As we all waited for the timer to start, the coach asks, “Where is Susan?” I answered, “In the bathroom.” This is a frequent scene at our gym especially if there is a lot of jumping in the workout. Not many women like to use the word incontinence. It conjures up images we’d rather not associate ourselves with. But the fact is, some sources cite the number of adult women in the U.S. who suffer from stress incontinence is as high as 15 million.Stress incontinence is defined as the leaking of urine due to physical stress, like jumping, running, sneezing, or laughing. The severity can range from a few drops to enough urine to visible wet your clothes. It’s embarrassing, inconvenient, and uncomfortable but it’s also accepted as one of those things you just live with. You don’t have to “just deal” with it anymore. Ladies, we have options. THERMIVa is a revolutionary treatment that successfully treats incontinence in a painless, no medication, non-surgical fashion. A series of three 20 minute treatments can be life changing for those of us who are struggling to keep ourselves dry while enjoying our lives. Sound too good to be true? The THERMiVa procedure has been performed over 55,000 times on women of all ages. It uses a temperature controlled wand to deliver radio frequency wave to the vaginal tissue which in turn builds collagen, strengthens the vaginal wall, and increases circulation. It’s like taking Kegel exercises and putting them on steroids. THERMiVa has been FDA approved for the treatment of urinary incontinence, mild to moderate prolapse, vaginal dryness, vaginal atrophy, and vaginal laxity. Due to the increase in circulation, some women have reported increased sensation during sexual activity as well as an increase in satisfaction due to more easily achieving orgasm. Why am I so excited about being able to offer this treatment to my patients? When I evaluated the treatment technology, I wasn’t sure I wanted to offer Vaginal Rejuvenation treatments. I wasn’t sure that it really lined up with my business model and niche in Regenerative Medicine. What I realized is that what I offer in my practice for orthopedic injuries uses the same basic theory, tap into the body’s natural ability to heal in a less invasive, non-surgical manner. THERMiVa provides just that. We stimulate collagen regrowth using radiofrequency and let the body do what they body does, repair. What I also realized is that in terms of quality of life, this was a game changer. I have been able to help women feel more comfortable exercising without the fear of peeing on themselves. I have helped women come off of some pretty strong medications that had a lot of nasty side-effects. I have been able to help women who were struggling with treatable sexual dysfunction. While there are aesthetic benefits to using THERMiVa, I didn’t bring this technology in for that purpose. I am not a med spa. I believe that women should feel comfortable in their skin and if an aesthetic treatment allows them to achieve this, excellent, no matter what part of the body. But the truth is, as an aesthetic treatment, it didn’t fit my business model. Yet there are millions of women who are suffering with a treatable condition. That was the reason I decided to offer it. It was for the women trying to workout with a pad on to catch their urine. It was the woman whose sisters laughed at her because she pee’d her pants while jumping on the trampoline. It was the patient that pee’d on herself when she stood up from her chair. It was the woman that often couldn’t make her commute to work without wetting herself. It was the Post-Menopausal newlywed who wanted to be able to enjoy sex with her husband. These are the women I had in mind. Being able to provide a medical solution to a problem women have been expected to live with is the reason I offer this in my practice. If you are one of the millions of women suffering from incontinence, vaginal prolapse, pain during intercourse, difficulty achieving orgasm, or vaginal atrophy you deserve to find out if this treatment will change your life. Can you just go about life “dealing with it”? Sure. But why should you have to?