Sexual Health and Cosmetics

MonaLisa Touch NJ Laser Procedure

The Best MonaLisa Touch Laser Procedure in New Jersey!

Dr. DeNoble is one of the first gynecologists in New Jersey to offer the MonaLisa Touch Laser and  has tremendous experience with treating patients.

MonaLisa Touch - Shaghayegh M. DeNoble, MD, FACOG, Advanced Gynecology and Laparoscopy of North Jersey
SMART XIDE - Shaghayegh M. DeNoble, MD, FACOG, Advanced Gynecology and Laparoscopy of North Jersey

Frequently Asked Questions

What is the MonaLisa Touch Laser?

MonaLisa Touch is a gentle medical laser that delivers controlled energy to the vaginal wall tissue. It stimulates the cells in the vaginal mucosa (vaginal tissue) to produce new collagen and elastin, and improves blood vessel supply. The CO2 laser energy is delivered in two steps via a probe inserted inside the vaginal canal to treat the interior, and an outside probe to treat the exterior tissues.

Am I a Candidate for the Treatment?

Treatments are recommended for any woman who wishes to treat or prevent vaginal atrophy symptoms due to the lack of estrogen, or who suffer from lichen sclerosis. These include women who:

  • are going through or have gone through menopause and are having vaginal dryness, pain with intercourse, urinary incontinence, urinary urgency, recurrent urinary tract infections, recurrent vaginal infections, and/or lack of sensation 
  • are experiencing post-menopausal symptoms from surgical removal of ovaries (sometimes during hysterectomy), breast cancer treatment, or other cancer treatment
  • cannot receive estrogen therapy or prefer not to use hormones
  • are experiencing symptoms from lichen sclerosis and are not having relief from topical steroids
  • are experiencing vaginal symptoms due to  breastfeeding or longterm birth control use

What is Vaginal Atrophy?

Vaginal atrophy is thinning, drying, and inflammation of the vaginal walls due to a decline in estrogen due to natural or surgical menopause, breast cancer treatments, or removal of ovaries. Symptoms include: vaginal dryness, itching, burning, urinary frequency and/or urgency, vaginal laxity, and pain during intercourse.

Where can I have this done? Does the procedure hurt?

The MonaLisa Touch is an in-office procedure performed by your physician. 

The procedure is virtually painless and requires no anesthesia. Some patients may experience some discomfort when the probe is inserted, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration. We do apply numbing cream for treatment of the external tissues as these areas are more sensitive.

How many laser treatments are needed?

Patients receive three treatments, spaced six weeks apart. Additional treatments may be needed depending on severity of symptoms. For patient receiving external treatment only for lichen sclerosis, we recommend 3-5 treatments. yearly or every other year depending on initial response and symptom severity. Our medical providers, after careful examination, evaluate and recommend your optimal treatment plan.

When will I see results? How long does it last?

Most patients feel improvement with the first week after the first treatment. We typically see progressive improvement over subsequent treatments and several months after completion of the series.

Patients should expect to come back annually to every 2 years for a single maintenance treatment.  

What are my limitations after the procedure is done and what is the recovery process?

Patients should refrain from sexual activity for 2-3 days after each treatment. Some women report slight localized discomfort for a few hours to a couple of days following the laser treatment. NO time off work is needed. Most women almost immediately resume their normal routine. 

Is this procedure safe for women with breast cancer?

Yes, MonaLisa Touch treatment is particularly well suited for patients who cannot, or prefer not to receive estrogen therapy.

What clinical trials have been conducted on the MonaLisa Touch?

A multisite study was conducted by Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at the Stanford University Medical Center. Findings from trials evaluating the laser treatment on postmenopausal women and breast cancer survivors experiencing vaginal health issues have shown positive results.

MonaLisa Touch - Shaghayegh M. DeNoble, MD, FACOG, Advanced Gynecology and Laparoscopy of North Jersey


At Advanced Gyn, we are consistently looking for new ways to improve patient comfort and to help ease pre-procedure anxiety. We are now offering PRO-NOXTM, a gas system designed to deliver “laughing gas” in an inhaled mixture of 50% oxygen and 50% nitrous oxide for the relief of pain and anxiety during your procedure. It is a patient-controlled inhaled analgesia for in-office use and takes effect in seconds, offering immediate relief. Since the effect wears off in approximately 10 minutes, it will be safe for you to drive yourself home.
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Dr. DeNoble and Dr. Damian-Coleman are affiliated with

Chilton Medical Center, Advanced Gynecology and Laparoscopy of North Jersey

Chilton Medical Center

Pompton Plains NJ