Procedure Instructions


1. Please alert us of any medical conditions you may have and/or any prescribed medications you are taking at your consultation. 2. Must have completed a pap smear and pelvic exam within the last year by your primary care doctor or gynecologist.


It’s important to follow your treatment provider instructions before and after treatment.

  • If you have a history of herpes, take Valtrex or the generic prescribed by your primary care physician to help prevent an outbreak.  The stimulation of the laser treatment might cause an outbreak, so it is a standard recommendation to pre-treat to avoid this possibility.  Begin Valtrex (valacyclovir) 500 mg per day for 5 days prior to and for an additional 5 days after, each of the three MonaLisa Touch procedure sessions for prevention.  
  • Please refrain from intercourse and not use any vaginal products including creams, ointments, suppositories, lubricants, tablets. Do not douche...NOTHING for at least 2 days prior to the procedure.


  • Shower or bathe the morning of treatment, so that the area to be treated is clean.
  • Area must be clean and dry without traces of cream, lotions, or other substances that may interact with the laser.
  • Remove any intra-vaginal device, estrogen ring, diaphragm, menstrual cup or piercings prior to presenting to the office for treatment.
  • Dress in loose fitting pants and cotton underwear on the day of the treatment.
  • Please bring a panty liner or pad of your choice with you for use after treatment.
  • Must be clean shaven for treatment.


  • After your treatment, the skin may feel sensitive, red and swollen; and the treated area may be itchy.  There may be some fine scabs, blood tinged discharge or discomfort during the healing process.
  • Use cold compresses or cold gel packs (20 minutes on; then 20 minutes off) as needed for swelling and discomfort. Suggestion: wet a couple panty liners and put freezer for ease and comfort.
  • May shower 6 hours after procedure.
  • No bath/hot tubs, sexual activity, tampons, or objects in the vagina for 4 days after treatment and avoid using hot water on the treated area until healing is complete.
  • Keep the area moist by applying an occlusive ointment to the treated area (Aquaphor). Reapply after each wash and continue to use until skin is healed.
  • Itchiness may be intense at times as area heals.  You may apply over the counter Dermoplast spray. You may take Zyrtec or Claritin (plain, not with decongestant), And Benadryl.
  • Avoid wearing pantyhose and tight-fitting pants if experiencing discomfort.
  • Most patients resume normal activity as tolerated immediately after procedure.
  • The possible associated side effects following this procedure may include vaginal spotting, mild vaginal bleeding, pink or brown vaginal discharge, watery vaginal discharge, irritation, burning upon urination, and discomfort. As the area heals, these may dissipate.

Please call us at 509-688-8866 if you have any questions or concerns.

Learn more about Female Sexual Health