Use of therapeutic radiofrequency exposure in gynecology

Kazakova S.N., Apolikhina I.A., Teterina T.A., Pauzina O.A.

1) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 3) Volga District Medical Center, Federal Biomedical Agency of Russia, Nizhny Novgorod, Russia
The data available in the world literature on the use of therapeutic radiofrequency exposure in gynecology are analyzed. The review includes the results of recent studies on this topic and considers the physical foundations and mechanisms of radiofrequency exposure to biological tissues. Radiofrequency currents affect mainly the dermis that is known to be composed of cells and a matrix containing 60–70% water. Modern literature includes various data on the minimally required frequency and multiplicity of exposure of the dynamic quadripolar radiofrequency to vulvovaginal tissues, which provides relief of the symptoms of genitourinary syndrome of menopause, vaginal relaxation syndrome and pelvic organ prolapse, the stress and mixed types of mild urinary incontinence, and sexual dysfunction.
Conclusion. Taking into account the high efficiency and promise of this technique, the data analyzed and the experience presented are scanty and require further investigation in this area.


radio frequency
dynamic quadripolar radio frequency
radio frequency exposure
vulvovaginal atrophy
vaginal relaxation syndrome
genitourinary syndrome in menopause
sexual dysfunction
urinary incontinence
pelvic organ prolapse


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Received 03.04.2020

Accepted 03.07.2020

About the Authors

Svetlana N. Kazakova, postgraduate student at the Department of Obstetrics, Gynecology, Perinatology and Reproductology of National Medical Research Center
for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Health of Russian Federation. E-mail:
117997, Russia, Moscow, Ac. Oparina str., 4.
Inna A. Apolikhina, MD, Head of the Department of Aesthetic Gynecology and Rehabilitation of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov; professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology, Institute of Professional Education of the I.M. Sechenov First MSMU of Ministry of Health of Russia (Sechenov University). E-mail:
117997, Russia, Moscow, Ac. Oparina str., 4.
Tatiana A. Teterina, Ph.D., Department of Aesthetic Gynecology and Rehabilitation of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia. E-mail:
117997, Russia, Moscow, Ac. Oparina str., 4.
Olga A. Pauzina, gynecologist, Head of the clinical and diagnostic Department of polyclinic № 1 of the Privolzhsky district medical center of the Federal medical service
of Russia. E-mail: 603001, Russia, Nizhny Novgorog, Nizhnevolzhskaya nab., 2.

For citation: Kazakova S.N., Apolikhina I.A., Teterina T.A., Pauzina O.A. Use of therapeutic radiofrequency exposure in gynecology.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 192-198 (in Russian).

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