This includes patients who have lesions of the vulva and vagina that have not been diagnosed and evaluated.

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Have active infections of the vagina and vulva including herpes, yeast, HPV, etc.

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Pregnant or within 3 months post-partum.

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Significant prolapse of the uterus coming out of the vagina.

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Previous radiation to the vagina or colorectal region, previous pelvic surgery with mesh kits (vaginal tapes such as the Monarch Sling are not a contraindication).

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History of impaired wound healing or history of keloid formation (hypertrophic scars), anticoagulation therapy or thromboembolic conditions.