MonaLisa Touch
Vaginal dryness, burning, discomfort during sex, or needing the loo more often. If the menopause has changed how your body feels day to day, MonaLisa Touch treats the tissue itself, without hormones.
- Hormone-free, so an option when HRT is not suitable for you
- Consultant assessment first, never sold to you as a package
- Each treatment takes under 10 minutes, with no anaesthetic
- No surgery, no stitches, back to your day the same afternoon
- Urgent appointments available, no GP referral needed
★★★★★
4.9/5 on 
Google & 
Trusted by women across London
Google & Trusted by women across London
Self Pay & Insurance Welcome
Understanding MonaLisa Touch
What Is MonaLisa Touch?
UMonaLisa Touch is a fractional CO2 laser treatment for the vaginal tissues. A slim probe delivers precise pulses of light energy to the vaginal wall, which prompts the body to lay down new collagen and improve its own blood supply and natural moisture. Nothing is cut, there are no stitches and no hormones are involved.
These symptoms are caused by falling oestrogen. As levels drop around and after the menopause, the vaginal and vulval tissues become thinner, drier and less elastic. Doctors call this the genitourinary syndrome of the menopause, or vaginal atrophy. It affects around half of women after the menopause, and most never raise it with anyone. Creams and moisturisers help the surface. MonaLisa Touch works on the tissue underneath.
Reasons Women Come to Us for MonaLisa Touch
If any of the following sound familiar, a consultant assessment will tell you honestly whether MonaLisa Touch is likely to help you:
- Vaginal dryness, burning or itching that creams have not settled
- Pain, tightness or tearing that makes sex something you avoid
- Needing the loo urgently, or more often than you used to
- Small leaks when you cough, laugh or exercise
- Repeated urine infections or thrush
- Soreness from cycling, exercise or simply sitting for a long time
- Menopausal symptoms after breast cancer treatment, where HRT is not an option
- Dryness or discomfort that started after childbirth or a hysterectomy
MonaLisa Touch® is a fractional CO2 laser system used for the vaginal symptoms of the menopause. At Ovara Health every treatment is carried out by a consultant.
- Under 10 minutes per treatment
- No hormones and no surgery
- Back to your day the same afternoon
- Consultant-led, never a technician
★★★★★
“Dr Yemi was so professional, Michelle and Junell were amazing, they made me feel relaxed as I was extremely nervous when I came in. I was happy with the overall service. I will be back.”
Olutayo A · Verified Google review
What It Treats
Symptoms MonaLisa Touch Is Used For
MonaLisa Touch is used for the vaginal and urinary symptoms that come with falling oestrogen. These are the reasons women are referred for it most often at our Chelsea clinic.
Most common
Vaginal Dryness & Atrophy
Thinning and drying of the vaginal tissues after the menopause, medically known as the genitourinary syndrome of the menopause. Dryness, burning, itching and a raw feeling day to day.
- Works on the tissue, not just the surface
- No hormones involved
- Can be used alongside vaginal oestrogen
Intimacy
Painful Sex
Pain, stinging or tearing during or after sex, known as dyspareunia. For many women this is the symptom that finally brings them in, and it is one of the most treatable.
- Improves elasticity and natural lubrication
- Discussed sensitively, at your pace
- Partners welcome at the consultation
Bladder
Urgency & Mild Leaks
Sudden urges, going more often, or small leaks when you cough, laugh or exercise. The tissues around the urethra thin with the menopause in exactly the same way.
- Assessed properly before treatment
- Often combined with pelvic floor physiotherapy
- Referral to urogynaecology if surgery is the better answer
Recurrent problems
Repeated Infections
Urine infections and thrush that keep coming back. A drier, thinner vaginal lining changes the natural balance that normally keeps infection at bay.
- Infection screened and treated first
- Underlying tissue changes addressed
- Fewer repeat courses of antibiotics for some women
When HRT is not an option
After Breast Cancer Treatment
Tamoxifen, aromatase inhibitors and chemotherapy can bring on menopausal symptoms suddenly and severely. Many women in this position are told to avoid hormones altogether.
- Hormone-free approach
- We liaise with your oncology team
- Suitability confirmed before anything is booked
Postnatal & surgical
After Childbirth or Surgery
Dryness, scar discomfort and loss of tone that started after a difficult delivery, or an early menopause brought on by removal of the ovaries.
- Scar and perineal discomfort assessed
- Breastfeeding-related dryness considered separately
- Joined-up care with our gynaecology team
Your Treatment
What Happens, Step by Step
Nothing is rushed and nothing is a surprise. Your consultant explains each stage before it happens, and you can stop at any point without giving a reason.
01
Step one
Consultation & Examination
An unhurried appointment with a consultant covering your symptoms, your history and what you want to change, with a gentle examination to confirm what is causing them.
02
Honest advice
Is It Right For You?
Your consultant will tell you plainly whether MonaLisa Touch is likely to help, whether vaginal oestrogen or physiotherapy should come first, or whether both together make more sense.
03
Before the day
Simple Preparation
Eat and drink normally, no fasting and no sedation. Come with an empty bladder, avoid treatment during a period, and any infection is cleared beforehand.
04
The treatment
Under 10 Minutes
A slim probe is inserted and rotated gently while the laser delivers its pulses. Most women describe a warm buzzing rather than pain, and no anaesthetic is normally needed.
05
Afterwards
Straight Back To Your Day
You walk out and carry on as normal. Avoid sex, swimming, baths and tampons for about five days. Some women notice mild spotting or discharge for a day or two.
06
The full course
Three Sessions, Then Review
Most women have three treatments six weeks apart, because collagen keeps rebuilding between sessions. You are reviewed afterwards, with a single top-up around once a year.
Your Options
How MonaLisa Touch Compares
MonaLisa Touch is one option among several, and it is not the right first step for everyone. Here is how it sits alongside the alternatives, so you can make a decision with the full picture.
First line for many
Moisturisers & Lubricants
Inexpensive, available over the counter and genuinely useful for day-to-day comfort and for sex. They ease the symptoms without changing the tissue itself.
- No prescription needed
- Effect lasts hours, not months
- Often used alongside other treatment
Hormonal, local
Vaginal Oestrogen
A pessary, cream or ring that puts a very small dose of oestrogen where it is needed. Effective and well established, and for most women it is the sensible first treatment to try.
- Very low dose, acts locally
- Needs to be continued long term
- Not everyone can or wants to use hormones
Hormonal, whole body
Systemic HRT
Patches, gels or tablets that treat menopausal symptoms throughout the body. It helps many women, but vaginal dryness can persist on HRT alone and often needs treating locally too.
- Treats flushes, sleep and mood as well
- May not fully resolve vaginal symptoms
- Reviewed by our menopause consultants
Muscle, not tissue
Pelvic Floor Physiotherapy
Specialist physiotherapy strengthens and coordinates the pelvic floor muscles. It is the right answer for leaking and prolapse driven by muscle weakness rather than tissue thinning.
- Best evidence for stress incontinence
- Needs consistent effort over months
- Works well combined with laser treatment
Hormone-free
MonaLisa Touch
Fractional CO2 laser that stimulates the vaginal tissue to rebuild its own collagen and moisture. A course of three sessions, then a single top-up around once a year.
- No hormones and no daily routine
- An option when HRT is not suitable
- Self-pay treatment, results vary between women
Most common in practice
A Combination
In real life most women do best on more than one thing at once. Your consultant builds the combination around your symptoms, your medical history and what you are willing to keep up.
- One consultant coordinating everything
- Reviewed and adjusted as you improve
- No pressure to commit to a course
Your Visit
From First Call to Feeling Better
Most women are assessed within a couple of days and, if MonaLisa Touch is right for them, complete the full course over about three months.
1
Book Your Appointment
Call, email or complete the form below. Most patients are offered an appointment within 48 hours. No GP letter required.
2
Consultation and Assessment
A thorough, private one-to-one with your consultant, with a gentle examination to confirm the cause of your symptoms and whether laser treatment will help.
3
Your Treatment Sessions
Three treatments six weeks apart, each under 10 minutes, carried out by the same consultant. You come in, have it done and get on with your day.
4
Review and Maintenance
A follow-up to go through how much has changed and what to keep doing, with a single top-up session around once a year for most women.
GMC Registered Consultants
CQC Regulated Clinic
All Major Insurers Accepted
274 Fulham Road, Chelsea
Consultant-Led Scanning
Transparent Pricing
Clear Prices, No Hidden Costs
Transparent inclusive costs will be confirmed upfront. If your consultant does not think MonaLisa Touch will help you they will advise.
Initial Consultation
A full assessment of your symptoms with a consultant, including examination, and an honest answer on whether MonaLisa Touch is the right treatment for you.
- With a GMC-registered consultant
- Full symptom and gynaecological history
- Clinical examination included
- Written care plan and next steps
£300
MonaLisa Touch Treatment
A single MonaLisa Touch laser treatment, carried out at the Chelsea clinic by your consultant. Most women have a course of three, six weeks apart.
- Carried out by a consultant, not a technician
- Under 10 minutes, no anaesthetic needed
- Aftercare advice included
- Pay per session, never a course up front
£750
first treatment
first treatment
Additional Treatments
Each further session in your course, and any annual top-up treatment after that, at a reduced rate.
- Same consultant throughout your course
- Progress reviewed at every visit
- Annual maintenance session
- Stop at any point if you are happy
£650
per session
per session
Your Specialists
Who Will Treat You
The consultant who assesses you at your first appointment is the one who carries out every treatment in your course. No handovers, and never a beauty technician.
Mr Yemi Kuponiyi
Consultant Obstetrician & Gynaecologist
Consultant obstetrician and gynaecologist carrying out MonaLisa Touch at the Chelsea clinic, with a particular interest in menopausal symptoms, vaginal atrophy and the bladder changes that come with them.
Why Ovara Health
A Clinic, Not a Beauty Salon
a
Consultants Only
Your assessment and every treatment are carried out by a consultant gynaecologist. Never a beautician, never a technician, never a junior doctor.
a
An Honest Answer
If vaginal oestrogen or physiotherapy would serve you better, we will tell you that instead. Nobody here is on commission and there are no packages to sell you.
a
Urgent Appointments Available
No GP referral and no waiting list. Most women are seen within two working days, which matters when a symptom has been going on for years already.
a
Everything Under One Roof
Consultation, examination, swabs, ultrasound, treatment and follow-up all happen at our Fulham Road clinic, with menopause and urogynaecology consultants next door.
Your Questions
Frequently Asked Questions
What is MonaLisa Touch?
MonaLisa Touch is a fractional CO2 laser treatment for the vaginal tissues. A slim probe delivers precise pulses of light energy to the vaginal wall, which stimulates the tissue to produce new collagen and improve its own blood supply and natural moisture. It is used for vaginal dryness, discomfort during sex and the urinary symptoms that come with the menopause. There is no surgery, no cutting and no hormones involved, and each session takes under 10 minutes.
Is MonaLisa Touch painful?
Most women describe a warm buzzing or gentle vibration rather than pain, and no anaesthetic is normally needed. The probe is slim and similar in size to a smear test speculum. If your tissues are particularly sore, your consultant can apply a numbing gel first. You can ask for the treatment to be paused or stopped at any point, and you never have to give a reason.
How many sessions will I need?
Most women have a course of three treatments spaced about six weeks apart, because collagen keeps rebuilding in the weeks between sessions. Some women with milder symptoms notice enough improvement after two. After the course, a single top-up treatment around once a year is usual. You pay per session rather than for a course up front, so you can stop whenever you are happy with how you feel.
How soon will I notice a difference?
Many women notice some improvement in dryness and comfort in the weeks after the first treatment, and most of the change comes through over the course of all three. Collagen takes time to rebuild, so the effect keeps developing for a couple of months after your last session. Results do vary between women, and your consultant will be honest with you at your assessment about what is realistic in your case.
How long do the results last?
For most women the improvement from a full course lasts around a year, and is then maintained with a single top-up session. This is because the underlying cause, low oestrogen, does not go away. MonaLisa Touch improves the condition of the tissue rather than replacing the hormone, so ongoing maintenance is part of the plan rather than a sign that something has gone wrong.
Can I have MonaLisa Touch after breast cancer treatment?
This is one of the most common reasons women ask about it, because tamoxifen, aromatase inhibitors and chemotherapy can bring on severe vaginal dryness while ruling out hormone treatment. MonaLisa Touch is hormone-free, which is why it is often considered in this situation. Your consultant will go through your history in detail and, where appropriate, liaise with your oncology team before confirming that treatment is suitable for you.
Can I use MonaLisa Touch alongside HRT or vaginal oestrogen?
Yes. They work in different ways and are often used together. Vaginal oestrogen replaces the hormone locally, while MonaLisa Touch improves the structure of the tissue. Many women use both, and some are able to reduce how often they need their pessaries or cream afterwards. Never stop a prescribed treatment without speaking to your consultant first.
Is there any downtime?
No. You walk out and carry on with your day, including work and driving. Avoid sex, swimming, baths and tampons for about five days, and skip heavy exercise for a couple of days. Mild spotting, a watery discharge or a slight warm feeling for a day or two afterwards is normal. Contact us if you have pain, bleeding or a discharge with an odour, which needs checking.
Who is it not suitable for?
MonaLisa Touch is not carried out during pregnancy, during an active vaginal or urine infection, or where there is unexplained vaginal bleeding that has not yet been investigated. It is not a treatment for prolapse, and it is not the right first step for everyone with bladder leakage. This is exactly what the initial consultation is for, and if it is not the right treatment for you your consultant will tell you and suggest what is.
Do I need a GP referral?
No. You can book directly as a self-pay patient without a GP letter or referral. If your health insurer requires a referral to cover your consultation, our reception team can help you arrange that beforehand.
How much does MonaLisa Touch cost in London?
At Ovara Health in Chelsea, the first MonaLisa Touch treatment is £750 and each additional treatment is £650, so a typical course of three comes to £2,050. The initial consultation is £300, or £475 combined with a pelvic ultrasound, and follow-ups are £260. You pay per session rather than for a course up front, and you will always have a written quote before anything is booked. MonaLisa Touch is normally self-pay, although your consultation may be covered by your insurance policy.
Find Us
Our Chelsea Clinic
Address
274 Fulham Road, Chelsea, London SW10 9EW
Phone
Opening Hours
Monday to Friday: 8am to 6.30pm
Saturday: 9am to 5pm
Sunday: Closed
Getting Here
Nearest tubes: Fulham Broadway (District) and South Kensington (District, Circle, Piccadilly). Street parking and buses available.
Book Your Consultation
Ready When You Are
Call us now, or leave your details and our reception team will call you back the same working day to confirm a time.
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Call us020 7751 4488
Mon to Fri 8am to 6.30pm, Sat 9am to 5pm -
Email usreception@ovarahealth.co.uk
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Visit us274 Fulham Road, Chelsea, London SW10 9EW
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