Philmore Blake, MD

This is a good question. So, one has to understand that Thermiva is a painless and safe treatment which delivers radiofrequency heat deeply into the tissues internally and externally. Heating of the skin promotes collagen contraction,  remolding, elasticity, and long-term stimulation of production of new collagen. These effects on collagen, tightens the tissues, thus helping with the looseness and leaking. Thermiva can also help a woman who experiences dryness and trouble reaching an orgasm.  In my opinion, improvements usually begin between the second and third treatments (about six (6) weeks)  and can last anywere between nine (9) and months (12).  It is  recommended to do a single "booster" treatment (1)  between the 9th and 12th month.  

This is a good question. First, Thermiva is a painless and safe treatment which delivers radiofrequency heat deeply into the tissues internally and externally. Heating of the skin promotes three (3) different kinds of effect: 1) Immediate contraction of collagen; 2) Immediate collagen remodeling and elasticity and 3) long-term stimulation of production of new collagen. These effects on collagen, tightens the tissues, thus helping with the looseness and leaking.  Second, Collagen contraction maximizes approximately 6 months after treatment. I would recommend waiting until six (6) months, however, I have heard about other clients doing more than the usual three (3) treatments without any complications nor side effects. Thirdly, you may get some additional benefits from a 4th treatment but it tends to taper off by the third. Hope this helps.

Your question is an important one. Thermiva is a painless, safe, non-surgical, no downtime treatment for a woman who may be experiencing dryness, trouble reaching orgasm, occasional leaking and looseness since giving childbirth. It is radiofrequency heat delivered deeply into the tissues internally and externally. Thermiva increases blood flow and restores nerve signaling resulting in normal vaginal lubrication and increase sensitivity. It does not need ovaries to be present nor hormones to work. Upon sexual arousal, the nerves seem to wake up and are more able to release neuropeptides (signaling chemicals) that cause the tiny blood vessels in the vagina to vaso-dilate and secrete a transudate (lubricant) into the vagina causing more lubrication during intercourse. More moisture will also be present in the normal non- arouse state.  After your initial three (3) treatments we recommend a booster treatment between nine (9) to twelve (12) months. 

Since you just had your 1st Thermiva treatment and noticed an improvement in vaginal tightness and stress incontinence after the first week which faded, I would think that is a good sign that you need additional treatments. In my opinion, the effects of each treatment are usually seen after six (6) weeks. Since you had a partial temporary response to the first treatment, you will need a booster shot. I usually recommend a set of three (3) for that reason. Hope this helps.

Sometimes a woman can experience dryness, trouble reaching orgasm, occasional leaking and looseness since giving childbirth. Thermiva is a painless, safe, non-surgical, no downtime treatment for the above issues. It is radio-frequency heat delivered deeply into the tissues internally and externally. Heating of the skin promotes three (3) different kinds of effect: 1) Immediate contraction of collagen; 2) Immediate collagen remodeling and elasticity and 3) long-term stimulation of production of new collagen. These effects on collagen, tightens the tissues, thus helping with the looseness and leaking.  Thermiva also increases blood flow and restores nerve signaling resulting in normal vaginal lubrication and increase sensitivity. In my opinion, Thermiva acts like a sling, estrogen and viagra.