Is the procedure safe for post-menopausal women?

MonaLisa Touch® MonaLisa Touch® is widely viewed as a dependable option for post-menopausal women looking for relief from dryness, irritation, or discomfort. The gentle CO₂ laser works directly on the vaginal tissues, encouraging natural renewal without introducing hormones—making it appealing for women who can’t use or prefer to avoid hormone therapy. Most patients find the treatment quick, comfortable, and easy to fit into their routine. A consultation will help confirm that it’s a good match for your specific needs and goals. O-Shot Yes, the O-Shot is particularly well-suited for post-menopausal women because it uses your body’s own natural growth factors rather than hormones. This makes it an excellent option for women who cannot or prefer not to use hormone-based treatments. Pellecome Estrogen Pellet Therapy Pellecome pellet therapy is a safe, evidence-based solution for estrogen replacement. The bioidentical pellets are precisely dosed and inserted subcutaneously for gradual, sustained hormone delivery. This method avoids the hormone fluctuations and compliance issues associated with daily pills or creams. Most women experience improvements within the first few weeks, with optimal results developing over the first 1–2 months. Treatment typically lasts 3–6 months before another pellet is needed. Your physician will monitor hormone levels over time and make dosage adjustments as needed to maintain balance and effectiveness.

How many treatments will I need?

MonaLisa Touch® Noticeable results occur after only 1 session but to be fully effective a series of 3 sessions are necessary. Some patients may require 4-5 treatments depending on the severity of their condition. Each treatment session is 30 minutes and scheduled 6 weeks apart. Maintenance includes an annual MonaLisa Touch ® up. As the aging process continues symptoms will gradually return. An annual touch up will protect your initial investment by avoiding repeating all 3 treatments. Individual results may vary. O-Shot Many women achieve significant symptom relief with just one O-Shot treatment. However, depending on the severity of your symptoms and your response to the initial procedure, our physicians may recommend a second treatment after 8-12 weeks for optimal results. Annual maintenance treatments can help preserve the benefits long-term. Pellecome Estrogen Pellet Therapy Depending on the severity of your symptoms and your response to the initial procedure, our physicians may recommend follow up treatments every 3-6 months for optimal & long-lasting results.

Post-Menopausal Symptoms in Bellevue, WA

Rediscover Comfort and Vitality

Advanced non-surgical treatments to relieve vaginal dryness, discomfort, urinary issues, and other menopausal symptoms with natural, long-lasting results.

The Benefits of Post Menopausal Symptom Treatment

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Menopause is a natural transition, but the symptoms that can linger for years afterward don’t have to impact your quality of life. At Pacific Clinic in Bellevue, our non-surgical approach offers relief from common post-menopausal concerns:

Reduced vaginal dryness and improved natural lubrication

Relief from painful intercourse (dyspareunia)

Decreased vaginal irritation and itching

Improved urinary function and reduced urgency

Enhanced vaginal tissue health and elasticity

Increased comfort in daily activities

Renewed confidence in intimate relationships

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Common Post Menopausal Symptoms

The decline in estrogen and other hormonal changes during and after menopause can lead to a variety of symptoms that affect your comfort and quality of life:

Vaginal and Urinary Symptoms

Vaginal Dryness: Decreased natural lubrication causing discomfort

Thinning Vaginal Tissues: More fragile tissues that are prone to irritation

Painful Intercourse: Discomfort during intimate relations

Vaginal Itching: Persistent irritation

Urinary Frequency: Needing to urinate more often

Urinary Urgency: Sudden, strong urges to urinate

Recurrent UTIs: Increased susceptibility to urinary tract infections

Mild Stress Incontinence: Leakage when coughing, sneezing, or exercising

While these symptoms are common, they don’t have to be accepted as an inevitable part of aging. Our treatments provide effective relief without hormones.

Our Post Menopausal Treatment Options

– MonaLisa Touch® for Menopausal Relief

MonaLisa Touch® is a gentle, laser-based treatment designed to refresh and revitalize vaginal tissues affected by menopause. This in-office procedure uses controlled fractional CO₂ energy to support tissue health, increase moisture, and improve daily comfort. With a quick appointment and minimal discomfort, many women find meaningful relief from common post-menopausal concerns.

How MonaLisa Touch® Works for Menopausal Symptoms: During the treatment, a handheld CO₂ laser delivers precise micro-pulses of energy to the vaginal walls. These pulses stimulate a natural healing response that encourages new collagen formation, improves hydration, and supports the thickness and elasticity of the tissue. No anesthesia is typically required, and most patients describe the treatment as mild and easily tolerated.

The targeted laser energy helps promote:

Increased moisture and natural lubrication

Increased natural lubrication production

Improved elasticity and thickness of the vaginal tissues

Greater comfort during daily activities and intercourse

Relief from dryness, irritation, and discomfort

Support for urinary function related to tissue weakness

Key Benefits of MonaLisa Touch® for Post-Menopausal Symptoms

Non-hormonal option suitable for many women

Addresses several vaginal health concerns at once

Stimulates collagen renewal using your body’s own processes

Little to no downtime after treatment

Best results develop over a series of sessions and may last 1-2 years

May also support improvements in intimacy and overall comfort

– The O-Shot® for Menopausal Relief

The O-Shot® is a revolutionary non-surgical procedure that uses naturally occurring growth factors derived from your own blood to rejuvenate vaginal tissues affected by menopause. This physician-administered treatment harnesses your body’s natural growth factors to improve tissue health, increase blood flow, and restore comfort. Our clinic uses the current top-of-the-line kit to process your blood & achieve the highest quality & concentration of growth factors.

How the O-Shot® Works for Menopausal Symptoms: The procedure begins with drawing a small amount of your blood, similar to a routine blood test. This blood is processed in a centrifuge to concentrate the growth factors. After applying a topical anesthetic to ensure your comfort, this concentration of growth factors is precisely injected into specific areas of the vaginal tissue.

The growth factors and bioactive proteins stimulate:

Improved blood flow to the vaginal tissues

Increased natural lubrication production

Thicker, more resilient vaginal tissues

Enhanced nerve sensitivity and function

Tissue regeneration and cellular renewal

Strengthened support for urinary function

Key Benefits of the O-Shot® for Post Menopausal Symptoms:

Non-hormonal approach with no systemic effects

Addresses multiple symptoms simultaneously

Uses your body’s own natural healing mechanisms

No downtime or recovery period

Results typically last 1-2 years

May also improve sexual function and satisfaction

Our Estrogen Replacement Treatment

The Re3 Advanced Pellet Delivery System

Pellecome Estrogen Pellet Therapy

Pellecome’s bioidentical hormone replacement therapy (BHRT) uses subcutaneous estrogen pellets to relieve the physical and metabolic symptoms associated with menopause. As estrogen levels decline, many women experience hot flashes, night sweats, vaginal dryness, thinning skin, urinary symptoms, and even bone loss. Pellecome pellets offer a sustained, physician-guided delivery of estrogen to restore hormonal balance and improve quality of life.

Key benefits of Pellecome Estrogen Pellet Therapy include:

Decreased hot flashes and night sweats

Relief from vaginal dryness and discomfort

Improved urinary tract health and function

Protection against bone loss and osteoporosis

Increased skin thickness and elasticity

Enhanced mood, energy, and sex drive

May improve lean body mass and reduce fat accumulation

Reduction in Cardiovascular disease risk

This hormone therapy is individualized based on your lab results, medical history, and symptoms, and is typically administered every 3–6 months. Our physicians monitor your response closely to ensure optimal safety and effectiveness.

Comprehensive Menopausal Wellness

At Pacific Clinic, we understand that post-menopausal symptoms can affect multiple aspects of your life. Our physicians take a holistic approach to your treatment, which may include:

Thorough assessment of your specific symptoms and concerns

Customized treatment based on your unique needs

Discussion of complementary approaches when appropriate

Recommendations for supportive measures to enhance results

Follow-up care to ensure optimal symptom relief

This comprehensive approach ensures that we address the full spectrum of your post-menopausal concerns for the best possible quality of life.

The Treatment Process

1. Confidential Consultation

Your journey begins with a private consultation in a comfortable, understanding environment. You’ll discuss your symptoms, medical history, and how post-menopausal changes are affecting your daily life and relationships. Our physicians will explain the procedure, expected results, and answer your questions.

2. Preparation for Treatment

On the day of your O-Shot procedure, we begin by drawing a small sample of your blood. While this sample is being processed to concentrate the growth factors, a topical anesthetic cream is applied to ensure your comfort. For patients who experience anxiety about medical procedures, we offer Nitronox (medical nitrous oxide) to make the experience more relaxing.

Estrogen Pellet
On the day of your consultation, we’ll begin with a blood draw to assess baseline hormone levels.. After reviewing your test results, your physician will confirm the appropriate dosage and prepare a small, rice-sized estrogen pellet. This is inserted just beneath the skin (typically in the hip or upper gluteal area) using a tiny incision under local anesthetic. The procedure takes only a few minutes and requires no stitches—just a small adhesive bandage.

3. Procedure

The procedures (O-Shot & Estrogen pellets) themselves are quick, typically taking only about 30 minutes. Most patients describe feeling only mild pressure or minimal discomfort during the procedure.

4. Recovery and Results

After the procedure, you can return to normal activities immediately—there’s no downtime required. Some women notice improvements in vaginal comfort and lubrication within days of treatment, while the regenerative benefits continue to develop over several weeks as the growth factors stimulate tissue rejuvenation.

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How the O-Shot® & Pellecome Estrogen Pellets Compare to Other Treatments

When considering treatment options for post-menopausal symptoms, it’s helpful to understand how different approaches compare:

O-Shot® Therapy

How it works: Uses your body’s own growth factors to regenerate tissue
Hormone involvement: Non-hormonal approach
Treatment frequency: Typically one treatment every 1-2 years
Downtime: None
Best for: Women seeking natural, long-lasting relief without hormones
Additional benefits: May also improve sexual function and mild incontinence

Pellecome® Estrogen Pellet Therapy

How it works: Subcutaneous pellet delivers bioidentical estrogen directly into the bloodstream for consistent, long-acting symptom relief
Hormone involvement: Yes – estrogen, and when needed, progesterone (as progestin)
Treatment frequency: Typically every 3–6 months
Downtime: None
Best for: Women who experience widespread menopausal symptoms and are good candidates for hormone-based treatment
Additional benefits: May reduce risk of osteoporosis, improve body composition, and enhance sexual wellness

Topical Estrogen

How it works: Applies estrogen directly to vaginal tissues
Hormone involvement: Contains hormones with minimal systemic absorption
Treatment frequency: Regular ongoing application (typically 2-3 times weekly)
Best for: Women who can safely use hormonal treatments

Oral Hormone Replacement

How it works: Systemic hormone supplementation
Hormone involvement: Significant hormonal component with systemic effects
Treatment frequency: Daily medication
Best for: Women with multiple menopausal symptoms beyond vaginal issues

What Our Patients Say

Frequently Asked Questions

Patient comfort is our priority. We use topical or local anesthetic and offer Nitronox (medical nitrous oxide) to ensure a comfortable experience. Most patients report minimal discomfort—typically just a mild pressure sensation during the procedure.

Many women notice initial improvements in vaginal comfort and lubrication within days of treatment. However, the full benefits develop over several weeks. For the O-shot patients, experience continued improvement for up to 3 months after the procedure. Results typically last 1-2 years. The benefits of the Pellecome Estrogen Pellet therapy last 3-6 months requiring regular follow up and treatment adjustments. For MonaLisa Touch, some patients experience continued improvement for up to 3-4 months after the procedure. Results typically last 1-2 years, though this varies based on individual factors.

MonaLisa Touch®

MonaLisa Touch® is widely viewed as a dependable option for post-menopausal women looking for relief from dryness, irritation, or discomfort. The gentle CO₂ laser works directly on the vaginal tissues, encouraging natural renewal without introducing hormones—making it appealing for women who can’t use or prefer to avoid hormone therapy. Most patients find the treatment quick, comfortable, and easy to fit into their routine. A consultation will help confirm that it’s a good match for your specific needs and goals.

O-Shot

Yes, the O-Shot is particularly well-suited for post-menopausal women because it uses your body’s own natural growth factors rather than hormones. This makes it an excellent option for women who cannot or prefer not to use hormone-based treatments.

Pellecome Estrogen Pellet Therapy

Pellecome pellet therapy is a safe, evidence-based solution for estrogen replacement. The bioidentical pellets are precisely dosed and inserted subcutaneously for gradual, sustained hormone delivery. This method avoids the hormone fluctuations and compliance issues associated with daily pills or creams.
Most women experience improvements within the first few weeks, with optimal results developing over the first 1–2 months. Treatment typically lasts 3–6 months before another pellet is needed. Your physician will monitor hormone levels over time and make dosage adjustments as needed to maintain balance and effectiveness.

Yes, the O-Shot works well both as a standalone treatment and in combination with Pellecome Estrogen pellets for post-menopausal symptoms. Some women choose to combine it with low-dose topical estrogen or other treatments for comprehensive symptom management.

Yes — you can receive MonaLisa Touch® even if you’re currently using hormone replacement therapy (HRT).

Many patients combine the two because they work in different ways. HRT supports hormone levels throughout the body, while MonaLisa Touch® focuses specifically on the vaginal tissues by encouraging collagen renewal, boosting elasticity, and helping restore natural moisture.

If HRT has helped but you’re still dealing with symptoms such as dryness, discomfort during intimacy, or urinary changes, MonaLisa Touch® can offer added relief. It’s also a helpful choice for women who prefer to keep hormone doses lower or who don’t tolerate increases well.

Be sure to let your provider know you’re on HRT so they can design a treatment plan that fits your needs.