Can vaginal laser help with radiation-induced vaginal changes?
Vaginal laser may help some women with radiation-induced vaginal atrophy or stenosis, but evidence is limited and treatment should be guided by a specialist familiar with cancer survivorship.
Detailed Medical Explanation
Pelvic radiotherapy can cause fibrosis, dryness, and narrowing of the vaginal canal, known as radiation-induced vaginal stenosis or atrophy. Small case series and pilot studies suggest laser therapy may improve elasticity, lubrication, and comfort, but robust data are lacking. All women should be assessed for active cancer or contraindications before starting laser. See Macmillan Cancer Support and NICE guidance.
Clinical Context
Laser for post-radiation vaginal changes should only be provided in specialist clinics with multi-disciplinary oncology input.
Evidence-Based Approaches
Best practice is to individualise therapy, monitor outcomes, and use laser only when standard options are unsuitable or ineffective. See Macmillan.