Dr. Jose L. Goncalves 

Obstetrics and Gynecology, Pelvic and Reconstructive Surgery

Call Us:  1-250-492-4015



Mona Lisa Touch

Pre and Post Treatment Instructions


Internal Treatment

(for vaginal atrophy or genitourinary syndrome of menopause):


Pre-Treatment

  • Shower or bathe the morning of treatment, so that the area to be treated is clean. 
  • Area must be clean and dry without any traces of creams, lotions, or other substances that may interact with the laser.
  • Clip or trim long pubic hair as advised by Dr. Goncalves.
  • Anesthetic gel/cream (if used-not necessary for internal treatment) must be removed before treatment. 
  • Understand and sign a Consent to Treat Form.

Post Treatment:

  • Schedule follow-up visits as recommended by Dr. Goncalves.
  • Refrain from vaginal sexual activity for 48 hours after treatment.
  • Most patients  resume normal activity as tolerated immediately after the procedure.



External Treatment (for vulvar atrophy or genitourinary syndrome of menopause, lichen sclerosis, obstetrical scarring, or perineal splitting)


Pre Treatment

  • Shower or bathe the morning of treatment, so that the area to be treated is clean. 
  • Clip or trim long pubic hair.
  • Understand and sign a Consent to Treat Form.

Post Treatment

  • Immediately Post Treatment apply cold compresses or cold gel packs to the treated area for 20 minutes.
  • You will have occlusive ointment applied before you leave the office.
  • Schedule follow-up visits

Patient 24 hours Post Treatment Instructions

  • Skin may feel sensitive, may be red and swollen, and treated area may be itchy.
  • Use cold compresses or cold gel packs (20 minutes on; then 20 minutes off) as needed for swelling and discomfort
  • Gently cleanse the area 2-3 times a day with cool sterile saline or a mild, hypoallergenic cleanser such as Dove soap.
  • Do not use hot water as the treated area may feel like a sunburn--lukewarm water is best. 
  • Re-apply occlusive ointment (Vaseline) after each wash and voiding and continue to use until skin is healed. 
  • Avoid lifting heavy weights or doing intense physical exercise for 3-4 days following the treatment.
  • Refrain from sexual intercourse for a week after the treatment.
  • Wear loose, cotton underwear.
  • Avoid wearing panty hose and tight-fitting pants.


If you have any questions about these instructions or the procedure, please contact Dr. Goncalves:  250-492-4015.