W. James Henneberg, MD

Wether you have sex or not will not make any difference in how long the benefits will last.  If you had it done on your face it will not make any difference how much you smile or don't smile, it all has to do with your age and the genetics of your individual tissues.

Average is somewhere between 9 and 24 months.

Try it, you will like it.

W. James Henneberg MD

It really depends on what your problem is and how ThermiVa can make it better.  If it's vaginal dryness or urinary stress incontinence you are hoping to improve, then I would wait 6 months and see if it gets better over time without any treatment.  This is especially true if you are breast feeding.  Your hormones are not normal while breast feeding.

If after 6 months you are still having problems with vaginal dryness or urinary symptoms then I would certainly try ThermiVa as a safe and noninvasive modality.

All the best.

W. James Henneberg MD

Labiaplasty is more expensive and more risky but the results are more dramatic and more permanent.  ThermiVa works better for other things like vulvavaginal laxity or urinary stress incontinence.  Decreasing the size of the labia minora cannot always be guaranteed with ThermiVa as it works better on some people's tissue than others.

Thanks for your question.  There is no age limit, 23 or 90.  I had a 28 y/o that came to me because she had been having sex for 8 tears and could not achieve orgasms.  After one treatment she reported a 50% success rate and after the 2nd treatment she reported a 90% success rate reaching orgasms.  I treated her the third time and have not heard back so I suspect she is a happy patient.  It seems that ThermiVa not only improves lubrication but also sensitivity.

Another thing to consider is that there is very rare occurrence of vaginal dryness and issues like you describe in young women that are on birth control pills.

W. James Henneberg MD

ThermiVa radio frequency treatments restore the elasticity of the collagen but it is not permanent.  Nothing is.  Just like botox or other anti-aging treatments the body continues to age and therefore most of these treatments involve maintenance.  After three treatments with ThermiVa most people will have excellent results that will last anywhere from 9 to 24 months depending on their own tissues and response.  Most of my patients come in annually for a "tune up".

W. James Henneberg MD

You definitely have labial hypertrophy.  From your photos it would seem to me that it might be difficult for you to wear a well fitting bathing suit or some tight shorts.  Hopefully you are not a "pole dancer".  You need to find a Gynecologist that is willing to take some time with your insurance company and speak directly with the person that OK's the surgery and that may involve sending pictures.  It also will depend on what kind of insurance you have.

Good luck.

W. James Henneberg MD

The sutures are most likely the kind that dissolve over time.  You are doing the right thing.  Leave them alone.  Over time the swelling will be gone and the sutures will also disappear.

If it's not getting larger and you are not in pain I would try and wait it out.  The bleeding has stopped or it would be getting larger.  The body will reabsorb the blood over the next few weeks.  If it gets infected then it needs to be opened up.

Absolutely it works.  Questionnaires to patients that have had it done report a 90% satisfaction rate (nothing is 100%).  It works by stimulating the collagen that is in the vagina just below the mucosa.  Think of collagen as a sponge.  When the sponge sits at the sink or bathtub it gets dry and hard but put some water on it and it becomes soft and spongy.  The vagina may feel tighter because it is spongier.  In a menopausal women you would not want to make the vagina tighter but you would want to make it softer and spongier.

Depending on your age the results may last anywhere from 6-18 months.  It can be done over and over.  It's not painful and you can immediately go to any activity you desire including sex.

By looking at the photos there is nothing wrong with your genital anatomy, all within the range of normal.  Your husband is doing what most cheaters do and that is to try and blame the spouse instead of themselves.  If he came home and said he had an affair because you are 5 feet 6 inches tall, instead of 5 feet 4 inches tall and that's why he had the affair you would realize how ridiculous such a statement would sound but it is no different than him trying to blame your labia for his lack of commitment.

Tell him "nice try" but your labia are not accepting the blame.