No change after 1st session of ThermiVa, is it too early to see results?

Hello. I’m Lauren, the aesthetic injector at Colorado Plastic Surgery Center. That is a great question and a question patients may have in the early stages of treatment. While some women report feeling immediate improvement, especially with moisture and tightness, it can take a few weeks or even a few sessions for noticeable results. You're just two days post-treatment from your first session, and ThermiVa is typically done in a series of three treatments spaced about a month apart. Don't feel discouraged in your process, and I would encourage you to reach out to your provider if you are experiencing concerns or have any questions, they are there to support you!

Thanks for your question. Some patients report incredible changes right after Thermiva and others don't. It can take some time for you to see effects, and it won't be until after the third session that the full effects will be seen. Thermiva promotes collagen production and blood flow to the vagina and the effects take some time and are cumulative. Wait a little bit and see. Best of luck.

Full results are seen 3 months after the third treatment. I would encourage you to have your next two treatments performed- as this is the recommended protocol. In my practice about 50% see improvement after the first treatment.
Cheers!

Hello, and thank you for your question. In our experience patient's generally need at least 3 treatments to see significant improvement. I would not be discouraged at this time. Your also only several days following her procedure. Discuss all of this with a followup visit with your treating physician. Best of luck.

Thanks for your question.  ThermiVa will definitely help with moisture - if it doesn't do it for you, then you would be first in my experience to get no result.  Most women do notice an improvement in moisture after the first treatment, but I counsel all my ThermiVa patients not to expect anything until approximately 2 weeks after their second treatment and it really requires all three treatments to achieve lasting results.  Be patient and you should see and feel positive changes coming your way soon!

Thank you for your question. Although I agree with all of the respected responders above, improvement in vascularity and therefore moisture takes time. Gradual improvement occurs over the course of 2-3 treatments with any therapy. Without knowing the level of expertise of your doctor I cannot say whether ThermiVa was the right treatment choice for you. That said, re-confirm with your doctor about your expected results and ask what alternatives are available if those expectations aren't met.I have experience with all of the available therapies and there is a different response from each. CO2 is ablative whereas Radiofrequency is coagulative. Erbium combined with Diode is both. Even at a basic level, understanding the different energy sources allows me to provide accurate expectations for my patients. 

Thanks for your question. ThermiVa makes the vaginal mucosa and surrounding structures healthy and happier and this increases your moisture. It takes time to remodel and rejuvenate the mucosa and moisture improvement is usually the second or third benefit that I see and takes some time (stress incontinence and over active bladder improvement are usually the first benefit that my patients see after treatment). So, I would recommend that you give it some time. You may also need a series of treatments to see maximum benefit. Best of luck!

Dr. Hustak

Yes, it will take a series of treatments to get improvement and everyone needs treatments to maintain results. Usually a combination approach is needed to get improvement.  I find that RF treatments like ThermiVA compliment well with laser treatments like Juliet.  In our practice we do the laser first and then 4 weeks later start the series of RF treatments for both short and long term improvement. See an expert. Best, Dr. Emer

I would hope that your physician evaluated you for other causes of dryness (infections, etc) before treatment. If so, wait a few more days. If not, make sure to be evaluated for infections that cause dryness. Not all thermiva owners are knowledgeable about gynecology, so see your gyn if you must.

Many women do see results after the first treatment but others see the results only after the second treatment. It depends on the age of the patient  and the degree of severity of the symptoms. Since the effects are cumulative and it takes time for the process of healing to occur, you should expect to have more benefits if you continue with your  subsequent treatments. 
Hope this helps,
Cheri A. Ong, MD