Nonsurgical energy-based treatment options include laser vaginal rejuvenation and radiofrequency energy treatments like ThermiVa, MonaLisa Touch, Ultra Femme, FemTouch, diVa vaginal therapy, and Votiva.
Their methods and Worth It Ratings differ, but all of these devices have demonstrated benefits in treating vaginal dryness, reducing leakage from urinary incontinence, and improving sensation.
Good candidates for nonsurgical treatment options typically have mild to moderate symptoms. For instance, nonsurgical vaginal treatments can only moderately tighten labial and vaginal tissues—they can’t dramatically tighten a stretched vagina.
Effects are temporary, so maintaining them requires ongoing follow-up treatments.
Along with not being a substitute for surgery, these treatments aren’t risk-free—burns, scarring, and pain during intercourse have been reported. If you’re considering one of these treatments, choose a highly experienced provider with a strong track record of positive patient reviews.
ThermiVaÂ
What it is: A radiofrequency treatment that rejuvenates vaginal tissue.
Who’s a good candidate: People experiencing vaginal dryness, occasional leakage, painful intercourse, and recurrent vaginitis.Â
Additional benefits: Improved sexual function and satisfaction.Â
How it works: The ThermiVa wand delivers targeted RF energy that gently heats tissues both inside and outside the vagina, to provoke a regenerative healing response. Over time, the skin becomes tighter, more hydrated, and responsive to sensation.Â
How many treatments you need: A series of three 30-minute sessions, spaced four to six weeks apart are required. Full results will be most noticeable after a few months.Â
How long results last: About a year. Annual follow-up treatments can maintain the benefits.Â
Learn more about ThermiVa
MonaLisa Touch
What it is: A fractional CO2 laser treatment designed to treat atrophic vaginitis—the thinning, drying, and inflammation of the vaginal walls that often accompanies a drop in estrogen levels after menopause or other health changes.Â
Who’s a good candidate: Menopausal women who are experiencing vaginal dryness, painful intercourse, stress urinary incontinence, or mild tissue laxity.Â
How it works: This wand-shaped vaginal rejuvenation laser delivers energy pulses that make controlled micro-injuries along the vaginal wall. This boosts blood flow and stimulates new collagen and elastin production, to thicken the tissue while increasing moisture and sensation.Â
How many treatments you’ll need: An initial series of three to four treatments, six weeks apart.
How long results last: 12 to 18 months. Annual follow-up treatments can maintain results.Â
Learn more about MonaLisa Touch
FemiLiftÂ
What it is: A fractional CO2 laser that rejuvenates vaginal tissue and eradicates symptoms like dryness, pain during sex, and irritation.Â
Who’s a good candidate: The best candidates are postmenopausal women with vaginal atrophy.
How it works: The laser delivers bursts of heat to the vaginal tissues. This creates microinjuries that trigger the body’s natural healing response, thicken vaginal tissue, improve muscle tone, increase lubrication, and restore elasticity. Because the laser strengthens the vaginal walls, the treatment can also help reduce stress urinary incontinence.Â
How many treatments you’ll need: An initial series of three treatments, spaced about three weeks apart.Â
How long results last: One year. Annual follow-up treatments can maintain results.Â
Learn more about FemiLift
The O-Shot
What it is: PRP injections (platelet-rich plasma, derived from your own blood) increase vaginal sensation, lubrication, and clitoral stimulation, which has been shown to improve the sex life of patients.
Additional benefits: An improvement in mild stress urinary incontinence.
Who’s a good candidate: Women with difficulty achieving orgasm through vaginal or clitoral stimulation.
How it works: Blood is drawn and spun through a centrifuge, to isolate the PRP. The PRP is injected into numbed areas of the frontal vaginal wall, clitoris, and labia. Growth factors in the PRP encourage tissue regeneration and boost blood flow, to increase lubrication and sexual arousal.Â
How many treatments you need: These can be a one-time treatment, though additional shots can build on the benefits of the first treatment.
How long results last: Results peak at about three months, then last up to a year or more, at which point the treatment can be repeated. ent.
Learn more about the O-Shot
