Management of menopausal symptoms such as hot flashes, atrophic vaginitis, irritability, and insomnia is provided in our office. An individualized consultation is followed by tailored hormonal and other forms of therapy. This include weight management, laser treatment of vaginal dryness using MonaLisa Touch, and pelvic rejuvenation procedures including vaginal rejuvenation, perineoplasty, labiaplasty and pelvic floor reconstructive procedures. MonaLisa Touch laser technology enables an efficient option of restoring normal moisture and function of vaginal epithelium. Three treatments, 4 weeks apart are recommended to result in an expected improvement, followed by a one yearly maintenance treatment.