MonaLisa Touch


Women who’ve experienced changes in their uro-gynecologic health because of menopause or other factors, such as therapy for breast cancer, now have a solution that doesn’t require hormone replacement therapy or surgery. MonaLisa Touch is a gentle, non-invasive, FDA-approved laser treatment that helps restore sexual health and everyday comfort for women suffering from vaginal dryness or itching, thinning skin tissue, pain during or after sex, and stress or urgency incontinence.

Five Valleys Urology is the leading provider of comprehensive urologic services to men and women throughout western Montana. As the first MonaLisa provider in the state, our care team has the most experience helping women suffering from the symptoms related to aging and estrogen loss. Performed in-office by our trained and experienced team of female providers, this gentle procedure requires no anesthesia, takes less than five minutes and is hormone free. A typical course of treatment is three treatments over 18 weeks. The procedure is changing lives; for more information, call Jennifer O’Connor, RN, MonaLisa Touch Program Coordinator at 406-532-5676.

Patients are calling it “Life-Changing”



  • In-office procedure
  • Requires no anesthesia
  • No downtime
  • Minimal side effects
  • Each treatment is less than 5 minutes
  • Thousands of women have been treated worldwide since 2012
  • Received FDA clearance in 2014

In European and U.S. clinical trials, women reported symptom relief after the first treatment and even greater improvement after second and third treatments.


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Patient Testimonials



Patient testimonial video

Frequently Asked Questions

(click on a question to expand)

What is the MonaLisa Touch?

The MonaLisa Touch is a gentle laser therapy that delivers controlled energy to the vaginal wall tissue. It restores gynecologic health by generating new collagen, elastin and blood flow. The MonaLisa Touch was first available outside the U.S., and more than 15,000 patients have been treated worldwide.

How does it work?

The MonaLisa Touch uses pulsing laser energy delivered through a side-firing probe inserted into the vaginal canal. A two-part pulse targets surface (epithelial) and deep (lamina propria) tissue to promote vaginal mucosal revitalization.

What have clinical trials concluded on the MonaLisa Touch?

Please see sidebar for available downloadsA multisite study was conducted by Dr. Mickey Karram, Director of the Fellowship Program on Female Pelvic Medicine and Reconstructive Surgery at The Christ Hospital, Cincinnati, Ohio, and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at Stanford University Medical Center. The trial assessed the use of CO2 fractional laser therapy on 30 women with gynecological health issues due to natural or induced menopause. All patients in the trial were treated with the MonaLisa Touch laser therapy. This study reported:

• Positive and immediate resultsStatistically significant improvement in symptoms after first treatment
Escalation of progress with each subsequent treatment

*Women in the study either experienced natural menopause or induced menopause as the result of hysterectomy or drug-induced suppression of ovarian function (chemotherapy, radiation and anticancer drugs such as Tamoxifen).

A study was done by Dr. Stefano Salvatore*, Department of Obstetrics and Gynecology, Vita-Salute San Raffaele University, to assess the feasibility of fractional C02 laser in the treatment of 50 women experiencing changes in their gynecologic health.

42 patients (84%) showed significant improvement in their physical and mental quality of life scores over baseline and were satisfied with the treatment. Gynecologic symptoms were significantly improved.

Where can I have this done?

The MonaLisa Touch is currently only available in Montana at Five Valleys Urology.

Does the procedure hurt?

The procedure requires no anesthesia. Some patients may experience some discomfort the first time the probe is inserted, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration.

How long does it take?

Patients receive three treatments, spaced six weeks apart, each taking less than five minutes to perform.

When will I see results?

Most patients feel improvement after the first treatment, although the procedure calls for three treatments that are generally spaced over an 18-week period.

How long does it last?

Patients should expect to come back annually for a maintenance treatment.*
*Your doctor will determine with you if follow-up treatments are required.

What are my limitations after the procedure is done?

Most patients resume normal activity immediately after the treatment. Patients should refrain from sexual activity for two to three days.

For whom is this treatment appropriate?

The MonaLisa Touch is appropriate for any woman who has gone through menopause, as well as those who are experiencing post-menopausal symptoms as a result of a hysterectomy or breast cancer treatments.

How much will the procedure cost?

Please contact Five Valleys Urology for additional information.

Is this procedure safe for women with breast cancer?

Yes, the MonaLisa Touch therapy is particularly well suited for patients who have survived breast cancer, as well as others who cannot or prefer not to receive hormone replacement therapy.

Will the procedure be covered by insurance?

Health insurance does not cover this treatment. The MonaLisa Touch is considered an elective treatment.





deka_Logo MonaLisa Touch is a registered trademark of DEKA M.E.L.A. Srl – Calenzano – Italy.

MonaLisa Touch: Clinical Studies


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Contact Information

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Missoula Office
2875 Tina Ave., Ste 101
Missoula, MT 59808
P: 406-728-3366
F: 406-728-0651
Hours: 8am - 5pm (M-F)