I have incontinence and want tightening - is Thermiva right for me?

Question

I am a 26 year old non virgin with no kids, and I feel I was loosened during sex, I now have incontinence. is Thermiva going to tighten me back up?

Marco A. Pelosi III, MD, FACOG, FACS · Answer

There a various types of urinary incontinence. The first step is to determine what type of incontinence you have. This requires an exam by an expert in urinary incontinence. These experts are gynecologists, urogynecologists, and urologists. It would be a mistake to pursue any treatment without this type of exam because you risk aggravating your problem, wasting time, and wasting money. If you feel loose, you also need to be examined to determine the condition of the muscles, supports, etc, to see what might be the best course of management. Feel free to seek out a virtual consult, but a live consult is mandatory.

Courtenay Poucher, MD · Answer

Thank you for the thoughtful question and for being open about your concerns. It’s very common for people to associate sensations of “looseness” after sex with incontinence or lack of tightness, but it’s important to separate perception from anatomy and function.ThermiVa is a non-surgical, energy-based therapy designed to improve tissue quality, increase blood flow and support pelvic floor function by stimulating collagen and elastin production. Many patients report improved vaginal tone, increased sensitivity and better control of mild stress incontinence after a series of treatments.However, there are a few important points to understand:1. Incontinence has many causesUrinary leakage, especially if it happens with coughing, sneezing, laughing or heavy activity, is typically related to pelvic floor muscle function rather than simply “looseness” from sex. It’s possible to have normal vaginal anatomy and still experience incontinence if the pelvic floor muscles aren’t providing adequate support.2. ThermiVa may help mild incontinenceThermiVa can improve tissue support and blood flow, and many patients with mild stress incontinence - leakage with activity - notice improvement after a series of treatments. It’s not a guarantee, and results vary, but there is good clinical evidence that radiofrequency treatments can be beneficial for this indication.3. It is not guaranteed to “tighten” like surgeryIf the concern is feeling “loose,” it’s worth clarifying what that means. Non-surgical energy devices do not surgically tighten or remove tissue in the way an operative procedure might. Instead, they improve the quality and elasticity of the existing tissue.Many people do feel increased snugness and improved support after a course of treatments. But if the primary concern is significant pelvic floor weakness or moderate-to-severe incontinence, surgical options may be more effective.Lastly, let’s address that you are 26 with no childbirth history. True anatomical looseness from sex alone is uncommon and you’re, generally speaking, too young to have hormonal-based laxity. Sexual activity does not typically stretch the tissues in a way that causes incontinence or structural laxity. That said, symptoms matter more than generalizations - so your experience is valid and worth a visit with a specialist.
Best wishes, 
~Dr. Poucher

Nick Slenkovich, MD · Answer

Hello, I’m Lauren, the aesthetic injector at Colorado Plastic Surgery Center. Thermiva is a non-surgical procedure to treat and tighten the internal and external tissue of the labia and vagina. One of the benefits of Thermiva is that is does help treat incontinence, and helps improve the laxity of the vaginal tissues. It’s essential to have a thorough consultation with a provider.. They can assess your specific situation and help determine if ThermiVa is the right treatment for you.

Joe Gryskiewicz, MD, FACS · Answer

Thermiva has several benefits.  Thermiva specifically targets vaginal tightening for interior and exterior tissue. Thermiva also increases natural production of moisture which leads to less painful intercourse with more sensitivity , allowing a more pleasurable experience for a woman.  While although Thermiva has been shown to help with reducing urinary leakage and urgency, it is not specifically geared towards it.  Some women have experienced a change with incontinence while some not so much. Generally, we put urinary incontinence at the bottom of the list of benefits solely because it is not meant to target the issue but has been shown to help improve it in some women.

Mark N. Scheinberg, MD · Answer

Thank you for your questionThermiva does two things: it increases colog tissue and increases blood supply. These two affects address four internal issues: 1) because of the collagen , movement of the urethra is restricted which can significantly reduce stress incontinence( losing urine when coughing or sneezing) 2) It also helps urge incontinence probably due to improved blood supply3) Increase blood supply helps treat dryness4) The cologen makes the vagina stiffer so while it does not reduce the vaginal size the stiffness gives some resistance, reduces stretching and can give the sensation of being a little tighter.

I have incontinence and want tightening - is Thermiva right for me?

Answers (5)

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