9419 Norton Commons Blvd.
Suite 101, Prospect, KY 40059

CO2RE Intima
NonSurgical Vaginal Rejuvenation

Vaginal atrophy occurs through the natural aging process, by childbirth or as the result of certain cancer treatments. The vaginal wall thins and natural elasticity and lubrication are reduced. Patients dealing with vaginal atrophy, also called atrophic vaginitis, may experience these symptoms.

  • Dryness
  • Itching
  • Burning
  • Vaginal tightness or looseness
  • Pain during intercourse
  • Lack of sexual desire


When Dr. Samuels first reported on the use of lasers in vaginal rejuvenation, little data existed in peer-reviewed journals regarding the long-term clinical outcome and efficacy of energy devices in successfully and safely treating VVA and GSM. Dr. Samuels’ published study significantly adds to the growing number of evidence-based reports of efficacy and safety beyond three months. The laser offers an effective alternative option, especially for patients who are not compliant with or who do not wish to use hormonal or topical therapies (or for whom hormonal options are not advised). We have observed a trend of diminishing effect beyond the 12-month follow-up, although the reported improvement was still highly significant at that point. This suggests that a retreatment interval of 12 to 18 months may be beneficial, given that the etiological lack of estrogen state will persist. A study with a larger sample size and repeat treatments after 12 to 18 months is warranted. Further study for the application of this laser modality to treat stress urinary incontinence and improve sexual function is also needed.

ASJ May 2018

Follow this link to read Dr. Samuels’ Publication

Enjoy Life Like You Used To

Dr. Samuels utilizes the versatile CO2RE fractional laser to promote a natural regeneration process that’s similar to laser treatments performed on delicate facial tissue. CO2RE laser vaginal treatments are nonsurgical, require only a numbing cream and no anesthesia, have no recovery time and are virtually pain-free. The procedure treats both the external vulvar area and the internal vaginal canal.

This type of laser vaginal treatment has been shown to cause immediate improvement in vaginal laxity or atrophy, poor lubrication, sexual desire and function, as well as stress urinary incontinence with as few as three treatments.

100% of the women in Dr. Samuels’ recent clinical study reported a clinically significant degree of satisfaction and would recommend CO2RE Intima to others. These clinical results were corroborated by other later studies and also reflect the occurrence of no adverse events. Patients reported experiencing:  

  • Improved elasticity and comfort with intimacy
  • Improved sexual gratification
  • Better lubrication
  • Correction of vaginal relaxation or tightness
  • Improvement in dryness or itching
  • Correction of stress urinary leakage

Frequently Asked Questions

Recent medical studies report high satisfaction with CO2RE Intima treatments. The CO2RE Intima laser is a fractional CO2 laser (see our CO2RE laser page) that treats internal and external vaginal tissues much the same as it treats external skin of the face, neck and body, except that the vaginal tissues heal much faster with far less downtime than other body areas.  We can treat internally only or also treat the external labial tissues for tightening and correction of hyperpigmentation and laxity.  Watch this brief video to learn more.

Postpartum patients with symptoms of vaginal relaxation syndrome (VRS) including stress or urinary incontinence due to laxity around the urethral tissues and pelvic floor relaxation, laxity and poor tissue tone and muscle strength which contributes to difficulty having an orgasm (thereby improving female sexual function). The improved blood flow and tissue integrity after treatment makes tissues more resistant to further trauma, with a reduced frequency of bacterial and yeast vaginosis. Menopausal or post-menopausal patients dealing with the symptoms of genitourinary syndrome of menopause (GSM), including dryness, loss of natural lubrication caused by loss of estrogen, atrophy, itching, painful sex, thinning of tissues from dryness and loss of good bacteria leading to infection. CO2RE Intima also improves female sexual function.  Dr. Samuels conducted a study on 40 menopausal patients up to age mid-70s using CO2RE Intima. They showed a 100% improvement in all GSM symptoms after the third treatment. Another corroborating study (by Macrene Alexiades, MD) showed that the longer the menopausal state exists  (especially more than 3 years), that it may be slightly harder to eradicate symptoms in just three initial treatments. 

ASJ May 2018

Follow this link to read Dr. Samuels’ Publication on CO2RE Intima


Follow this link to read an article on Dr. Samuels’ publication on CO2RE Intima

We frequently combine vaginal rejuvenation device packages with VTone, Tone, Morpheus8 V, EMSELLA or the O-Shot, depending on your symptoms and age. 

We create customized treatment packages to achieve each patient’s best and longest lasting results.

To maintain results, a single re-treatment at 12 months is important, since laxity in the younger patient increases with age and loss of natural estrogen in the older patient continues. 

Before & After Results



After pregnancy or menopause, over 50% of women suffer from vaginal laxity or atrophic vaginitis and urinary incontinence, and most are uncomfortable discussing it. Dr. Samuels and her staff will make you feel completely at ease as soon as you enter the office. During the initial consultation, Dr. Samuels listens to your concerns and questions and recommends the best solution for your specific needs.

For more information about CO2RE Intima or to see if you’re a good candidate for this procedure, schedule a consultation with Dr. Samuels at 502-897-9411.

Our practice serves Louisville, KY and the surrounding areas.