Resumo
Objetivo: Descrever as evidências científicas sobre o uso do laser vaginal na síndrome geniturinária da menopausa, avaliando eficácia e impacto na qualidade de vida. Métodos: A pesquisa foi realizada em bases de dados científicas (BVS, PubMed, SciELO) entre maio e agosto de 2025, usando os descritores Vaginal Atrophy”, “Lasers, Medical”, “Postmenopause” e “Menopause” incluídos no MeSH. Com inclusão de artigos em inglês, português ou espanhol, gratuitos publicados nos últimos 5 anos. Resultados: O laser vaginal (CO₂ e Er:YAG) é uma terapia promissora para a síndrome geniturinária da menopausa, melhorando sintomas como secura, dor e dispareunia, além da função sexual, por estimular colágeno e vascularização. É seguro e eficaz a curto prazo, mas falta comprovação robusta a longo prazo, além de altos custos e necessidade de protocolos definidos. Considerações finais: O laser vaginal é uma alternativa inovadora e segura para a síndrome geniturinária da menopausa, especialmente em pacientes com contraindicação à terapia hormonal. Porém, são necessários estudos de longo prazo, protocolos padronizados e avaliações de custo-benefício para consolidar seu uso clínico com segurança e eficácia comprovadas.
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