Karcher Cheryl, Sadick Neil
Dermatologist, Sadick Dermatology New York, New York.
Clinical Professor of Dermatology, Weill Cornell Medical College, New York, New York.
Int J Womens Dermatol. 2016 Jun 21;2(3):85-88. doi: 10.1016/j.ijwd.2016.05.003. eCollection 2016 Sep.
Physiologic changes in a woman's life, such as childbirth, weight fluctuations, and hormonal changes due to aging and menopause, may alter the laxity of the vaginal canal, damage the pelvic floor, and devitalize the mucosal tone of the vaginal wall. These events often lead to the development of genitourinary conditions such as stress urinary incontinence; vaginal atrophy; dryness; and physiologic distress affecting a woman's quality of life, self-confidence, and sexuality. Various treatment modalities are currently available to manage these indications, varying from invasive vaginal surgery to more benign treatments like topical vaginal hormonal gels or hormone-replacement therapy. A new trend gaining momentum is the advent of energy-based devices for vaginal rejuvenation that apply thermal or nonthermal energy to the various layers of the vaginal tissue, stimulating collagen regeneration contracture of elastin fibers, neovascularization, and improved vaginal lubrication. This review aims to present the available technologies offering vaginal rejuvenation and the scientific evidence that underlines their safety and efficacy for this indication.
女性生活中的生理变化，如分娩、体重波动以及衰老和更年期引起的激素变化，可能会改变阴道管的松弛度，损害盆底，使阴道壁的黏膜张力减弱。这些情况常常导致泌尿生殖系统疾病的发生，如压力性尿失禁、阴道萎缩、干燥，以及影响女性生活质量、自信心和性功能的生理困扰。目前有多种治疗方式可用于处理这些病症，从侵入性的阴道手术到较为温和的治疗方法，如局部阴道激素凝胶或激素替代疗法。一种新的、越来越流行的趋势是出现了用于阴道年轻化的能量设备，这些设备将热能或非热能应用于阴道组织的各层，刺激胶原蛋白再生、弹性纤维挛缩、新血管形成，并改善阴道润滑。这篇综述旨在介绍现有的提供阴道年轻化的技术以及强调其针对该适应症的安全性和有效性的科学证据。
