ThermiVa - Common Questions

Which women are suitable for the ThermiVa procedure?

  • Women who are experience vaginal laxity.
  • Women who are unhappy with the appearance of their labia majora.
  • Women who are experiencing any sexual dysfunction or orgasmic issues.
  • Women who are having difficulty retaining tampons or may have pelvic prolapse, such as dropped bladder or rectum.
  • Women who suffer from urinary leakage or stress incontinence.
  • Women who suffer from vaginal or labial dryness (atrophic vaginitis) due to the effects of menopause.

Who suffers from vaginal laxity?

Vaginal laxity is very common after vaginal delivery. Approximately 1 in 2 women will exhibit some degree of vaginal laxity after a vaginal delivery. The effects of aging, obesity, hormones, chronic constipation, straining, lifting, or any activity that puts the pressure on the pelvic floor all play a part.

Can we treat women who complain of painful intercourse?

Yes, those women who suffer with painful intercourse may benefit enormously from the ThermiVa. Vaginal oestrogens and lubricants are usually tried first.

What is the recommended age range of women that can be treated?

We treat women from the age of 18 to 70 plus, depending on the complaint and concerns. The ThermiVa procedure works very well for both the pre and postmenopausal women.

Can patients with an IUCD or Mirena coil have ThermiVa treatments?

Yes that is perfectly fine. Patients with coils are safe to treat because IUDs are in the uterine cavity away from the vaginal cavity with the thick and firm cervix.

Is any anaesthetic required for this procedure?

No. The treatment feels like a comfortable warm massage. For some women it can be a little warm and we can easily turn down the temperature.

How long does the procedure take?

Approximately 10-15 minutes for labia majora reduction and 15-20 minutes for vaginal tightening. The protocol consists of 3 treatments recommended one month apart

If a patient has had a previous hysterectomy are there any treatment concerns?

Patients who have had a hysterectomy are suitable for the procedure. The tip of the ThermiVa wand is rounded and blunted, so the risk of perforating the vagina into the bowel/rectum/bladder is minimal in experienced hands.

Can ThermiVa help with orgasmic dysfunction?

Yes, definitely, the ThermiVa can improve sensitivity in all women. In patients who suffer from orgasmic dysfunction (anorgasmia or taking too long to achieve orgasms), it can reduce the time to reach orgasm by one third to one half. However, if you have no such problem, it will not make you hyper-orgasmic. It only helps those who have orgasmic issues. Those who have normal orgasms when treated with ThermiVa continue to have normal orgasms, but can experience stronger and more coordinated muscular contractions.

Can ThermiVa help to reduce or eliminate vaginal or labial varicose veins?

No, it will not reduce either vaginal or labial varicose veins but It is safe to perform ThermiVa treatments over these areas.

When can ThermiVa be used post vaginal delivery?

We do not recommend the ThermiVa procedure until after the six week check up for an uneventful normal vaginal delivery. By then, any vaginal repair has healed and tissues respond well to the ThermiVa treatment.

Is this ThermiVa procedure permitted if a patient is breastfeeding?

Yes we treat all breastfeeding patients.

Can Radiofrequency energy affect breast milk?

It has no effect on breast milk.

Are there any post-procedure restrictions?

There are no restrictions for physical or sexual activity. Patients may feel the tightening effects the same day, others will take more time and notice changes at 2 weeks. Immediately there may be mild cramping, but this should resolve within 24 hours. Patients should not see an increase or change in discharge. The improvement in vaginal moisture post treatment does not typically show itself in the first week and is seen starting 2 weeks post treatment.

When can women resume sexual activity?

Women can resume their normal activities of daily living. This includes resuming sexual activity the same day as long as no abnormal bleeding is reported.

What are the post procedure instructions regarding bathing and swimming?

Bathing and swimming are permitted after treatment. If the patient has a spotting episode with treatment, they should wait a day or two.

What could patients experience post procedure?

Patients may say that they will feel tighter immediately after treatments, but that it improves even more with time. With incontinence and vaginal dryness we see slight improvement after the first treatment and more significant benefit after the 2nd or 3rd treatment

When should a patient expect to begin their “maintenance” program? Does this differ for internal and external treatments?

External Treatments:
If the patient has external issues and concerns, after the third treatment they may require additional treatments between 4-6 months.

Internal Treatments:
The maintenance treatments can be between 6 to 12 months after the 3rd treatment. The internal effects of comfort, moisture, fullness, incontinence and overactive bladder can have longer lasting effects than the external treatments. The results for orgasmic dysfunction can be longer lasting than other complaints.

What results can you see with a prolapse?

If the patient has pelvic prolapse, we concentrate the treatment time on that particular are of the vagina which is causing concern. compartment. ThermiVa has worked to reduce symptoms for patients with mild to moderate pelvic prolapse (up to stage 2 where the leading edge can go up to a cm past the hymen) and may be enough to avoid surgery in selected patients who have mild to moderate symptoms. It does not work well in patients with a severe prolapse when the tissue is visible and palpable.

How soon can Thermiva treatments be repeated?

It is recommended that ThermiVa treatments should be done every 30 days for three treatments. Then start a maintenance program as needed based on results. Treatments have been done at 3-6 weeks. Treating every 2 weeks may be too soon because at 2 weeks is typically when my patients see and feel more dramatic changes occurring.

General complications.

We have had no serious adverse problems or complications. We have not seen a UTI, blisters or burns from the treatment. There can be an occasional hot spot if the probe lingers too long at one spot, but this is easily avoidable and still tolerated by the patient. Some patients have reported some hypersensitivity of the bowel and bladder in the first 24 hours.


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