Jefferson University Hospitals

Frequently Asked Questions

Yes. You're still able to undergo ThermiVa treatments if you're breastfeeding.

Women should be at least 18 years old. ThermiVa is for both pre-and post-menopausal women.

Vaginal laxity is very common after vaginal delivery. This condition can also be caused by aging, obesity, hormones, chronic constipation, straining, lifting, or any activity that would cause the vagina to stretch beyond its normal capacity

  • Women who are experiencing vaginal laxity and a loose or rubbing feeling
  • Women who are displeased with the appearance of their labia, especially while wearing bathing suits, athletic attire, leggings, jeans, etc.
  • Women who are experiencing any sexual dysfunction or orgasmic issues
  • Women who are having difficulty retaining tampons or may have pelvic prolapse, such as fallen bladder or fallen rectum
  • Women who experience urinary leakage or stress incontinence
  • Women who have dryness of their vagina or labia (atrophic vaginitis) due to the effects of menopause

Spotting can happen when ThermiVa electrode touches the cervix. The same results often happen with a pap smear. It can also occur if the patient has an untreated vaginitis (i.e., bacterial vaginitis, candida vaginitis, or trichonomas vaginitis). Your doctor will determine if you need a pelvic exam.

No. The treatment only applies comfortable, warm heat, and your doctor may ask for your feedback during the procedure.

Approximately 10 to 15 minutes for labia reduction, and 15 to 20 minutes for vaginal tightening. For full benefits, the treatment is recommended three times, one month apart.

ThermiVa can be used to treat mild to moderate stress incontinence and over active bladder. It's done by focusing on the mid urethra and sometimes the whole anterior compartment for about 5 minutes per treatment, and repeated monthly three times. For those with severe stress incontinence, also called Intrinsic Sphincter Deficiency, treatment may be recommended every two to three months. 

We recommend ThermiVa treatments every 30 days for three treatments. From there, a maintenance program may be suggested based on your individual needs. Treatments have been done at three to six weeks.

You may notice that you feel tighter immediately after treatments, and improvements can be realized even more over time. For those with incontinence issues, it's not unusual to notice less urinary leakage immediately after ThermiVa. Evidence has shown that morning ThermiVa treatments resulted in no stress incontinence the same evening.

For women with vaginal dryness, moisture is notably different at two weeks, and may only be slightly improved after the initial treatment. Talk to your doctor about any concerns you have about results.

Women can get back to their regular daily routines, including sexual activity the same day as long as no abnormal bleeding is reported.