ThermiVa® is an FDA-approved comfortable, non-invasive treatment that does not require anesthesia or needles for women.

Vaginal Rejuvenation 

Restore vaginal health and eliminate dryness and discomfort without hormones

Urinary Incontinence

Treat without medication 

Weak Bladder Support (Cystocele)

Repair without surgery, stimulates collagen

Non-surgical Labiaplasty

Stimulates blood flow

Vaginal Rejuvenation

Childbirth, aging, weight changes, loss of natural estrogen, surgery, cancer treatments, or lack of sexual activity can compromise vaginal contour and texture. The vaginal walls may become lax and sag. The vaginal surface may become dry and uncomfortable, losing its former moisture and elasticity, and the blood supply to the nerves and tissues beneath the vaginal walls may decrease. Some women experience vaginal canal narrowing and an uncomfortable sensation of dryness. Women who have vaginal dryness or vaginal atrophy may also have more urinary tract infections.

Vaginal rejuvenation means restoring healthy vaginal function. There are a variety of ways to restore healthy vaginal tissue. Dilators help expand narrow vaginal canals. Local topical vaginal estrogens help restore moisture and elasticity. Laser treatment has been used to resurface the vaginal walls, but laser treatments are painful and require downtime.

In 2015, the FDA approved ThermiVa for vaginal rejuvenation. ThermiVa uses radiofrequency waves to increase the blood supply to nerves and tissues using gentle temperature-controlled heat. This stimulates new collagen growth in the vaginal walls. The therapeutic heat treatment is comfortable. It feels like a hot stone massage. No anesthesia is needed, there are no needles involved, and there is no downtime.

Women who are cancer survivors are ideal candidates for ThermiVa treatment since any cancer survivors cannot safely use vaginal estrogens. No estrogen or medication is required to get the benefit of ThermiVa.


Urinary Incontinence

Urinary incontinence is one of women's most common concerns. Even young women may report unexpected urine loss after gaining weight or giving birth. Stress incontinence - urine loss brought on by laughing, coughing, sneezing, jumping, skipping or running - can discourage women from exercising as much as they would like, or require them to do "bladder checks" before going to exercise, or force them to plan bathroom stops before going to work, school, shopping or meeting friends.

Another type of urinary incontinence is not related to activity. A woman may have trouble making it to the bathroom when her bladder is full. Or she may leak urine without warning, forcing her to wear pads or stop an enjoyable activity when she notices leakage.

Lax bladder support, due to weak tissue, causes the bladder to sag into the vagina. This condition, called a cystocele, is often present in women who have urinary incontinence. Gynecologists can assess the extent of the cystocele during a pelvic exam.

ThermiVa is a radiofrequency treatment that uses heat to increase blood supply to the nerves and tissues around the bladder and stimulate the formation of new collagen which strengthens bladder support. Women with urinary incontinence may benefit from this non-invasive treatment. There is no pain, no anesthesia is required, and there are no post-treatment activity restrictions.

If the bladder support is mild or moderate, the ThermiVa treatment will improve bladder support and decrease unplanned urine loss. ThermiVa may also reduce the frequency of urinary tract infections by restoring the health of the surrounding vaginal tissues (see vaginal rejuvenation).

A typical ThemiVa treatment lasts half an hour. Three treatments, scheduled one month apart are recommended. The benefits of treatment last 12 to 18 months or longer. If symptoms begin to recur, a touch-up treatment can provide relief.


Non-Surgical Labiaplasty

The labia are the folds of skin outside the vagina. They may be enlarged enough to influence clothing choices at any age, even in young women. Some young women may inherit large labia that are prominent enough to dissuade them from wearing leggings, yoga pants, or high-cut bathing suits. Other women find that large labia interfere with intercourse. Labia may also enlarge after childbirth, with weight fluctuations, sedentary occupations, age, peri and postmenopause, and certain activities including prolonged cycling.

ThermiVa is a non-invasive treatment to shrink the labia and firm up the tissue. It uses radiofrequency energy to stimulate blood flow to the collagen beneath the labia and also increases the blood supply to the nerves and clitoris. This non-surgical approach consists of three office treatments, roughly 30 minutes each, one month apart. Many women feel improvements after the first treatment. The tissue continues to tighten and improve for another six months or more. While every woman is unique, some individuals may request a touch-up in six to twelve months to maintain the results. The treatment is comfortable, there are no needles and no anesthesia, and no downtime is needed after each treatment.


Typical Patient Comments

Lucy: "My labia enlarged after I gave birth. Even though I lost my 'baby weight' I don't feel comfortable wearing leggings or yoga pants. ThermiVa makes sense for me. After each treatment, I don't have to stop having intercourse or working out."

Wilma: "I lost sixty pounds. I exercise regularly now, and am pleased with the way I look in clothes, but I still cannot wear snug clothing to work out due to enlargement and sagging of my labia."
Brie: "I am a serious cyclist. Over time, my labia have enlarged due to sitting on a bicycle seat for hours. This does not look good in bike shorts.
Collette: "I am a college gymnast. The last year I noticed my labia have enlarged, and I was not comfortable wearing the team leotard. I knew I wanted a labiaplasty, but put it off because I didn't want to miss work-outs or competitions. Now that ThermiVa is available, I am signing up since I won't need any time away from classes or competitions."
Daria: "I dance professionally for one of the New England athletic teams. After my first ThermiVa treatment I was less self-conscious about wearing the dance uniform."
Marla: "I am a divorced single mother in my early fifties. Now that my child is in college, I am getting ready to date again. My large labia always made me self-conscious. Now that ThermiVa is available, I will sign up especially since there is no downtime. I don't have to miss work or stop working out after each treatment."