Vaginal rejuvenation is more than “a designer vagina”, which can indeed trivialise what for many women is the answer to years of frustration, pain and embarrassment.
This is a treatment for women of all ages.
We are so excited about the results that we have achieved with ThermiVa at the Mayah Clinic! Reading studies and testimonials are one thing, but until we started seeing the fabulous results here at the clinic, we didn’t really understand how life changing this treatment can be.
Vaginal rejuvenation is a very general term to describe what is achieved with the process. The reality is we are treating significant female medical concerns with an in-clinic treatment requiring no downtime.
The Mayah Clinic provides the perfect supportive environment for women to approach this kind of treatment in a professional medical setting. Dr.Kathryn Holmes brings her 15 years of experience in general practice, followed by 16 years in cosmetic medicine and laser to this ground breaking technology. She leads our professional caring team who will support you from the reception desk to the treatment space.
Stress Incontinence (SUI),vaginal dryness, delayed or absent orgasm, laxity – ThermiVa can, with little discomfort, no surgery or downtime, reverse these issues and liberate women from the weight of these problems both physically and emotionally.
These sensitive issues have for many years been considered to be just part of the hormonal roller coaster that is being a women – from pregnancy, labour, menopause to sexual concerns. They were too personal or seemed to awkward to discuss. There seemed to be a community attitude of resignation to them. Even among women themselves, who share so much, this is often a bridge too far. What that means is that now, when ThermiVa technology is available, many women are unaware of it. A technology that can reverse these symptoms with no surgery, no hormones, and no downtime. In just three short sessions a month apart women experience the results of feminine rejuvenation unlike anything they thought possible!
A convenient radiofrequency treatment
“After experiencing mild stress urinary incontinence for 5 years I tried Thermiva to see if I could be helped.
The improvement was immediate after the first treatment. I no longer need to wear panty liners everyday, and I haven’t worn any for 3 months.
I am very pleased with he results and will definitely be returning for my follow up maintenance.
I also noticed my orgasms are more intense – another wonderful bonus.” – MM
ThermiVa allows your treatment to be tailored to your symptoms.
By rejuvenating the vagina and if necessary the external labia, the health of the tissue can be restored. In this way we can treat:
ThermiVa is a radio frequency energy device. This energy stimulates collagen production. This restores tone to the vagina, tightening lax muscle and stimulating the internal structures which creates a healthy rejuvenated vagina that then behaves like one, with moisture production and elasticity.
A slim disposable hand piece supports an electrode that transmits gentle heat to the area to be treated. The device is no bigger than an index finger and slightly curved to specifically suit vaginal anatomy even with marked atrophy. (This contrasts with some other laser devices where the device is quite large and so can be confronting and uncomfortable). It arrives in a sterile package and is a disposable unit for each treatment. In this way, specific areas can be targeted if necessary.
For instance, if stress incontinence is the main concern, heating can be targeted by the doctor to the relevant vaginal area.
The RF (radio-frequency) heat stimulates new collagen and elastin formation both internally and externally. This is turn contracts the deeper fascia, tightening it and providing a firmer floor for the urethra (tube that empties the bladder) to push against when it is under stress (when jumping, coughing, sneezing etc).
The increased circulation to the tissue results in the formation of natural vaginal moisture and discharge as well improving nerve end signalling which increases vulval sensitivity.
The new tissue of the rejuvenated vagina is softer, more pliable and more elastic.
Not surprisingly studies support this, showing significant improvement in laxity, atrophic vaginitis, vaginal irritation, post-menopausal vaginal symptoms, and orgasmic dysfunction. All with no surgery, or hormones.
No, the heat generated will definitely feel warm, but in a way some people compare it to a hot stone massage. It is kept at a therapeutically efficacious temperature while remaining comfortable.This gentle heating is applied with no anaesthetic needed. In fact, the clinician will be regularly checking on the comfort level of the patient through out the procedure. The temperature of the tissue is constantly monitored by the ThermiVa machine to ensure both safety and effectiveness.
The ultra slim wand is inserted into the vagina using a hypoallergenic warmed gel.The wand is moved in a specific pattern, which treats a quarter segment of the vaginal surface at a time. The whole internal surface treatment is completed in 15-20 minutes. Then, if required, the external structures can be treated, including the labia majora. The total session would then take up to 30-40 minutes. You can return to your usual activities immediately afterwards.
Just 3 treatments at monthly intervals are needed initially. Then, depending on the conditions being treated, a maintenance session may be required about once a year. Just like facial skin, there will be changes with time, so maintenance is usually necessary.
It is not unusually to notice a difference from the very first session. However, we know that ThermiVa stimulates new collagen building, and of course this takes time and is what provides the long term results. This process is still continuing 3 months after your final session.
This is a treatment for medical symptoms. It is to be taken seriously and assessment of patient suitability is important:
After the session, the skin may be pink, warm and swollen for an hour or so. However, as there is no broken skin with this, there is no downtime. You may resume normal physical and sexual activity, unless you experience some spotting, in which case you resume normal activities once the spotting has settled. There are no restrictions on bathing, swimming, showering or spas (unless having spotting).
ThermIVa has been used with safety where IUDs that have no metal components. One of the most common IUDs in Australia is the Mirena. This has no metal components and so is safe. Although occasionally some patients feel a little cramping post treatment, there have not been any reports of patients expelling the IUD device in this way. The uterus itself where the device is implanted sits above the vaginal area that is treated with this process.
Vaginal delivery of babies is the culprit here. Of course, our vagina is made to stretch in what, at the time can seem like a ridiculous amount. And of course, it does contract back afterwards. However particularly after large babies, a difficult birth, or multiple births, that spring is never the same! Even the external tissue can be very stretched and become saggy. Some women find this increased tissue bulk uncomfortable or embarrassing in certain clothing, particularly active wear, or swim wear. Other causes of laxity are ageing tissue, obesity, hormones, chronic constipation and straining, and so on.
Vaginal atrophy/ atrophic vaginitis is a thinning and weakening of the vaginal and surrounding tissue. It is most often an issue seen after menopause, or particular medical treatment, ( eg. After breast cancer or chemotherapy. When the tissue becomes “run down” it is unable to lubricate itself enough and can be irritating, making intercourse painful, difficult, or virtually impossible. Because the area is not really healthy, it can become sensitive to general inflammation, with burning and itching. In this situation, no one is happy!
Some women re concerned about the appearance of their vulva. The appearance can be altered by child birth and ageing. ThermiVa improves the appearance by stimulating collagen and elastin production, just like facial skin can be firmed by radio frequency or laser treatments. It is this underlying science that ThermiVa uses to improve the appearance of the vulva.
Six weeks is standard for after a routine vaginal delivery. However, if there was a tear or episiotomy, this time may stretch to 3-6 months dependant on healing. Breast feeding is not a contraindication too ThermiVa treatment.
This is a summary of Dr Red Alinsod’s article written for Thermi explaining how ThermiVa treats USI. Dr Alinsod is a Urologist and Pelvic Reconstructive Surgeon who is on the Thermi Clinical Advisory Council, an independent body that encourages collaboration and the free exchange of ideas among peers.)
“ Stress incontinence is from poor support of the mid urethra, resulting typically from stretched out pubocervical fascia that fails to act like a backboard for the urethra to become compressed fro pressure events of stress such as coughing/sneezing/jumping.
It can also occur because of damaged/stretched out poorly contracted urethral muscles.
This complex dual mechanism of urethral muscles and the back board theory are what provide continence. Anything that effects both, results in leakage or urine with stress.
ThermiVa does two things to address these two issues.
First it contracts the pubocervical fascia, tightening it, and provides a firmer floor for the urethra to compress against when the patient coughs or sneezes.Instead of flopping, the firmer pubocervical fascia is now not getting stretched and pushed down now and provides floor pressure towards to compress the urethra that is getting pushed downward.
Next ThermiVa has a healing effect on the muscles and nerves, as well as the fascial tissue.The radio frequency’s healing of the torn or damaged muscles and its tightening effects bring these torn and stretched muscles closer in proximity together and now the individual muscle fibres act like a unit of muscle to increase pressure when contracted. Instead of individual muscle fibres working separately, the more closely tied in units of muscles; work together to improve the continence mechanism the urethra.
Lastly, it is thought that the ThermiVa does have nerve healing effects that may increase the sensitivity of nerves of the urethral muscles and bladder. Nerves are more sensitive in detecting pressure changes and defensively contacting to provide continence. These same nerves that may be too sensitive or easily triggered from traumatic deliveries and menopausal changes are now not “overactive”.
Those with overactive bladder symptoms, typically feel a reduction in the need to urinate frequently or sudden uncontrollable urge to urinate by a third to a half. They feel like they cargo longer between voids, they have larger voids, and a stronger stream, one they can control better by the ability to stop midstream if they wanted to, when they could not prior to treatment.”
The radiofrequency generated heat affects nerves by increasing the release of vasoactive peptides that are then available at nerve terminals. These result in increased blood flow, increasing sensitivity. It will not make you hyper-sensitive if you have no problem in this area though. If you do have a problem though,it can even halve the time to orgasm.
This is a treatment for medical issues, and so there are some contraindications.