Inclusion Criteria:  Italian speaking and able to give informed consent. Menopausal females with absence of menstruation for at least 12 months. Presence of GSM symptoms. Completion of at least two cycles of three laser treatments sessions in previous years. Prolapse stage < II, according to the pelvic organ prolapse quantification (POP-Q) system. No pelvic surgery within 6 months prior to treatment. Understanding and acceptance to the obligation to return to all scheduled visits and follow-ups.  Exclusion Criteria:  Inability of give informed consent History of vulvovaginal condyloma, vaginal intraepithelial neoplasia (VAIN), vaginal carcinoma, lichen sclerosis, lichen planus. History of cancers of the lower genital tract (cervix, uterus, vagina). History of pelvic radiotherapy. Personal history of genital fistula, a thin recto-vaginal septum as determined by the investigator or personal history of a fourth degree laceration during screening physical exam. Any other medical condition that the investigators feel would compromise the study. Acute or recurrent urinary tract infection (UTI), or genital infection (e.g. bacterial vaginosis, herpes genitalis, candida). Stage III or IV pelvic organ prolapse. History of any female sexual disorder.