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We all know that aging inevitably takes a toll on our bodies, but for women, that can mean more than just crow’s feet and fine lines around our eyes and mouth. Aging, combined with multiple vaginal or traumatic deliveries, can stretch and damage connective tissues causing vaginal laxity (looseness) along with a multitude of other issues, including stress incontinence and dryness as we enter our menopausal years. Although discussing this topic with your doctor may seem uncomfortable, it is an extremely common issue. You’re Not Alone!


Unlike minimally effective kegels, controversial hormone therapy or invasive surgeries like Vaginoplasty, ThermiVa® uses the non-invasive, skin-tightening technology of ThermiAesthetics to effectively tighten labial and vaginal tissues without pain or downtime. This FDA-cleared treatment uses controlled radiofrequency energy to gently heat internal and external vaginal tissues to promote collagen rejuvenation in a comfortable, in-office session.


Vulvovaginal laxity, which refers to the laxity or looseness of both the vaginal introitus (opening) and the lips surrounding the vagina (labia majora and the labia minora), is commonly caused by vaginal delivery that stretches and damages the connective tissues of the vagina with laxity increasing with each successive birth. Advancing age can also cause atrophic vaginitis (inflammation due to thinning and shrinking of the tissues as well as decreased lubrication because of hormonal shifts) and is most commonly experienced during perimenopause, increasing in post-menopause, and often negatively affects a woman’s sexual sensation and sensitivity.


Using the same radiofrequency energy used to tighten lax skin on the face, neck and abdomen, ThermiVa delivers controlled, precise energy to stimulate vaginal and labial tightening. Using a single-use, nonsurgical applicator designed to comfortably fit the labia and vagina, the technician slowly and safely heats the labial and vaginal tissues causing them to contract into a tight bundle, encouraging the production of new collagen. ThermiVa is performed comfortably in-office without anesthesia, pain or downtime. Click on the video animation to see what you can expect at your treatment.


ThermiVa is designed to help relieve a variety of feminine issues which can cause discomfort and embarrassment such as:
Stress Incontinence — ThermiVa can help tighten the tissues supporting the bladder to reduce the number of accidents and leakage caused by mild to moderate stress incontinence experienced with a cough, sneeze, laugh or exercise, as well as help to reduce mild urge symptoms.
Vaginal Laxity — ThermiVa can help to tighten the vaginal opening following vaginal delivery or trauma resulting in a more comfortable feeling.
Vulvar/Labial Laxity — ThermiVa can tighten labial tissues and reduce the amount of sagging tissue, resulting in softer, smoother skin and more comfort with certain types of clothing.
Atrophic Vaginitis — ThermiVa can improve skin texture and thickness as well as increase the amount of vaginal moisture present both internally and externally without the use of hormones.
Sexual Dysfunction — ThermiVa treatments may result in increased sensitivity and stronger muscular contractions, which can improve your sexual experience.


How do I get cleared for ThermiVa Treatment?

ThermiVa treatment plans are designed with your gynecologist’s input, so we need his/her contact information in order to obtain basic screening information that typically has already been done by your doctor at your last visit. If no medical screening information is available, patients must complete a vaginal medical exam with the doctor of their choice so that we can obtain the proper screening information needed.

Why is a dermatologist’s office performing this procedure?

For the external genital area, this is more of a skin issue than it is a gynecological or urological issue. We’re using the same FDA-approved radiofrequency energy technology that we routinely use to tighten lax skin on the face and neck. Each ThermiVa treatment is performed by an experienced female obstetrics/surgical RN, under the direction of an on-site board-certified physician, to ensure your safety and comfort.

How many treatments are typically needed?

It is recommended that patients receive at least three sessions at four-to-six-week intervals for optimal results

When will I notice the effects of the treatment?

Patients generally notice an improvement in texture and tightness of vaginal tissues immediately following their first treatment with additional effects over time.

How long do the ThermiVa treatment sessions take?

Depending on the patient and treatment areas, sessions usually take 30 minutes to complete.

How long do the effects of ThermiVa last?

ThermiVa corrections will generally last anywhere from nine to 12 months.

Will I need maintenance treatments?

We recommended one maintenance treatment per year following your initial three ThermiVa treatments.

Are the ThermiVa treatments painful?

The ThermiVa treatments are performed in-office with little to no discomfort. The heat temperature delivered to the vaginal tissue from the radiofrequency energy applicator is carefully monitored and controlled by the technician to ensure patient safety and comfort.

Do I need to do anything special before my ThermiVa treatment?

We ask that you shave or trim the treatment area prior to your scheduled appointment and will advise you of a few minor things to avoid before your treatment.

What can I expect after treatment?

The treated skin may be slightly pink or red, swollen and warm to touch for about one hour following your treatment. There is a possibility of mild cramping which should resolve within 24 hours. Some patients may experience light vaginal bleeding or spotting immediately post procedure.

Is there anything special I need to do post-treatment?

No, ThermiVa treatments require no special after-care. Patients may resume all normal daily hygiene, physical and sexual activities unless otherwise instructed by the treating physician.