Gynaecology · Intimate health
CO₂ laser vaginal rejuvenation in Katowice
Fractional CO₂ laser is an in-office treatment used, among other things, for vaginal dryness and symptoms of atrophy around the menopause (genitourinary syndrome of menopause, GSM). The treatment is performed after a gynaecological consultation and assessment — as a complementary treatment aimed at improving quality of life.
Author: Dr Artur Chełmicki MD PhD, specialist in obstetrics and gynaecology · Updated: November 2026
At a glance
- Who it is for: vaginal dryness, pain during intercourse (dyspareunia) and other symptoms of atrophy around the menopause (GSM), especially when local treatment is not enough or oestrogens are contraindicated
- Protocol: 3 CO₂ laser treatments 4–6 weeks apart, possibly a maintenance treatment after about 12 months
- Treatment time: 10–15 minutes, in the practice, without general anaesthesia
- After treatment: at least 7–14 days without intercourse; 7 days without tampons, swimming pools and saunas; normal daily activities without restrictions
- Before treatment: an assessment consultation and an up-to-date, normal cervical smear; a vaginal swab is recommended
- Price: PLN 950 per treatment, PLN 2,850 for a series of 3 treatments
- Location: 1 Maja 88a, Katowice (Chełmicki Clinic), parking via Cynkowa Street
When can CO₂ laser vaginal rejuvenation help?
- vaginal dryness, burning and irritation around and after the menopause (GSM)
- discomfort or pain during intercourse related to atrophy of the vaginal mucosa
- recurrent symptoms despite local treatment
- situations in which local oestrogen treatment is contraindicated or not wanted — e.g. after breast cancer treatment, in agreement with the treating oncologist
- mild stress urinary incontinence — as one option, after a urogynaecological assessment
Similar symptoms can have different causes — infections, vulval skin conditions, hormonal disorders or weak pelvic floor muscles. That is why the decision about treatment is made only after a medical history and gynaecological examination. The treatment is also known as vaginal laser therapy or laser treatment of vaginal atrophy; more about symptoms of the menopause transition on the Menopause page.
Course of treatment
What does CO₂ laser treatment involve?
1. Assessment
A gynaecological consultation with examination. An up-to-date, normal cervical smear result is required and active infection must be ruled out — a vaginal swab is recommended for this purpose. Other treatment options are also discussed.
2. Treatment
Usually takes 10–15 minutes, in the procedure room, without general anaesthesia. The vaginal part usually does not require anaesthesia; anaesthetic cream is used for treatment of the vestibule and vulva.
3. Series and follow-up
The standard protocol is 3 treatments 4–6 weeks apart. Comfort improves gradually. Depending on symptoms, a maintenance treatment may be considered, usually after about 12 months.
Aftercare following CO₂ laser treatment
For a few days there may be slight discharge, a feeling of warmth or burning and light spotting — these are typical signs of healing.
- at least 7–14 days: no intercourse; in justified cases, the approach is agreed individually
- for 7 days: no tampons, menstrual cups or vaginal preparations (unless prescribed)
- for 7 days: no swimming pools, saunas or baths; showering is fine straight away
- normal daily activities and work — usually straight after the treatment
Contact with the practice is advised in case of fever, increasing pain, heavy bleeding or an unpleasant-smelling discharge.
Contraindications
- pregnancy
- active vaginal, vulval or urinary tract infection, including genital herpes
- an abnormal or out-of-date cervical smear result
- vaginal bleeding of unexplained cause
- active malignancy of the genital organs
- significant pelvic organ prolapse — requires other assessment and treatment first
Clinical studies show improvement in GSM symptoms in many patients, but the effect is individual and long-term data are still limited. Alternatives include vaginal moisturisers, vaginal oestrogens and pelvic floor physiotherapy — these are discussed during the consultation. Management is based on current positions of scientific societies, including The 2020 genitourinary syndrome of menopause position statement of The North American Menopause Society (Menopause, 2020).
Price of CO₂ laser vaginal rejuvenation in Katowice
| Service | Price |
|---|---|
| CO₂ laser vaginal rejuvenation (1 treatment) | PLN 950 |
| Series of 3 treatments (standard protocol) | PLN 2,850 |
| Gynaecological assessment consultation | from PLN 250 |
Full price list (in Polish): chelmickiclinic.pl/cennik. The scope of treatment is agreed after an examination.
Treatments are performed by Dr Artur Chełmicki MD PhD, specialist in obstetrics and gynaecology, graduate of the Fellowship in Cosmetic Gynaecology (ISAGSS / American Society of Cosmetic Physicians, Dubai, 2023).
Frequently asked questions
How much does CO₂ laser vaginal rejuvenation cost?
One CO₂ laser treatment costs PLN 950; a series of 3 treatments costs PLN 2,850. Suitability is assessed during a gynaecological consultation.
How many treatments are needed?
Usually 3 treatments, 4–6 weeks apart. The number of treatments and the intervals are agreed individually after an examination.
Is the treatment painful?
Warmth or tingling is usually felt during the treatment. The vaginal part usually does not require anaesthesia; anaesthetic cream is used for treatment of the vestibule and vulva.
When can I resume intercourse?
It is recommended to wait at least 7–14 days; in justified cases, the approach is agreed individually. This break reduces the risk of irritation and infection while the mucosa heals.
Does laser replace hormone treatment?
Not always. For some patients local treatment is the better choice; laser is considered particularly when oestrogens are contraindicated or not wanted. The decision is made together with the patient after a consultation.
Is a cervical smear needed?
Yes — an up-to-date, normal cervical smear result is required before treatment. A smear can be taken during the assessment consultation.
Is a vaginal swab needed before treatment?
It is recommended. A vaginal swab helps rule out an asymptomatic infection that could delay healing after treatment. It can be taken during the assessment consultation; the result is usually available within a few days.
Book an assessment consultation
Consultations and treatments take place at 1 Maja 88a, Katowice (patient parking, entrance from Cynkowa Street). Available times can be found in the ZnanyLekarz calendar or by calling the reception desk. Consultations are available in English.
More about treating intimate symptoms: Intimate health.