Who is a Good Candidate for ThermiVa?

What are the factors that makes someone a good candidate for ThermiVa?

Doctor Answers 21

The answer is that there are few women who would NOT be good ThermiVa candidates...

Who is NOT a good ThermiVa candidate? Almost all women who feel vaginal laxity, looseness, tampons don't stay in like they used to, there seems to be more vaginal flatulence, penetration with intercourse and foreplay do not feel like they used to (often after childbirth), these woman are certainly candidates for this therapy.

I guess you would not want to consider ThermiVa if: you are menstruating at the time, you have any signs of vaginal or bladder infection, you have severe vaginal pain or pelvic floor spasm or already suffer from vaginismus. As a Urogynecologist, I do see so many women with vaginal prolapse who also complain of looseness and laxity. I am clear that ThermiVa may help reduce that loose sensation, but it is not a treatment for significant vaginal prolapse (cystocele, rectocele, uterine or vaginal vault prolapse). If you are pregnant or could be pregnant, you would not be a ThermiVa candidate. You should also wait 2-3 months minimum to have ThermiVa treatments after childbirth and any vaginal surgery. The exception to that is that you can have internal vaginal procedures like vaginoplasty, and get ThermiVa on the external labia majora at the same time.

Last, I would also say that when women come in for consultations for vaginoplasty surgery, I often find that some of these women are better candidates for ThermiVa. Why? If I see a woman who complains of looseness, but she is not 100% sure that she would not have another child, I would steer her towards ThermiVa. I also see woman for consultations who want vaginoplasty surgery and they complain of pain with intercourse. These are also women that, I believe, ThermiVa would serve them better than doing a procedure that could possibly increase pain with intercourse.

Hope this helps...

Pasadena Urogynecologist

Who is a Good Candidate for ThermiVa?

All women 21 and over are good candidates for ThermiVA. It is completely non invasive and it doesn't hurt at all, so there are not many limitations on who can get the procedure. We do not treat pregnant women, women that are menstruating and women who have had abnormal pap-smears. We would require a note from your doctor approving the treatment if any abnormalities were noted during your most recent GYN examination.

Best Candidates for ThermiVA

Most patients are considered candidates for ThermiVa. However, patients who are pregnant, have an active sexually transmitted disease, currently have a urinary tract infection or have cardiac devices such as AICDs, should not be treated with ThermiVa. We also use caution and possibly suggest an alternative treatment if the patient has a greater than stage 2 pelvic organ prolapse or recent vaginal surgery or fillers.

Jenny Weyler, MD
Worcester Physician
5.0 out of 5 stars 6 reviews

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Benefits of Thermiva

Although there is risk with any procedure there is very little risk of excessive scar tissue or desensitization with the FemiLift, Mona Lisa or ThermiVa devices. FemiLift™ and Mona Lisa™ procedures use CO2 laser technology and the ThermiVa™ uses RF (radiofrequency) to shrink vaginal tissue and increase lubrication if dryness is a problem. The tightening is often sufficient to improve or correct urinary stress incontinence and/or mild cystoceles. The procedure is done in office and requires little or no post procedure down time.
The advantages are :
  • Minimally invasive, virtually painless procedure
  • Gentle treatment for controlled safety and accuracy
  • Maximum precision with Alma CO2 laser, the right wavelength and perfect pulse
  • Fast and efficient delivery of fractionated laser energy split into micro pixels
  • No post treatment downtime
  • Excellent patient satisfaction and long term success The Disadvantage of the FemiLift and MonaLisa is that is is only for vaginal treatment whereas the ThermiVa RF device can be used to shrink the labia minora as well and is more comfortable. These procedures cannot narrow the vaginal canal as much as a vaginoplasty surgery

Candidates are 18 years and up for ThermiVa

ThermiVa is a good option for females 18 years and older with any of the following conditions:

·       Vaginal laxity- which can be a result of aging, obesity, fluctuating hormones, or previous vaginal deliveries

·       Sexual dysfunction- difficulty achieving an orgasm

·       Vaginal dryness- due to effects of menopause or breastfeeding

·       Urinary leakage- mild to moderate stress incontinence or overactive bladder

·       Loose, sagging skin of the labia majora

David L. Robbins, MD, FACS
West Des Moines Plastic Surgeon
4.6 out of 5 stars 30 reviews

ThermiVA Candidates

There are few women in their 20s-70s+ who are NOT good candidates for ThermiVA treatment. ThermiVA addresses external genital and vaginal tightness, vaginal moisture, mild to moderate urinary incontinence. This benefits women who have had vaginal deliveries and have tissue relaxation, are experiencing vaginal dryness, have discomfort with sexual intercourse and have variable issues with urinary leakage.

The best results with ThermiVA are seen with 3 consecutive treatments (each 1 month apart) and 1 maintenance treatment annually thereafter.  The consecutive treatment builds upon one another and ultimately tightens internal vaginal mucosa and external genitalia for up to one year.

Great improvement in external and internal tissue tightness, vaginal moisture and even mild urinary incontinence can be seen after just one treatment, with most durable results after 3 recommended treatments. 

My Best suggestion is to seek a consultation with a reputable provider and discuss your unique case so that recommendations can be made and expectations can be set. 

ThermiVa Candidates

These are just a few things that make a good ThermiVa candidate:

  • Do you feel “loose” vaginally since childbirth and/or menopause?
  • Do you feel dry during intercourse?
  • Do you have trouble reaching orgasm?
  • Do you occasionally dribble or leak when you sneeze, cough or exercise?
  • Have you ever “not quite made it” to the bathroom on time?
  • Have your intimate relationships suffered due to these changes?
  • Are you experiencing loss of self-confidence? Loss of interest in sex? Loss of desire?

Jayesh Panchal, MD
Edmond Plastic Surgeon
4.9 out of 5 stars 18 reviews

Candidtes for ThermiVA

Hi and thank you for your question!

Our patients who have had thermiVa have reported improvements in mild to moderate stress and urge incontinence, internal vaginal tightening, increased sensation and lubrication and more comfort in the external appearance of the vagina. We feel that any patients with these concerns would benefit from this treatment. We are so happy to have a treatment like this to offer our female patients and we have received much positive feedback from them.


Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 138 reviews

Why Women Love ThermiVa

ThermiVa provides a way to finally treat laxity, vaginal dryness, increase sensation, and reduce incontinence, without ANY downtime or pain. There are many women who may be to shy to ask about treatment or would never consider having anything done about their symptoms, but those who do are so satisfied. It should not be considered an end resort therapy, but rather a preventative measure that can help improve your daily life. Our patients are so happy with results, and they really notice the difference.
- Dr. P

Kaleroy Papantoniou, MD, FAAD
Great Neck Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

Almost every woman is a candidate for ThermiVa

Hello and thank you for asking this very important question.
ThermiVa is a wonderful treatment option for most women because it improves and corrects multiple concerns and is safe and effective with very few contraindications. The few women we do not treat are women who have a mesh implant from a previous surgery, women who are currently pregnant, and women with severe prolapse.

Patients who are experiencing vaginal dryness, lack sensitivity and or the inability to orgasm, are experiencing vaginal looseness or atrophy, and women who are self-conscious about the appearance of their labia majora, will see and experience improvement; often significantly. Additionally, ThermiVa is very effective in improving stress urinary incontinence, often following their first treatment.

When our patients arrive for treatment, we ask that they are not currently menstruating, do not have an active outbreak of Herpes or are amidst treatment for any kind of infection. This is something that is covered during the consultation and patients very commonly just know what they may have to work around when scheduling their treatments. The treatment involves a very delicate, disposable wand, and is extremely well- tolerated. We have not had any patient report discomfort during the treatment.

I hope this has helped answer your question and I wish you the very best.
Jenn Harrington, MD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.