Stephen Dalm, DO

We recommend waiting at least 3 days after your treatment to engage in intercourse. Some people may want to wait a little longer until they are feeling more comfortable. You may continue with normal sexual activity in between all treatments. We sometimes recommend avoiding intercourse a day or two prior to the diVa as well depending on your comfort level during the procedure. 

Thanks for your question. So this is not uncommon after a labiaplasty. Sometimes the skin does not heal well due to exposure to trauma from wearing clothes, sitting and wiping after using the bathroom. Also, the blood supply is limited in this area which does increase the risk for inadequate healing.The resolution would be to allow healing to complete and then revise the separated area, thus repairing the defect.  

Absolutely! Numbing time is about 20-30 minutes, total treatment time is less than 5 minutes and then you're on your way back to work!

Yes, you can keep your uterus with a uterine suspension surgery such as a colposacropexy. Vaginal rejuvenation can be preformed depending upon the nature of the weakness and symptoms you are having. Both of these could be preformed at the same time. You would also have the option of using a pessary for the prolapse. The type of procedure would depend partly on whether or not you desire any further pregnancies. 

Unfortunately, insurance does not cover this treatment at this time. However, studies show that women spend anywhere from $600-$5,000+ annually on hormone creams, patches, and tablets. Bladder medications can cost anywhere from $24-$300+ per month, and the vast majority (~80%) of women stop using them after 1 year due to cost and side effects. Women spend ~$750 annually on pads due to bladder leakage. And the management of Stress Urinary Incontinence can cost $2,000-$3,000 per year out of pocket - this is with insurance coverage. So, each woman can weigh the costs of commercially available medications and surgeries with the benefits of each type of therapy to see if diVa is a good fit for her.