ThermiVa Vulvovaginal Treatment in Katy, TX
ThermiVa is a non-surgical radiofrequency treatment some women choose for vaginal laxity, dryness or mild leakage. Here is an honest look at what it can and cannot do.
ThermiVa uses controlled radiofrequency energy to gently warm the vulvar and vaginal tissues, which is intended to stimulate collagen and improve tissue tone. Treatments take about 30 minutes, need no anesthesia and involve no downtime. Evidence comes mainly from small studies, so at our Katy office Dr. Solafa Elshatanoufy first evaluates your symptoms and discusses proven treatments alongside ThermiVa.

Understanding ThermiVa
Childbirth, aging and the drop in estrogen at menopause can change how the vulvar and vaginal tissues look and feel. Some women notice looseness, reduced sensation, dryness, or mild leakage with coughing or exercise.
ThermiVa is an in-office treatment that uses a slim, temperature-controlled radiofrequency wand. The goal of the gentle heat is to encourage the body to produce new collagen and to improve blood flow, which may help tissue feel firmer and more hydrated.
An important note about the evidence
Energy-based devices like ThermiVa are not FDA-approved specifically for vaginal rejuvenation, sexual function or incontinence, and in 2018 the FDA cautioned patients about marketing claims for these uses. Published studies on ThermiVa are small and mostly short-term. Some women report meaningful improvement, while others notice little change. We want you to have realistic expectations before you decide.
Who May Consider ThermiVa
ThermiVa is an elective treatment, best suited to mild symptoms after other causes have been evaluated.
Concerns women ask about
- A feeling of vaginal looseness after childbirth
- Reduced sensation during intimacy
- Mild vaginal dryness
- Changes in the appearance of the vulva and labia
- Mild stress urinary leakage
When ThermiVa may not be suitable
- Pregnancy
- Active vaginal or urinary infection
- A pacemaker or other implanted electronic device
- Undiagnosed vaginal bleeding
- Significant pelvic organ prolapse or moderate to severe incontinence, which have more effective treatments
Your evaluation will confirm whether ThermiVa is a reasonable option for you, or whether another treatment is more likely to help.
Proven Treatments to Consider First
Several symptoms that lead women to ask about ThermiVa have well-studied treatments:
- Dryness and painful intercourse after menopause: vaginal estrogen, DHEA, moisturizers and lubricants.
- Stress urinary leakage: pelvic floor physical therapy, pessaries and, when needed, incontinence procedures.
- Looseness with a bulge or pressure: may be pelvic organ prolapse, which is treated differently.
Please get checked first if you have bleeding after menopause, bleeding after intercourse, a new lump, or pelvic pain. These symptoms need medical evaluation before any elective treatment.

Care From a Board-Certified Urogynecologist
Dr. Solafa Elshatanoufy is board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery. Because she treats prolapse, incontinence and menopause symptoms every day, she can tell you whether your symptoms point to a condition with a more effective treatment, or whether ThermiVa is a reasonable choice.
Every ThermiVa consultation includes an honest conversation about what results you can realistically expect.
Your Consultation
- Discussion of your goals: what you hope to change and how it affects your daily life and intimacy.
- Health history: including pregnancies, menopause, medications and any implanted devices.
- Pelvic examination: to check for prolapse, infection, tissue thinning and pelvic floor strength.
- Bladder assessment: when leakage is a concern.
What a ThermiVa Treatment Involves
Treatments are done in the office and most women describe them as comfortable and warm.
During treatment
- No anesthesia or incisions are needed.
- A slim wand is moved over the vulvar and vaginal tissues while temperature is monitored.
- Each session takes about 30 minutes.
- A typical course is three sessions, spaced about a month apart.
After treatment
- Most women return to normal activities the same day.
- Mild warmth, redness or sensitivity may occur briefly.
- Any results tend to develop gradually over weeks to months.
- Maintenance sessions may be suggested to sustain results.
- ThermiVa is elective and is usually not covered by insurance.
Results vary and are not guaranteed. ThermiVa can be combined with vaginal estrogen or pelvic floor therapy when appropriate.
Why See a Urogynecologist for ThermiVa?
Elective treatment guided by a specialist who can also recognize and treat medical causes of your symptoms.
- Board-certified urogynecologist
- Full pelvic floor evaluation first
- Honest guidance about expected results
- Proven treatments discussed alongside ThermiVa
- Menopause and hormone expertise
- Private, comfortable visits
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Frequently Asked Questions About ThermiVa
Does ThermiVa hurt?
Most women describe ThermiVa as warm and comfortable. No anesthesia is needed, and the temperature is monitored throughout the treatment.
How many ThermiVa treatments will I need?
A typical course is three treatments spaced about a month apart. Some women choose maintenance treatments later.
Is ThermiVa FDA-approved for vaginal rejuvenation?
No. Radiofrequency devices are cleared for general uses, but none are FDA-approved specifically for vaginal rejuvenation, sexual function or incontinence. The FDA has cautioned about marketing claims for these uses.
Can ThermiVa treat urinary incontinence?
Small studies suggest some women with mild stress leakage notice improvement, but evidence is limited. Pelvic floor therapy and established incontinence treatments have much stronger evidence.
Is there downtime after ThermiVa?
Most women return to their usual activities, including intimacy, right away or within a day.
Is ThermiVa covered by insurance?
ThermiVa is an elective treatment and is usually not covered by insurance. Our team can explain costs at your consultation.
Do you see patients from outside Katy?
Yes. Women from Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston are seen at our Katy office.
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ThermiVa consultations and treatments take place at our Katy office at 410 W Grand Pkwy S, Suite 320. We welcome women from Katy, Cinco Ranch, Fulshear, Richmond, Sugar Land, Cypress and West Houston. For a broader look at non-surgical and surgical options, see our page on vaginal rejuvenation.
Wondering if ThermiVa Is Right for You?
Start with an honest consultation and a full evaluation. Schedule a visit with Dr. Solafa Elshatanoufy.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494



