Nu-V is The Women’s Health Clinic’s name for an assessment-led internal CO₂ vaginal laser procedure. External vulval treatment may be added as an optional extra where clinically appropriate. Vaginal rejuvenation is a wider consumer term covering different medical, conservative, energy-based, injectable and surgical pathways. Nu-V is one method within that wider field.

CO₂ treatment does not directly strengthen pelvic-floor muscle or perform structural repair. It delivers controlled energy to selected superficial tissue with the intention of initiating a tissue response. It should not be presented as a guaranteed way to tighten vaginal walls.

Menopause-related dryness and GSM should be assessed properly, and established options such as lubricants, vaginal moisturisers and vaginal oestrogen where suitable should be discussed. NICE HTG582 remains cautious about transvaginal laser therapy for urogenital atrophy and recommends use only in the context of research because long-term safety and efficacy evidence is inadequate.

Urinary leakage and painful intercourse can have several causes. Pelvic-floor assessment, menopause care, treatment of infection or vulval disease, investigation, medical care or specialist referral may be more appropriate. Nu-V should not be presented as a universal or guaranteed treatment for either symptom.

Standard Nu-V treatment is internal vaginal treatment. External vulval treatment may be added as an optional extra where clinically appropriate, separately assessed and included in the consented plan.

The Nu-V procedure itself is typically around 15 minutes, although the total appointment is longer because preparation, confirmation of consent and aftercare discussion are separate. Individual sensation varies, so treatment should not be described as universally painless.

There is no single answer for everyone. A single treatment or structured course may be discussed only after assessment. Response, timing and duration vary, and later maintenance should follow review rather than being assumed automatically.

Temporary warmth, irritation, swelling, spotting, watery discharge or discomfort may occur. Less common complications may include infection, thermal injury or burn, scarring, persistent pain, altered sensation or pain during intercourse. Treatment may need to be delayed, avoided or referred where there is pregnancy, active infection, unexplained bleeding, an undiagnosed lesion, screening concerns, significant prolapse, severe unexplained pain or another medical contraindication.

A clinical consultation and assessment are required before treatment, but this does not always have to be with Dr Farzana Khan. Depending on your circumstances, the consultation may be nurse-led or doctor-led. A doctor-led consultation is recommended for many women, especially where symptoms are complex or different treatment options need to be considered. Current nurse-led and doctor-led prices are shown in the pricing section above and on the main pricing page.