ThermIVa and ThermIVaPRP(+) for Vaginal Rejuvenation

Who says more isn’t better?  Dr. Arianna is the first provider and only gynecologist in Tucson performing ThermIVa at our women’s health center. And Now we are combining platelet rich therapy (PRP) with ThermIVa  to enhance the benefits of collagen induction therapy! 

At Tula Wellness center we are experts in women’s wellness and vitality. Our regenerative medical treatments are done by clinicians with over 56 years combined experience in gynecology. Barbara Cooper, CNM, RN and Dr. Arianna performThermIVa. We are uniquely qualified to address the entire picture regarding women’s health. After ThermIVa  treatments women frequently reschedule for consultations to address the many changes our bodies go through during the peri-menopause and menopausal period.  We are able to discuss gynecological as well as sexual health.  We also offer well-woman exams and accept most major insurances.

Dr. Arianna Sholes Douglas, MD, FACOG and Barbara Cooper CNM, NP, both specialize in Integrative Gynecology. Your ThermIVa or ThermIVaPRP(+)  visits include a pelvic exam to assess any problems and to individualize your treatments. We perform ThermIVa treatments specifically to treat specific concerns. Because we are gynecologists, we are able to offer personalized, expert care. In certain instances, systemic or topical hormones may be advised and pelvic floor exercises may be instructed or we may refer those who need it for pelvic physical therapy. We have an array of products from Luna Beads to pleasure toys to assist you in achieving your feminine health goals.

What isThermIVa?

Applying heat to tissue has become the standard for promoting collagen remodeling, which helps strengthen the structural support columns and improving the integrity of the skin.

ThermIVa is the most current FDA cleared ThermiHealth procedure, using the “Science of Heat” in a new, non-invasive, non-surgical procedure for vaginal laxity. The controlled radiofrequency energy transfers heat directly to the area to be treated. In clinical trials, the ThermIVa procedure has shown results in these one or more of areas:

Vaginal Laxity: to tighten the vagina at the introitus and the full length of the vaginal canal.

Vulvar/Labial Laxity: to tighten the labial tissues and reduce noticeable sag.
Vaginal/Vulvar Dryness or Atrophic Vaginitis: to add softer and thicker skin and relieve dryness without the use of hormones.

Mild to Moderate Stress Incontinence: to reduce accidents and leakage, and possibly reduce urge symptoms. Used with consistent Kegel exercises, ThermiVa may reduce or eliminate the need for mesh slings.

Sexual Dysfunction: to increase sensitivity and strengthen muscular contractions, leading to greater sexual satisfaction for women and their partners.

thermiva_101_graphicThermiVa Patient Benefits | How Does it Work? | FAQs

ThermiVa Patient Benefits

  • 15-30 minute in-office procedure
  • No prep needed, a true “Lunchtime” procedure
  • Treats Both loose labia majora and vagina in 30 minutes
  • Competitors can treat labia only or vagina only but NOT BOTH
  • Promotes tightening of vulvovaginal tissues
  • Promotes new collagen to form
  • Tighter skin
  • Softer and smoother skin
  • Patient Controlled Heat (No known blisters or burn)
  • Temperature controlled handpiece set to the comfort level of patient
  • Very comfortable warmth, little to no pain
  • Thin and gently curved handpiece
  • No lasers! No stinging! No discharge!
  • No Downtime/Recovery or delay in sexual activity
  • No Discharge/Odor
  • No anesthesia, no shots, no numbing creams
  • Non-Ablative
  • Non-Surgical
  • Single use handpiece (no transmission/infection risk)
  • Very affordable
  • Can be done 6 weeks after delivery and between pregnancies; Increased vaginal moisture and comfort (before, during, after sex)
  • Reduced labial irritation
  • Helps reduce leaky bladder – reduction in leaking with activity; reduction in urgency symptoms
  • Improvement of muscular coordination and strength of squeeze
  • May aid in orgasmic dysfunction (Clitoral and G-Spot treatment very safe)
  • Treatment effects last 9-12 months
  • Maintenance treatments only once to twice a year

How Does it Work?

The ThermiVa technology uses real-time temperature monitoring and regulation, ensuring that the therapeutic temperature delivered to the sub-q layer is reached, but more importantly, maintained.

ThermiVa contracts tissues to a tighter bundle. It encourages collagen production and may help in tissue and nerve healing. Radiofrequency’s therapeutic effects on muscular and tissue healing are well known and has been used in physical therapy practices for decades.


Who suffers from vaginal laxity?
Vaginal Laxity is very common in women who have experienced a vaginal delivery. This condition can also be a result of aging, obesity, chronic constipation, straining or lifting, or any activity that would cause the vagina to stretch beyond its normal capacity.

Who are candidates for ThermiVa?

  • Women who are experiencing vaginal laxity and loose feeling for any reason
  • Women who are displeased with the appearance of their labia majora, especially while wearing bathing suits, athletic attire, leggings, jeans, etc.
  • Women who are experiencing sexual dissatisfaction or having orgasmic problems
  • Women who are having difficulty retaining tampons or may have pelvic prolapse such as fallen bladder or fallen rectum
  • Women who may suffer from urinary leakage
  • Women who may suffer from dryness of their vagina or labia (atrophic vaginitis) due to the effects of menopause

Is ThermiVa safe?
FDA cleared IRB study conducted by ThermiVa physicians makes ThermiVa a safe alternative treatment to surgery for vaginal skin laxity. No blisters, burns, infections, organ or nerve damage have been seen or noted in hundreds of uses.

Are anesthetics needed for this procedure?
No. The treatment has a comfortable warmth.

How long does the procedure take?
Approximately 10 minutes for labia majora reduction and 15-20 minutes each for vaginal tightening. 3 Treatments spaced a month apart is recommended.

What’s the downtime?
None at all. Women can resume their normal sexual activity the same day.

How long do the results last?
An average of 9-12 months.

Who can provide ThermiVa treatments?
In Tucson, ThermiVa is offered exclusively by Dr. Arianna Sholes-Douglas at Tula Wellness.

Read More:

ThermiVa Patient Testimonials
ThermiVa In the News

To view before and after photos of ThermiVa clients, click the button below.