Is it okay to combine ThermiVa with Mona Lisa procedure if you spread them apart by 6 months?

Great question!
My question to you would be why spread the treatments apart 6 months? You would benefit from both as each one has a different purpose.
The most popular package of combination treatments in my practice is the laser CO2 treatment (MonaLisa), Radiofrequency (ThermiVa), and the O-Shot. This combination helps with vaginal looseness, vaginal dryness, decreased sensation, and decreased quality/intensity of orgasms.
Go to link below to read more about non-surgical Vaginal Rejuvenation.
Hope this helps.

Thank you for your questionBoth procedures do the same thing: increase collogen and improve blood supply. Doing both is redundant and is doubtful would give you a additional benefit ,but, it's your money and you can do it.

It's not about machines. Menopause causes vaginal tightness because the skin becomes thin and less elastic due to a lack of estrogen. If this is what's going on, you can fix it with estrogen therapy very effectively without anything else. If you can't or don't want to take estrogen, you can fix it by stimulating collagen formation and blood flow with either thermiva or laser (Mona Lisa) treatments. Urinary leakage comes in different varieties and a true expert would need to examine you to see which treatments would be most suitable for your particular type of leakage.