When it comes to non-surgical vaginal rejuvenation, Dr. Cheri Ong gets asked the same—and some surprising—questions every day.
Below, we’ve distilled 40 of the most common inquiries into five themed sections, so you can get clear, straightforward answers straight from the expert’s playbook. Read on to discover whether ThermiVa is the right choice for you.
What & How
Radiofrequency for skin tightening is nothing new—it’s been used on faces, necks, and abdomens for years. But once experts realized these same principles could help with vaginal atrophy, dryness, and mild urinary leaks, ThermiVa was born.
Over the years, it’s helped countless women reclaim comfort, confidence, and that sense of “normal” they’d been missing.
- What exactly is ThermiVa and how does its radiofrequency technology work?
Imagine a gentle, warming hug for your most intimate tissues—an indulgent spa-like experience without a single incision. ThermiVa’s tiny curved wand delivers controlled RF energy deep into your vaginal walls.
That warmth feels soothing, but beneath the surface it’s triggering your body’s own repair crew: ramping up collagen and elastin production. Over time, you notice firmer, more elastic tissue—like turning back the clock on confidence and comfort. What makes ThermiVa different from laser therapies?
Lasers work by creating microscopic “holes,” then asking your body to heal those wounds. ThermiVa skips the damage and goes straight to regeneration.
Its non-ablative RF gently heats without breaking the skin, so you get a spa-like experience, not a medical procedure. The result? Rejuvenation without redness, scabbing, or forced recovery days—perfect for the woman who wants real change on her schedule.- Who is an ideal candidate—and is there an age limit?
If you’ve ever felt a pang of self-consciousness—whether you’re navigating postpartum changes at 30 or the subtle shifts of menopause at 60—ThermiVa could be your answer.
There’s no hard stop at 50 or 60; any woman noticing thinning, mild leaks, or dimmed sensation can benefit. It’s about your unique journey, not a number on your birthday cake. - Can ThermiVa be performed internally only, externally only, or both?
Absolutely. Maybe you’re all about tightening the canal and want internal treatments; maybe your labia have lost their youthful tone and you prefer external sessions. Many women choose the best of both worlds. Dr. Ong customizes each plan so you target exactly where you feel the change—no more, no less.
At the Ong Institute in Scottsdale, Arizona, we tailor the exact number so you never over- or under-treat—just the right dose for real, lasting results.

Experience & Timeline at the Ong Institute in Scottsdale, Arizona
- How long does each treatment take, and what does it feel like?
Plan for a 20–30 minute “me time” session—no prep, no gown change.
Recline in comfort as our sculpted wand delivers a soothing, warm wave—many patients drift into relaxation.
Many patients describe it as a cozy, relaxing heat wave that melts tension and hushes daily stresses. - Is there any downtime or recovery?
None.
You can schedule ThermiVa on your lunch break, then head straight back to work, errands, or that spin class you love.
No swelling, no bandages—just you, going about your day with a secret confidence boost. - When will I notice improvements?
Some women gasp in surprise at Day 1—they feel a whisper of extra moisture.
Tightening and revived sensation usually bloom over 4–6 weeks as new collagen knits into place.
By the time you finish your series, you’ll wonder why you waited so long to give “you time” a chance. - Can I space treatments farther apart than 3–4 weeks?
Yes—you have flexibility. While stacking sessions every 3–4 weeks maximizes that collagen-building momentum, spacing treatments a bit wider still delivers results.
Life happens; ThermiVa adapts to your calendar, not the other way around.
- What pre- and post-treatment care is required?
There’s no elaborate prep. Simply tidy up the treatment area the night before with a quick shave and gentle soap. Feeling under the weather or on your period? Call us and we’ll pick a new date. Leave any jewelry or piercings in the treatment zone at home.
During the visit we’ll snap discreet before and after photos, add a little gel, and you relax while comfy warmth does the work.
When we’re done, hit the gym, tub, or bedroom—no downtime.

Benefits & Conditions
- Does ThermiVa really tighten vaginal tissues and reduce mild leaks?
Yes—those unexpected leaks when you laugh or sneeze become rare, thanks to targeted collagen remodeling.
By delivering RF energy around the urethra and vaginal wall, ThermiVa remodels collagen fibers, adding natural support. Imagine the relief of living without pads or planning every move around a potential leak—pure freedom. - Will it improve labia majora laxity or reshape the labia?
Over the weeks following treatment, you’ll notice the outer lips regain a firmer, more contoured look. It’s not liposuction or cutting away excess—it’s sculpting with your body’s own repair processes.
Many women say they feel more confident in tight yoga pants or swimsuits simply because their intimate silhouette feels restored. - Can ThermiVa help with mild pelvic prolapse or heaviness?
That subtle “pressure” or “fullness” can weigh on your mind and body. ThermiVa tightens the connective tissues supporting the pelvic organs, easing that bothersome bulge.
You stand taller, move more freely, and swap anxiety around “something falling out” for pure comfort—even on your longest days. - Does it address painful intercourse from thinning tissue?
When moisture and elasticity fade, intimacy can become a chore rather than a joy. ThermiVa thickens and rehydrates the lining, turning friction into fluidity.
Envision rediscovering excitement and ease in your most intimate moments instead of gritting your teeth through discomfort. - Can it revive diminished sensation or orgasmic dysfunction?
The gentle RF revival wakes buried nerve endings alongside collagen remodeling.
Women often report a renewed spark—heightened sensitivity, deeper orgasms, even a sense of connection they thought was lost to time. It’s a heartfelt reminder that pleasure is a right, not a luxury.
Safety & Eligibility
- Is ThermiVa FDA-cleared and safe?
Absolutely. Cleared for dermatologic and hemostatic use, backed by decades of RF safety data, and with zero serious complications observed at our Scottsdale practice.After hundreds of treatments, the Ong Institute has witnessed zero serious complications—just women leaving our office in Scottsdale, Arizona even more confident than when they arrived.
- Who can perform ThermiVa?
State rules vary, but your safest choice is a board-certified physician or gynecologist.
They have the training to examine, diagnose, and deliver ThermiVa—ensuring every pulse of energy is precise, effective, and entirely safe. - Can non-medical staff (e.g., receptionists) perform ThermiVa?
No. A licensed medical professional (physician, nurse, or delegated clinical staff) must carry out RF treatments.
You deserve expert hands guiding every step of your intimate rejuvenation. - Can I have ThermiVa if I have an IUD, pelvic mesh, or history of radiation?
Yes—once healed and properly positioned, devices like IUDs or mesh aren’t impediments. RF won’t “shrink” passages further after radiation, yet an experienced provider will confirm anatomy and safety before proceeding. - Is active infection (herpes, warts, UTI) a contraindication?
For comfort and safety, wait until any outbreak or infection clears.Once the area is healthy, ThermiVa can safely resume, offering rejuvenation without risk of aggravating active lesions.
- Can I have ThermiVa during pregnancy or with hormonal implants?
Pregnancy is a no-go—your body is already navigating profound changes. Hormonal implants (e.g., certain IUDs) typically pose no issue if not in the RF’s direct path. Always disclose your full medical profile so your provider can tailor your care. - Does ThermiVa impact hormones or require hormone replacement therapy?
No. Its mechanism is purely regenerative—reviving collagen and elastin without altering your hormonal balance.
It’s ideal for women who want non-hormonal rejuvenation, especially those sensitive to or avoiding HRT. - Are there any lasting side effects or risks I should know?
Side effects are mild: Occasional temporary redness or slight swelling that resolves in hours.
There’s virtually no risk of scarring or long-term tissue change beyond the intended tightening and rejuvenation.

Comparisons & Combinations
- How does ThermiVa compare to laser treatments like MonaLisa Touch™ or FemiLift?
Lasers work by creating tiny “wounds” in the lining, triggering a healing response that can leave you tender or require a few days of downtime.
ThermiVa, by contrast, uses non-ablative RF to stimulate regeneration without injuring the surface. You get the same—or often better—tightening and moisture benefits, but with a spa-like experience and zero interruption to your life. - Should I choose ThermiVa or surgical vaginoplasty/labiaplasty?
If you’ve been dreaming of a quick fix with no cutting, ThermiVa is your low-risk answer for mild to moderate laxity.
If you need dramatic reshaping or have severe looseness, surgery offers precision that RF can’t match. Think of ThermiVa as your first, gentle step—surgical options remain on the table if you want deeper change later. - Can ThermiVa be combined with the O-Shot?
Absolutely.
Blending RF with growth-factor injections—often called Thermi-O—supercharges healing.
You’ll feel collagen tightening from the RF and nerve regeneration from the O-Shot. It’s like pairing a power tool with precision brushstrokes: faster, fuller rejuvenation on every level. - ThermiVa vs. DiVa or CO₂RE Intima—what’s best for laxity?
All three use energy to renew tissue, yet studies show RF devices like ThermiVa often lead in comfort and tightening without downtime.
DiVa is similar; CO₂ lasers need wound-healing time. If you value instant freedom to get back to life, ThermiVa’s non-ablative approach usually wins. - How does ThermiVa address bladder prolapse (cystocele/rectocele)?
By firming the connective tissue around your bladder, ThermiVa can lift and support mild prolapse, easing that heavy feeling.
Think “gentle internal corset” rather than an invasive mesh—your body feels stronger, not scarred. - Can ThermiVa help with vaginal flatulence (air trapping)?
Yes, ThermiVa may ease mild air pockets by improving tissue tone. When tissue tone returns, the canal seals more naturally, reducing embarrassing air pockets. You’ll laugh, cough, even dance without the fear of unwanted “noisy” surprises.
Pronounced or persistent vaginal flatulence usually points to a structural issue best evaluated by a pelvic‐floor or urogynecologic surgeon. For significant symptoms, we’ll refer you for a surgical consult rather than recommend RF alone. - Will ThermiVa reduce mons pubis fullness?
RF firms tissue but doesn’t remove fat. If your goal is volume reduction, liposuction or fat-melting technologies are the answer. ThermiVa shines at tightening, not slimming. - Should ThermiVa be performed by an OBGYN or a plastic surgeon?
Both specialties can excel. Uro-gynecologists know pelvic function inside and out; plastic surgeons bring an aesthetic eye to detail.Choose the provider whose expertise best matches your primary concern—comfort, form, or both.

Investment & Logistics at the Ong Institute in Scottsdale, Arizona
- Is ThermiVa covered by insurance?
ThermiVa treatments are generally considered elective, so insurance coverage is rare.
Patients typically invest $1,000–$1,500 per session, reflecting the high-touch, luxury experience you receive at the Ong Institute. - Are financing options available?
At the Ong Institute, we maintain an exclusive, boutique-level experience and do not partner with third-party financing firms.
Treatment fees are due at the time of service, reflecting our commitment to a seamless, high-touch environment where every detail is handled directly. - How should I schedule initial versus maintenance treatments?
Your initial series of 3 sessions, spaced 3–4 weeks apart, jump-starts collagen production and moisture renewal.
After that peak at around 3–4 months, most women opt for a single annual “touch-up” at 9–15 months to preserve their refreshed results.It’s a simple way to make your results last year after year.
- What if I don’t see change after my first session?
Patience is key. ThermiVa’s benefits are cumulative—each session adds even more collagen and elasticity into your tissues.
Many women notice a whisper of improvement after session one, and a confident chorus after sessions two and three. If you don’t feel it immediately, trust the process: your body is quietly rebuilding, and the payoff often comes in that second or third treatment. - Is there an optimal time after childbirth to start ThermiVa?
Yes—Once your body has fully healed, typically a few months postpartum. Every recovery is different, so check with your OB-GYN or midwife first. When you get the green light, ThermiVa can safely restore tone and comfort.
Think of it as the next step in your motherhood journey: Your body just created a child, now it’s time to let your body reclaim the support and confidence you deserve—without skipping a beat in busy mom-life. - Can ThermiVa be done if I plan future pregnancies?
Definitely. RF energy does not affect fertility or your ability to carry a child. Many women choose ThermiVa to reboot comfort before expanding their family, then revisit cosmetic or surgical options later if they wish.
Your reproductive goals—and your comfort—both remain perfectly on track. - Who is a good candidate, and who isn’t?
Good candidates include women experiencing dryness, mild leaks, tissue laxity, or reduced sensation—often starting in their 30s, 40s, or beyond.
Not a candidate? Pregnancy, active infections (UTI/STD), or certain implants (e.g., pacemakers) near the treatment site. If in doubt, our team will review your medical history to ensure ThermiVa is safe and effective for you. - What research supports ThermiVa’s safety and efficacy?
Histologic studies—where clinicians actually biopsy treated tissue—show significant increases in collagen density and cell-layer thickness after RF treatments.
Clinical trials report durable improvements in lubrication, tightness, and incontinence that last up to one year. In other words, it’s not hype: it’s science-backed rejuvenation you can feel.
Your Next Step: Schedule Your Private, Personalized Chat
Curious whether ThermiVa is the right choice for your comfort, confidence, and lifestyle? Our all-female concierge team at the Ong Institute in Scottsdale, Arizona is ready to answer your questions and tailor a plan just for you.
Call (480) 771-7771 or click here to book your private chat today. Limited spots are available each month—reserve yours now and take the first step toward true, lasting rejuvenation.
Disclaimer: Individual results vary. Consult our specialists to determine if ThermiVa fits your needs.
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