Use of bipolar radiofrequency in combination with hyaluronic acid filler in the treatment of vaginal atrophy induced sexual dysfunction in cancer survivors: a case series

Abstract

Cancer is not only the leading cause of mortality but also has serious negative consequences related to the sexual, mental, and social life not only of the patients themselves but also of their families. Among women who survived cancer, treatment consequences and sexual dysfunctions are serious problems affecting sexual well-being. The aim of this article was to evaluate the effectiveness of the use of non-hormonal bipolar radiofrequency in combination with hyaluronic acid filler in the treatment of vaginal atrophy-induced sexual dysfunction in cancer survivors. We described 3 cases that reported beneficial results with bipolar radiofrequency in combination with hyaluronic acid filler in the treatment of vaginal atrophy-induced sexual dysfunction in cancer survivors. The validated tool, The Female Sexual Function Index (FSFI), before and after treatment was used to assess the progress and effectiveness of the method used. The procedure used for each patient consists of 4 sessions. During the first one, a treatment using bipolar radiofrequency and hyaluronic acid filler injection was performed. The following 3 sessions with intervals – between 3 to 4 days were only RF treatments. Our case series showed that combined therapy of hyaluronic acid and bipolar radiofrequency was effective and significantly improved overall sexual function (FSFI). The treatment turned out to be safe and painless with no side effects.