Aunt Vadge: water or urine after ThermiVa treatments

  • Veronica Danger Vulvovaginal specialist naturopath
    Author: Aunt Vadge
    Qualified Naturopath | BHSc(N)

Hi Aunt Vadge,

I had ThermiVa (vaginal radiofrequency) done yesterday. Ever since, I’ve had what looks like water – or urine? – dripping out. It has no odour and doesn’t hurt, but I’ve had to wear a panty liner so I don’t look like I’ve wet myself.

It’s not a lot, but it’s not normal for me. I thought this helps with incontinence? I’ve also got a tiny bit of blood still. I’m kind of freaking out – what’s going on?

Sincerely,
J.
Age 51, St Louis, USA


Hi J,

What you’re describing is the expected aftermath of a radiofrequency treatment, not a sign something’s gone wrong – and two reassuring clues you’ve given me are that it’s odourless and painless. Urine smells, and infection usually hurts or smells off, so this is much more likely simple treatment discharge.

The reason is that radiofrequency heats the deeper layer of tissue, under the surface, to stimulate it, and as that tissue responds and heals it weeps a little clear, serous fluid – exactly the watery leak you’re noticing – while the tiny bit of blood is minor spotting from the same thing.

Both are common in the first 72 hours or so and then settle.

It also doesn’t mean the treatment isn’t working for your incontinence. That benefit comes later, as the tissue remodels over the following weeks, and the immediate watery discharge is a separate, short-lived healing response.

That said, the people who know your treatment best are the clinic that did it, so do give them a quick call – partly for reassurance, partly so it’s on record – and call promptly if things shift the other way: heavy bleeding, a foul smell, fever, increasing pain, or a sudden gush of fluid.

None of that is what you’ve described, but they’re the signals worth acting on. You’re almost certainly fine – this is your body doing exactly what it should after the procedure.

Best,
Aunt Vadge

This is general information, not a substitute for personalised medical advice – your treating clinic’s guidance comes first.



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