Frequently Asked Questions

We've listed the common questions that we're asked about the Thermiva treatments below.  
If you have any further questions please feel free to contact us using the form on this page.


What is Thermiva?

Thermiva is a radio frequency Thermal treatment of the vaginal and vulval Mucosa, to correct and restore collagen formation in the skin of the area providing both aesthetic and functional improvement in terms of strength,elasticity and hydration of the mucosa. It is a non surgical and non invasive topical treatment provided in 3 sessions over the course of 3- 4 months in an outpatient setting. 

How does Thermiva work?

By heating the vaginal tissues using a single use vaginal probe up to certified 47°C, it encourages collagen contraction, formation of new collagen, vascularisation and growth factor infiltration which  result in restoring tone and elasticity of the vaginal mucosa.

Who can benefit from the Thermiva treatment?

There are several groups of women who will see a significant benefit from the procedure 

  • Women who have reduced satisfaction with sexual function, resulting from vaginal laxity following childbirth.
  • Women who suffer from vaginal dryness after menopause or following treatment for cancer.
  • Women who suffer with symptoms of mild prolapse
  • Women who have started to complain of urinary symptoms such as bladder urgency, and mild stress incontinence  

Is there evidence to support the use of Thermiva technology?

There is a growing body of evidence to strongly support the use of Thermiva for these groups of patients. 

  • A prospective study by Alinsod 2015 using Thermiva showed a marked improvement in vaginal laxity scores, improved sexual satisfaction and a decrease in urinary incontinence. Treatment was easily tolerated and no adverse effects were reported.
  • Clinical Audit (Millheiser 2010) and Feedback testimonials from patients suggest that those women in their 40s and 50s who have mild prolapse of the vaginal walls and those with urinary symptoms such as nocturia, frequency and mild to moderate stress incontinence will see a benefit (Dillon and Dmochowski 2009).
  • Women who are starting to notice vaginal dryness and a change in the architecture of the external vulval area will also see a benefit (Stephen et al 2014).
  • Following childbirth women often notice significant laxity particularly around the vaginal introitus which commonly adversely affects their sexual function. A significant Improved sexual function is reported by the vast majority of those treated.

Is the Thermiva procedure safe?

Thermiva is certified, licensed and approved internationally by BSI EC for Europe, Health Canada and the FDA in the USA. Thermiva and other similar procedures have been used for this purpose since 2009 and the safety record is excellent, there have been no adverse incidents reported. There are a number of safety mechanisms built in including a temperature monitor, the method of treatment does not allow tissues to overheat and the probe is constantly moved around the zone being treated. Each zone requires about 5 mins of treatment and the whole procedure lasts 30-40 mins. No sedation or analgesia is required.

Where are the Thermiva treatments done?

The Thermiva treatments will be carried out in the Rotunda private clinic on Monday afternoon and evening.

Who carries out the Thermiva treatments?

Prof. Sam Coulter-Smith and Dr Geraldine Connolly are the two clinicians who have set up the service.  They are experienced clinicians with vast gynaecological experience. Both Clinicians have undergone training for the procedure and the use of the equipment and been signed off by the company who provide the equipment. All patients referred for the procedure will be seen by one of the two clinicians to make sure they are suitable candidates for the procedure.

What are the clinic times?

The treatments will be carried out in the Rotunda private clinic on Monday afternoons and evenings.

Are there special instructions before treatment?

  • Shaving or waxing the area before treatment is advised- if waxing then this should be done 2-3 days before hand.
  • Drink plenty of water (about 1 litre) before you have the treatment.
  • Ideally you should not be having a heavy period at the time of the treatment.

Are there any special instructions or side effects afterwards?

No, patients are encouraged to get back to normal regular activity straight away. Some women report having to go to the bathroom a little more frequently in the first day or two after the procedure but this settles quickly. 
In the first 24-48 hours after the procedure there may be some mild spotting and or abdominal cramping.

Is there a Patient follow up?

Patients will be encouraged to feedback on their experience and their result. They will have a course of 3 visits over 3-4 months as part of their treatment and encouraged to return one year later for a further assessment with a top up treatment if required.

Am I suitable candidate for the Thermiva treatments?

There are a number of checks which need to be done and a certain amount of preparation prior to the procedure - the pre treatment assessment is to inform the patient and consent them making sure all preparations are fully understood.
All patients must have had an up to date negative cervical smear, be free of vaginal infection and negative for STDs. There should be no significant pelvic organ prolapse.