Is ThermiVa® safe?

Yes. ThermiVa® employs temperature-controlled radio frequency which has been clinically tested and proven safe and effective.

What results can you see with a prolapse?

If the patient has pelvic prolapse, we concentrate the treatment time on that particular area of the vagina that is causing concern. compartment. ThermiVa has worked to reduce symptoms for patients with mild to moderate pelvic prolapse (up to stage 2 where the leading edge can go up to a cm past the hymen) and maybe enough to avoid surgery in selected patients who have mild to moderate symptoms. It does not work well in patients with a severe prolapse when the tissue is visible and palpable.

Does ThermiVa replace the need to do my pelvic floor exercises?
No! The ThermiVa improves the collagen and tissues of the vagina but does not improve the strength of the pelvic floor. Every woman should commit to their own pelvic floor program as prescribed by their specialist pelvic health physiotherapist.

How soon can ThermiVa® treatments be repeated?

It is recommended there is at least 30 days between ThermiVa treatments as at 2 weeks is typically when patients see and feel more dramatic results. A maintenance program i.e. an annual ‘top-up’ can then be followed as needed based on results.

How much does it cost?

For optimal results most women will need 3 sessions of treatment, each 4-6 weeks apart.  Each session is priced at £800 and we offer a discount for 3 x sessions. This is a very competitive rate compared with other London clinics. Our pricing schedule can be found here.

Will I still need to see my pelvic health physio? 
Yes. The ThermiVa improves the collagen and tissues of the vagina but does not improve the strength of the pelvic floor. ThermiVa is a complementary treatment to specialist pelvic floor treatment and pelvic floor training.

Can ThermiVa® treat women who complain of painful intercourse?

Yes. Those women who suffer from painful intercourse may benefit from the ThermiVa. Vaginal oestrogens and lubricants are usually tried first.

What is the recommended age range of women that can be treated?

We treat women from the age of 18 to 70 plus, depending on the complaint and concerns. The ThermiVa procedure works very well for both pre and postmenopausal women.

Can patients with an IUCD or Mirena coil have ThermiVa® treatments?

Yes. Patients with coils are safe to treat because IUDs are in the uterine cavity away from the vaginal cavity with the thick and firm cervix.

Is any anaesthetic required for this procedure?

No. For some women, it can be a little warm and we can easily turn down the temperature.

How long does the procedure take?

Between 20 and 30 minutes. Treatments are recommended one month apart.

If a patient has had a previous hysterectomy are there any treatment concerns?

Patients who have had a hysterectomy are suitable for the procedure. The tip of the ThermiVa wand is rounded and blunted, so the risk of perforating the vagina into the bowel/rectum/bladder is minimal in experienced hands.

Can ThermiVa® help with orgasmic dysfunction?

ThermiVa can improve sensitivity. In patients who suffer from orgasmic dysfunction (anorgasmia or taking too long to achieve orgasms), it can reduce the time to reach orgasm. However, if you have no such problem, it will not make you hyper-orgasmic. It only helps those who have orgasmic issues. Those who have normal orgasms when treated with ThermiVa continue to have normal orgasms but can experience stronger and more coordinated muscular contractions.

Can ThermiVa® help to reduce or eliminate vaginal or labial varicose veins?

No, it will not reduce either vaginal or labial varicose veins, but It is safe to perform ThermiVa treatments over these areas.

When can ThermiVa® be used post vaginal delivery?

We do not recommend the ThermiVa procedure until after you have had your six-week post-natal check-up with a specialist pelvic health physiotherapist.

Is this ThermiVa® procedure permitted if a patient is breastfeeding?

Yes. Radiofrequency energy has no effect on breast milk.

Are there any post-procedure restrictions?

There are no restrictions for physical or sexual activity. Immediately there may be mild cramping, but this should resolve within 24 hours. Patients should not see an increase or change in discharge. The improvement in vaginal moisture post-treatment does not typically show itself in the first week and is seen starting 2 weeks post-treatment.

When can women resume sexual activity?

Women can resume their normal activities of daily living. This includes resuming sexual activity the same day as long as no abnormal bleeding is reported.

What are the post-procedure instructions regarding bathing and swimming?

Bathing and swimming are permitted after treatment. If the patient has a spotting episode with treatment, they should wait a day or two.

What could patients experience post-procedure?

With incontinence and vaginal dryness, you can expect a slight improvement after the first treatment and a more significant benefit after the 2nd or 3rd treatment.

When should a patient expect to begin their “maintenance” program? Does this differ for internal and external treatments?

If the patient has external issues and concerns, after the third treatment they may require additional treatments between 4-6 months. For internal treatment, maintenance treatments can be between 6 to 12 months after the 3rd treatment. The internal effects of comfort, moisture, fullness, incontinence and overactive bladder can have longer-lasting effects than the external treatments. The results for orgasmic dysfunction can be longer-lasting than other complaints.