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Non-Ablative Radiofrequency and Vaginal Dilation Therapy.
Ana Maria Luna Ramalho1, Claudia Cristina Takano1, Mila Torii Corrêa Leite2
1Department of Gynecology, Escola Paulista de Medicina/Federal University of São Paulo, São Paulo, Brazil.
Journal of Pediatric and Adolescent Gynecology
|May 4, 2025
Summary
Radiofrequency (RF) therapy combined with vaginal dilation improved comfort and sexual satisfaction in patients with vaginal conditions. This safe and effective treatment enhanced tissue elasticity, reducing pain during dilation.
Area of Science:
- Gynecology
- Medical Devices
- Regenerative Medicine
Background:
- Radiofrequency (RF) is used for chronic conditions affecting metabolism and blood flow.
- This study investigates non-ablative RF with vaginal dilation for vaginal agenesis or stenosis.
Purpose of the Study:
- To evaluate the efficacy of non-ablative radiofrequency (RF) combined with vaginal dilation.
- To assess its impact on pain, tissue elasticity, and sexual satisfaction in patients with vaginal agenesis or stenosis.
Main Methods:
- Ten patients were divided into two groups: vaginal dilation with RF (VD+RF) and vaginal dilation alone (VD).
- RF was applied at 39°C for 5 minutes prior to dilation in the VD+RF group.
- The VD group underwent dilation for 20 minutes.
Main Results:
- The VD+RF group showed increased vaginal length during sessions and improved comfort.
- All participants in the VD+RF group reported reduced pain during dilation due to enhanced tissue elasticity.
- Significant improvement in sexual satisfaction was observed in the VD+RF group (p=0.0422).
Conclusions:
- Non-ablative radiofrequency is a safe and effective adjunct to vaginal dilation.
- It enhances pain management and sexual satisfaction for patients with vaginal agenesis or stenosis.

