ThermiVa works by delivering radiofrequency (thermal energy) via a small probe to both the internal vaginal canal and the external labia. The tissue is heated to specific temperatures, encouraging the growth of new collagen, increased blood flow and improved nerve supply. ThermiVa is FDA approved for skin tightening, however, patients also report increased sensation, moisture and improvement in symptoms of stress urinary incontinence. The procedure takes approximately 30 minutes and requires NO downtime. The typical protocol for ThermiVa treatments is 3 treatments, spaced 4 weeks apart. I tell my patients that many women see improvement in vaginal tightening after the first treatment, but that optimal results will be observed 3 months after the third treatment. Cheers!