The beneficial effects of fractional CO2 laser treatment on perineal changes during puerperium and breastfeeding period: a multicentric study

Daniela Luvero, Maurizio Filippini, Stefano Salvatore, Annalisa Pieralli, Miriam Farinelli, Roberto Angioli
In: Lasers in Medical Science · 2021 · vol. 36(9) , pp. 1837–1843 · doi:10.1007/s10103-020-03212-x · PMID:33389309 · W3120080425
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-10 ⓘ

Fractional CO2 laser treatment significantly improved postpartum dyspareunia and perineal symptoms in breastfeeding women compared to a control group.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This multicentric retrospective study evaluated whether fractional micro-ablative CO2 laser therapy applied in 3–4 sessions improves postpartum transient vulvovaginal atrophy and perineal pain symptoms during the puerperium and breastfeeding period. Women underwent symptom assessments at baseline, after 2 sessions, and at 3 months after the last treatment, with outcomes measured by VAS for dyspareunia and specific vulvovaginal symptoms, and were compared with a control group receiving no laser. At the final evaluation, the laser group showed significant reductions versus baseline in dyspareunia and multiple symptoms (including dryness, itching, heat, and burning), and these improvements were reported as significant compared with controls. The study’s explicit limitations include its retrospective design, with ethics approval waived, and the protocol emphasizing training to minimize side effects, but it does not describe other potential confounders. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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