ThermiVa™

ThermiVa with O-Shot® Case Study 08.12.21

Patient History: A patient in her early 50s complained of overactive bladder, repeatedly waking up at night to urinate multiple times, some pelvic heaviness and pressure from a mild to moderate rectocele. She also had a reduction in her genital sensitivity and a difficult time achieving orgasms.

Treatment and Results: ThermiVa with O-Shot were started in 2018 which have continued to shrink her vaginal tissues and provide tightness, maintain moisture, eliminate overactive bladder and nocturia symptoms, and prevent progression of her rectocele. Her sensitivity has been improved and orgasmic response has been normal. Three years of preventative treatments and maintenance with radio frequency and vaginal estrogens have been able to ward off the menopausal changes that can greatly hurt vaginal health.

Before ThermiVa 2018 - case081221
Before ThermiVa 2018

Before ThermiVa 2018 Rectocele-case081221
Before ThermiVa 2018 Rectocele
After ThermiVa #1 Rectocele 2018-cas081221
After ThermiVa #1 Rectocele 2018

After ThermiVa Touch Up and O-Shot 2021-case081221
After ThermiVa Touch Up and O-Shot 2021
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ThermiVa Case Study 08.10.21

Patient History: Young lady in her late 40s requested a Labia Minoraplasty and Labia Majoraplasty for laxity of her vulvar structures as well as Posterior Repair and Vaginoplasty/Perineoplasty surgery for a prolapsed rectum and vaginal looseness. Surgery did well after surgery and was very happy. Two years later she entered menopause and complained of thinning and crinkling of her vulvar tissues, vaginal dryness, and painful intercourse. She requested a series of ThermiVa treatments and O-Shot and was started on vaginal estradiol.

Procedures Done:
2017: Posterior Repair, Vaginoplasty, Perineoplasty, Labia Minoraplasty, Labia Majoraplasty
2019: ThermiVa, O-Shot, Start vaginal estradiol support
2020: ThermiVa, O-Shot, Maintain vaginal estradiol support
2021: ThermiVa, O-Shot, Maintain vaginal estradiol support

Results: Maintenance of her youthful appearance and function.

Before Surgery 2017-case081021
Before Surgery 2017

Immediately After Surgery 2017-casd081021
Immediately After Surgery 2017
Post Op 2 Years 2019, Menopause-case081021
Post Op 2 Years 2019, Menopause

Post Op 3 Years, After Thermi-O 2020-casd081021
Post Op 3 Years, After Thermi-O 2020
Post Op 4 Years, After Thermi-O 2021-case081021
Post Op 4 Years, After Thermi-O 2021

 


Case Study 07.06.21

ThermiVa Treatment

Patient History:

thermiva case studyPatient in her early 50s complains of vulvar laxity, vaginal dryness, repetitive urinary and vaginal infections, and a leaky bladder. She underwent ThermiVa treatments and was placed on vaginal estrogen therapy which resolved her symptoms completely.

Procedure done: ThermiVa Treatments and Vaginal Estrogen therapy

Results: Her stress incontinence and overactive bladder and nocturia were eliminated.

 
 
 


Case Study 10.07.17

Combined Labiaplasty and ThermiVa

Patient History:

case101717Young patient in her early 40s complained of discomfort from her enlarged labia and external anal skin tags. She felt her entire vulvar area was saggy. She also had overactive bladder and the start of vaginal dryness. She requested surgical repair and ThermiVa treatments. Photos are at about 6 weeks post op and with 2 ThermiVa treatments completed.

Procedure done: Barbie Look Labiaplasty, clitoral hood reduction, ThermiVa, Removal of External Anal Skin Tags, Perineoplasty

Results: Improved appearance and comfort, reduction in urinary frequency and urgency. Very satisfied patient.

Maintenance: Twice weekly vaginal estrogen cream, ThermiVa treatment every 6-12 months as needed.

 
 
 


Case Study 09.17.17p2

Combination Labiaplasty plus ThermiVa

Patient History:

091717History: Young patient in her early 40s complained of discomfort from her enlarged labia and external anal skin tags. She felt her entire vulvar area was saggy. She also had overactive bladder and the start of vaginal dryness. She requested surgical repair and ThermiVa treatments.

Procedure done: Barbie Look Labiaplasty, clitoral hood reduction, ThermiVa, Removal of External Anal Skin Tags, Perineoplasty

Photos are at about 6 weeks post op and with 2 ThermiVa treatments completed.

Results: Improved appearance and comfort, reduction in urinary frequency and urgency. Very satisfied patient.

Maintenance: Twice weekly vaginal estrogen cream, ThermiVa treatment every 6-12 months as needed.

 
 
 
 
 
 


 

Case Study 09.17.17p1

pt2a

Patient History:

History: Menopausal lady in her early 50s complains of painful intercourse and vaginal dryness. She also has loss of sensitivity. She underwent a total of 4 ThermiVa treatments and improved the dermatologic conditions of dryness and loss of sensitivity.
 
 
 
 
 
 


 

Case Study 06.13.17.p1

Patient History:

cas0613_smallPostmenopausal woman in her 60s complained of painful intercourse, very dry vaginal canal, and repetitive urinary and vaginal infections needing weekly treatments of Boric Acid capsules prescribed by her primary care physician. After three ThermiVa treatments the symptoms completely resolved and Boric Acid capsules were stopped. She is maintained for the long term with estradiol vaginal tablets 2-3 times per week.
 
 
 
 
 
 


 

Case Study 05.17.17.p1

Patient History:

051717v2A 64 year old female came to the office with Sjogren’s Syndrome, Lupus, severe vulvovaginal atrophy, and vulvar vestibulitis. Her dermatologic condition of severe skin dryness and pain caused her stress and discomfort in everyday life. She underwent ThermiVa treatments in the office with dramatic relief of her symptoms.

 


 

Case Study 11.17.16.p1

Patient History:

Thermiva Case Study 5This patient in her mid 50s came in complaining of vulvar laxity and vaginal dryness as well as urinary urgency and frequency.

  

  

 


 

Case Study 4.7.16.p1

Patient History:

Thermiva Case Study 150 year old menopausal female with a large rectocele and vaginal looseness, labial asymmetry, stress incontinence, overactive bladder, and atrophic vulvovaginitis. Underwent rectocele repair, vaginoplasty, hybrid labia minoraplasty, clitoral hood reduction, ThermiVa treatments, and O-Shot.

 

 

 

 

 


Case Study 4.7.16.p1

Patient History:

Thermiva Case Study 2Our menopausal 52 year old female came in complaining of vaginal dryness and looseness and a gaping looking vagina. She also complained of loss of sensation and a difficulty in achieving orgasms. She had a traumatic vaginal birth 15 years ago and had urinary leakage with activities since then. She is now on a yearly touch-up schedule.

 

 

 

 


Case Study 2.16.16

Patient History

Thermiva Case Study 3A very pleasant 65 year old multiparous lady came into the office complaining of symptoms of menopause even after use of vaginal estrogens. She wanted feminine restoration. After treatments, upon exam there was visible creation of new vascularity in the vestibule. She completed her second ThermiVa treatment today and plans to finish all three treatments.

Commentary: The visible vascular changes are evident with the naked eye. New vessels are forming that increase localized blood flow. You can see that before treatment the skin at the vaginal opening is dry and bleeds easily to touch. After treatment the dermatologic conditions improved.

 

 


Case Study 2.11.16

Patient History

Thermiva Case Study 4This is a 50 year old menopausal woman on hormone replacement therapy who continues to have atrophic vulvovaginitis. She requested feminine restoration for her dermatologic condition.