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Thermiva Specialist

Gaia Urology P.C. -  - Urologist

Gaia Urology P.C.

Urologist located in Amesbury, MA & Danvers, MA


Excessive relaxation of the vaginal muscles are a common occurrence after vaginal birth, or due to aging, obesity, chronic constipation, and a variety of activities that are physically straining to the vagina. Damage can diminish sensation during intercourse, reducing sexual satisfaction, thus changing the relationship between partners. Laxity of the skin is caused by numerous factors; and no area including muscle, fat, collagen and circulation is immune to this natural decline.

Fear not! ThermiVa is a non-surgical, non-invasive in office procedure used for vulva or external vagina, perineum and the internal vaginal cavity for dryness and to tighten lax tissue. Dr. Susan Pursell uses an “S” shaped radio frequency probe linked to a generator that helps tighten external and internal vulvovaginal tissue and muscle via the thermistor tip which is located at the end of the radio frequency generator hand piece. The tip is designed for optimal comfort. There is no need for anesthetics, drugs, pain relievers or down time. The patients experience a comfortable warm sensation and no pain. Additionally, since there is no downtime, women can engage in sexual activity the same day. The procedure takes approximately 10-30 minutes depending on the area of the vagina that needs to be tightened. The recommended course is 1 to 3 treatments one month apart. Three treatments are recommended for optimal results.

How it Works

ThermiVa contracts the vaginal tissue’s collagen to tighter bundles. It also enhances collagen production, increases local blood flow and may help in tissue and nerve healing; a process known as Thermal Neurogenesis. Radiofrequency’s therapeutic effects on muscular and tissue healing are well known and have been used in physical therapy and medical practices for decades.

Treatment Focuses

  1. Vaginal Laxity: ThermiVa tightens specific areas of the vagina making a visible improvement. It tightens the internal and external compartments of the vagina.
  2. Vulvar/Labial Laxity: This tightens the labial majora tissue and perineum and reduces dropping skin known as “camel toe.” The skin becomes smoother and softer in appearance. This results in comfort and confidence when wearing tight fitting clothing.
  3. Vaginal/Vulvar Dryness or Atrophic Vaginitis: Daily living and sexual experiences become more comfortable as a result of the softer and stronger skin. It helps the inner and outer vagina become moister naturally so sex and coitus become more comfortable without the need for hormones – most specifically, estrogen and progesterone.
  4. Mild to Moderate Stress Incontinence: ThermiVa’s ability to tighten various vaginal areas may reduce urinary accidents and leakage. This revolutionary process with Kegel exercises allows for the avoidance of the need to use a mesh, slings, vaginal tape or vaginal reconstructive surgery. It can also help Overactive Bladder (OAB) and Urge Incontinence. It is essentially a Non-Invasive Vaginal Rejuvenation procedure.
  5. Sexual or Orgasmic Dysfunction: As a result of Genital Tissue becoming more sensitive, increasing blood flow by the theory of Thermal Neurogenesis, muscle contractions become stronger. Women may be able to reach orgasm more quickly, more intensely and it increases the ability to become multi-orgasmic.

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