Edsel Antonio, DO

I would not do both treatments for vaginal tightening, And the Thermiva definitely does vaginal tightening both effectively and comfortably. The Thermiva probe looks like a wand and has the diameter of your finger. You have experience with the "larger" Femilift probe so you know the stark difference. Also the Thermiva uses radiofrequency temp controlled energy which treats the vaginal mucosa at 45C or 113F....without pain or discomfort. I use Thermiva for my patients and I have demo'd the Femilift and as a gynecologist I would strongly recommend Thermiva. Hope this helps

Thank you for your question. Medications like the ones you are on are well known to affect libido, arousal, orgasm. While the O-shot may physiologically help increase sensitivity clitorally and vaginally, the medications are the main culprit for the other components of achieving orgasm that the O-shot will not address such as libido. The O-shot will help but the results will not be as effective as long as you are on those medications.

The typical initial treatment protocol is 6 treatments, once a week or 2x/week. Maintenance varies depending on the patient. Typically it is 1 treatment every 4-6 months but I have had many patients do 1 maintenance treatment every month because they do not want to go back to their old ways in terms of urge incontinence. No special prep before the procedure needed except you shouldn't be on your menses when receiving treatments. Also, the procedure is fully clothed

Virginity status aside, if your hymen is broken and you have used tampons in the past, I think the best thing to do is have your provider assess your vaginal vault for any laxity. Also consider if you have never had any type of vaginal penetration before (toys, dildos), the Thermiva wand and the treatment MAY feel uncomfortable at first as it may be a new experience

Not with any noticeable results. If that were the case, BTL would have advertised those results heavily. In all seriousness, you would have to position yourself on the chair in quite a contorted manner to target the transversalis. EMsculpt would have better access to those muscles

I would recommend the O-shot as long as you have had a real orgasm in the past whether clitorally or vaginally. I would have your doctor evaluate if there is any changes to your pelvic anatomy that can affect your ability to orgasm. Your doctor should check any new medications (antidepressants), new dietary supplements, lifestyle changes, and finally life stressors that may affect orgasm.

I've performed a thermiva treatment the day of a labiaplasty. You can ThermiVa the vaginal vault 1-2 weeks after. But after a labiaplasty you should wait 4-6 weeks until the tissue heals completely and given there are no complications before doing Thermiva on the vulva

The o-shot is meant to improve sensitivity to help with orgasm frequency and intensity. There are other treatments such as ThermiVa which can help improve vaginal lubrication. Keeping your ovaries are probably the best thing to prevent vaginal dryness. A treatment such as ThermiVa will also facilitate that. The O-shot may help to a minimal degree because the shot is in a focal area and does not work on the entire vaginal vault

Firstly, what is a positive outcome? Are you looking to treat urinary stress incontinence? There are lots of factors to consider here: Is your diagnosis primarily stress incontinence? or is there a mix or urge incontinence and or overactive bladder? Are there any anatomical issues to consider such as bladder or uterine prolapse? If it is stress incontinence, were you positioned properly on the chair? Also, some patients need more frequent maintenance after the initial 6 sessions Finally, the EMSella may not be right for everyone and there are varying degrees of expectations and results your provider should properly discuss with you. I hope this helps

With age, achieving an orgasm can become more difficult due to decreased hormones, co-morbidities ( hypertension, diabetes, etc) and life stressors. But if you are still able to achieve an orgasm but either have a decrease in frequency or intensity, the O-shot may help improve your orgasm.