The Focus on You

ThermiVa: Frequently Asked Questions

Because ThermiVa involves treatment to a most sensitive area, women naturally have many questions about the procedure. We have tried to answer the most common queries here. If you have further questions, please do not hesitate to contact us.


  1. I’m breastfeeding. Is ThermiVa treatment suitable for me?

Yes, ThermiVa is appropriate for those who are breastfeeding.


  1. Can radio-frequency energy affect breast milk?

RF energy has no effect on breast milk.


  1. I get pain during sexual intercourse. Can ThermiVa help?

Women experiencing painful intercourse have reported impressive benefits from ThermiVa, depending on the cause of the pain. If the cause is from atrophic vaginitis, ThermiVa can be an excellent therapy.


  1. What is the age range that can be treated?

Any woman aged 18 or over can be treated with ThermiVa, depending on their complaint. This is both a pre- and post-menopausal treatment.


  1. I have a properly-verified IUD. Can I have ThermiVa treatments?

Patients with IUDs are safe to be treated because IUDs are placed in the uterine cavity, away from the vaginal cavity, with the thick and firm cervix acting as a bank vault door. The only time it may be an issue is if the uterus with an IUD is prolapsing into the vagina.


  1. Should I have had a recent pap smear?

It is recommended to have had a physical and/or pap smear (when applicable) within the last two years. If you have a normal pap, ThermiVa treatments are suitable.


  1. Do I have to stop my hormone replacement therapy?

There is no need to stop HRT or alter the way you are taking your hormone replacement therapy.


  1. Will I experience a change in my menstrual cycle after a ThermiVa treatment?

Most patients will have no change in their menses. Patients have reported mild to moderate spotting lasting from 24 hours to 72 hours.


  1. How does radio-frequency treatment work?

RF affects nerves by increasing the release of vasoactive peptides that are then available at the nerve terminals. These vasoactive peptides result in vasodilation of the arterioles on the vulva, vagina, clitoral and G-spot areas. The increased blood flow is similar in effect to Viagra in men.


  1. Can ThermiVa be combined with other procedures?

ThermiVa can be used with many other vulvovaginal treatments. All vaginal surgical patients can choose ThermiVa as an add-on option.


  1. Will I need an anesthetic for my ThermiVa procedure?

No. The treatment just feels like a comfortable, mild heat. Besides that, patient feedback is necessary during the procedure.


  1. Can I use a hot tub or go swimming immediately after the treatment?

Hot tubs and swimming are usually fine after treatment. If a patient has had a rare spotting episode with treatment, she should wait a day or two.


  1. What should I expect post-procedure?

Patients may feel a sensation of constriction immediately after treatments, but this improves with time.


  1. When can I resume sexual activity?

You can resume sexual activity the same day, as long as there is no abnormal bleeding.


  1. How much does ThermiVa treatment cost?

The procedure costs $3,500 to $6,500 for a series of three treatments, and we recommend having maintenance treatments once or twice a year.


  1. I recently gave birth (a normal vaginal delivery). Can I get ThermiVa treatment?

You should wait for six weeks after an uneventful vaginal delivery. By then, any vaginal stress will have repaired itself.


  1. Which women are suitable candidates for ThermiVa?
  • Women experiencing vaginal slackness and a loose feeling or sensation of friction.
  • Those who are uncomfortable with how their labia majora looks.
  • Those with any sexual dysfunction.
  • Women with difficulty retaining tampons or who may have pelvic prolapse.
  • Those suffering incontinence.
  • Women who have dry labia or dry vagina (atrophic vaginitis) because of menopause.


  1. Is ThermiVa a remedy for labial or vaginal varicose veins?

No, it will neither eliminate nor reduce vaginal or labial varicose veins, which may need surgery such as labia majoraplasty. It is safe to perform ThermiVa treatments over these areas.