It may help the doctor make a better diagnosis. There are risks when you have general anesthesia. Discuss these risks with your doctor. A local anesthetic may not numb the area quite enough and you may feel some minor discomfort. Also, in rare cases, you may have an allergic reaction to the drug used in this type of anesthesia.
Local anesthesia is considered safer than general anesthesia.
IV sedation may cause you to have an allergic reaction to the sedative, respiratory arrest, lowered blood pressure, heart rhythm disturbance, or a bad reaction when the sedative is combined with other medications. These risks depend on the type, amount, and rate of sedation. More surgery may be necessary. The laser may cut too deeply and injure the vagina. If the doctor removes a lot of tissue, you may have trouble holding a pregnancy to its full term.