diVa Laser Vaginal Therapy

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What is diVa?

The diVa procedure is a laser therapy developed to improve the quality of vaginal tissue.  This Hybrid Fractional Laser technology uses a similar procedure to one that we have used for years to decrease wrinkles and tighten the skin of the face.  The carefully guided laser energy is directed at the vaginal tissue to deeply resurface the loose and damaged tissue and replace it with brand new healthy tissue with more youthful properties.  The thicker more youthful tissue provides better lubrication, increased tightness, decreased pain sensitivity, and has the ability to improve stress urinary incontinence.

Collectively, these improvements proved for a revolutionary improvement in stress urinary incontinence, increase in lubrication, increase in tightness of the vaginal vault, and improved sexual satisfaction.

What to expect

diVa laser therapy is fast with minimal discomfort.  It is generally performed in less than an hour.  Pain is negligible.  There is no down-time.  And most patients are back to work in a day.

You may experience a slight pressure against the vaginal wall during the diVa treatment; some patients may experience increased sensitivity near the vaginal opening. Topical anesthetic is applied prior to the procedure to minimize your discomfort. You may return to your daily routine with minimal to no discharge, spotting, or discomfort; however, you should avoid sexual intercourse for up to 48 hours.

In recent clinical studies diVa patients reported:

• minimal to little discomfort
• no adverse events
• 100% “worth it” rating according to a RealSelf satisfaction survey
• 96% reported expectations were met

How it works

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Conditions

• Stress Urinary Incontinence (SUI)

  Stress Urinary Incontinence (SUI), is the involuntary loss of urine caused by physical activity, coughing & sneezing. SUI is a frequent complaint among women. This condition is amazingly seen in 70% of women in some degree after having children.  Women with the condition complain that they leak urine after coughing, sneezing, or jumping.  Often this condition is associated with weakened urethral support structures from vaginal delivery and the development of pelvic floor disorders later in life.

  Give them confidence!
  The diVa laser therapy procedure has been shown to improve this condition in up to 90% of women with this condition.   The laser improves this condition by  increasing the thickness of the vaginal mucosa;  it increases the epithelial layer thickness of the vaginal wall tissue as well as an increases the amount of collagen in the lamina propria, the layer of tissue that maintains structural support and functional integrity of the vaginal tissues. It is thought that this mechanism improves the ability to compress the urethra and control urine.

• Vaginal Atrophy

  Vaginal or VulvoVaginal Atrophy and the symptoms occurring with this condition have a new term called Genitourinary Syndrome of Menopause (GSM). Symptoms include: vaginal or vulva dryness, discharge, itching, postcoital bleeding, and dyspareunia /pain during intercourse. Urinary symptoms associated with GSM include frequency, urgency, and urge incontinence. The loss of estrogen during menopause contributes to all of the symptoms mentioned. The lining of the vaginal walls starts to thin and become dry.

  Give them confidence!
  Women who have had diVa laser therapy have reported an increase of lubrication that appears to be the result of restoring the tissue to a more healthy state. The mechanism of action of the laser induces an increase in the vaginal mucosa or specifically the epithelial layer thickness of the vaginal wall tissue as well as an increase in collagen in the lamina propria. The lamina propria is the layer that has a rich supply of blood vessels, which ultimately feeds the epithelial layer. When the level of estrogen is less, this causes a poor blood flow to tissues. Besides thickening the epithelium tissue layer, the laser induces the activity of producing fibroblasts of collagen and increases vascularity in the superficial lamina propria causing small vessels to be more stented (open). The synergy of these actions improves the state of the tissue.

• Vaginal Lubrication

  A lack of vaginal lubrication in response to sexual stimulation or chronic vaginal dryness may have an underlying cause. A therapeutic consideration is to first treat the underlying medical disorder that may be a contributing factor. Inadequate lubrication of the vagina leads to friction and possible trauma of the vulvar and vaginal epithelium (mucosa lining).

  Give them their mojo back!
  Women have reported an increase in lubrication after having diVa laser therapy. The mechanism of action of the laser that increases lubrication is thought to be a result of increased blood flow to the capillaries (small blood vessels) that feed the vaginal epithelium layer from the rich vascularity in the lamina propria. The capillaries are more stented (open). The lubrication consists of a vaginal fluid substance (transudate) that passes through the membrane of the epithelial layer from the blood outflow through the capillaries. This process assists in attaining or maintaining adequate lubrication in sexual arousal.

• Orgasm

  Circulation is just one of the key functions that affect one’s ability to attain or maintain a response from sexual excitement. The blood flow to the vagina supports arousal and orgasm. Women, whether pre or postmenopausal who have had diVa therapy reported improvement in the domain of orgasm as part of the Female Sexual Function Index study conducted.

  The mechanism of action of the laser therapy addressing circulation is thought to be a result of increased blood flow to the capillaries (small blood vessels) that feed the vaginal epithelium layer from the rich vascularity in the lamina propria. The capillaries are more stented (open). The increased vascularity documented in histology analysis suggests that the blood flow to tissues may explain the increased intensity of orgasm.

• Dyspareunia (Pain During Intercourse)

  Dyspareunia / Pain during intercourse are classified as pain during entry or deep penetration. There may be pain associated with the initial attempt of penetration of the vaginal introitus or opening. Deep dyspareunia occurs with deep vaginal penetration.

  Give them their life back!
  diVa laser therapy has shown improvement of this condition. The mechanism of action of the laser therapy has demonstrated an increase in the epithelial thickness of the vaginal mucosa tissue of the vaginal wall.

  The thickening allows for a growth of a layer of squamous cells that are well suited for abrasion or sloughing off due to friction during sexual intercourse before the layer of basal membrane is exposed.

  This layer of cells serves as an additional layer that decreases the amount of pain or discomfort. This mechanism in combination with increased lubrication creates a positive milieu for sexual activity.

• Vaginal Laxity

  Female genital surgery for cosmetic enhancement (appearance) and improved sexual function are fast becoming mainstream options for vaginal laxity. Statistics support this. The American Society of Plastic Surgeons reports around 7,500 women had vaginal rejuvenation in 2014. Vaginal laxity or looseness is among the highest complaints for seeking improvement.

  Women, whether pre or postmenopausal who have had diVa therapy demonstrated improvement in physician assessment of vaginal laxity as well as their own self-assessment. Partners of the women who participated in the study reported experiencing increased tightness in sexual intercourse. The mechanism of action of diVa laser therapy is the remodeling of vaginal connective tissue. Collagen and elastin synthesis begins with the laser initiating a wound response that creates active fibroblasts forming an increase of horizontal streaming of collagen, which suggests an increased tone of the vaginal wall.