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Nathan Guerette, MD, FPMRS, FACOG

Richmond Urogynecologist
1401 Johnston Willis Drive, Suite 1100
North Chesterfield, Virginia 23235 US
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12 years experience
36 expert answers
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5 out of 5 stars diVa Vaginal Therapy

Dr. Guerette Changed My Life!

I have been seeing Dr. Guerette for years for pelvic floor therapy and sexual dysfunction. Being a cancer survivor I have not had sex with my husband. After receiving my 3rd diva treatment, it has changed my life. I am no longer suffering from pain. Dr. Guerette and his staff are extremely professional and I owe them my life. Thank you!

5 out of 5 stars ThermiVa

Labiaplasty + Laser Therapy at 39

Ever since my teens, my labia minora has been asymmetrical with one side severely longer than the other. It has been bothering me for several years, especially after my 4th child. I've always had issues mountain biking, wearing swimsuits and tight fit leggings and jeans. After visiting Dr. Nathan Guerette in Richmond, VA, he gave me the confidence to have the labiaplasty procedure. It only...

5 out of 5 stars ThermiVa


I've been suffering from incontinence for several years. I was extremely nervous bringing up my issues to my gynecologist due to all the mesh warnings on the news. Then a few months ago my GF recommended I see, Dr. Guerette, a uro/gyn in Richmond, VA. He informed me of a non-surgical and non-invasive treatment called thermiva. I recently finished my 3rd treatment and haven't peed after...

Board Certifications

Board-certified by the American Board of Obstetrics & Gynecology

Hospital Privileges

Dr. Guerette has hospital affiliations at Chippenham and Johnston willis Medical Center, St. Mary's Hospital, St. Francis Hospital.


  • Undergraduate & Medical School

    Medical: MD, State University of New York
  • Post-Medical School Training

    Fellowship: Urogynecology and Pelvic Reconstructive Surgery, Cleveland Clinic Foundation

Treatments offered at The Female Pelvic Medicine Institute of Virginia

Most popular answers from Nathan Guerette, MD, FPMRS, FACOG

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Can multiple vaginal births affect labiaplasty work?

I would have to respectfully disagree with my colleagues. A number of things can happen with pregnancy and childbirth including darkening... READ MORE

Should my labia be trimmed? (photos)

Your labia are completely normal. The view makes it a bit challenging to assess if there is excess tissue but it seems normal and there does not... READ MORE

I had a wedge labiaplasty done 9 weeks ago and I have some holes. Can I still have sex with my partner? (photos)

The tissue looks healed and not infected so you are likely safe to have vaginal sex, however, this surgery clearly did not heal properly and needs... READ MORE

How to treat hypertrophic scars after labiaplasty (wedge method)?

Hypertrophic scars leading to pain with sex can happen after reconstructive surgery, particularly in the posterior area of the vaginal opening. Some... READ MORE

ThermiVa and Mona Lisa. Do you recommend doing both procedures?

Kimberleigh You have brought up a number of issues. Primarily lack of sexual sensation and low libido. First, you need a proper evaluation including a... READ MORE

My vagina seems to have darker labial skin and I was wondering if it's normal?

Labial skin turns darker as a result of estrogen. This is normal. If, however, you don't like it the skin can be lightened to more closely match the... READ MORE

If I don't need a lot done for labiaplasty, why is it the same price as someone who does need a lot more done?

Alexandra, The risks incurred and the skills needed for a labiaplasty are the same regardless of the amount of tissue that needs to be removed.... READ MORE

My vagina doesn't look the same. Do I have a prolapse? Is it normal? (photos)

The symptoms you are describing and the photos are consistent with pelvic organ prolapse. At minimum you have a rectocele which is loss of support... READ MORE

Am I healing correctly? (Photo)

The pictures make it a little hard to tell if you are healing well. Two areas look a bit asymmetric but it could be swelling at 6 days. I would... READ MORE

Does the MonaLisa have levels of intensity?

Thank you for your question. Mona Lisa is very limited in the ability to alter treatments with symptom severity and condition. The diVa system is by... READ MORE

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