describe it as no more uncomfortable than a pap smear
Minimal to no downtime—most can resume normal activities immediately, though sexual intercourse is generally paused for 2–5 days post‑treatment

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Questions about laser vaginal therapy?

Is the treatment safe?

Yes. CO2 vaginal laser therapy has been studied in clinical trials and shown to be generally safe with minimal side effects. Most clients experience only mild redness, burning or "scratched" sensation, and watery pink discharge for 72 hours. All treatments are performed by a CNM/ARNP who has been trained to perform CO2 therapy and sessions are done in a calm, warming environment to reduce stress or anxiety.

Is it FDA approved?

The FDA has not approved CO2 laser devices for "vaginal rejuvenation". However, they have approved it for general gynecological and dermatological procedures. We always discuss the most current evidence and risks during our consultation so that you can make a truly informed choice with no pressure or bias.

While CO₂ vaginal laser therapy is not FDA‑approved specifically for “vaginal rejuvenation,” studies suggest potential benefit for GSM symptoms in specific populations. Even so, important medical voices caution that the term “vaginal rejuvenation” is often used in marketing without clear medical standards or consensus.

What does the procedure feel like? Does it hurt?