Exilis for intimate rejuvenation in London

Vaginal laxity after childbirth, with the loss of sensation that can come with it, is a use BTL names for Exilis. BTL's UK page gives the intended purpose of its Exilis Ultra 360 model as including the treatment of sexual dysfunction after vaginal delivery by means of improvement of vaginal laxity. One published series used BTL's Exilis Protege Intima applicator on the labia of 17 women and found the appearance of the labia and sexual function scores improved. Every intimate treatment is given by Dr Marie Duggan, GMC 7488383, in private, after an examination, at Exilis London, 130 Harley Street, London, W1G 7JU, with the price in writing at a free consultation.

What it does

The radiofrequency warms the tissue to the temperature at which collagen contracts and new collagen is laid down over the following weeks. The aim is firmer tissue, and the doctor explains at the consultation how the treatment is given. It does not treat incontinence, which is a pelvic floor question for Emsella at our sister clinic. Dryness after the menopause is a question for the doctor first, with vaginal oestrogen as the treatment NICE puts first, and the doctor says so at the consultation.

What the series measured

Seventeen women had four weekly treatments of the labia in a 2016 series: blinded evaluators scored the labia's appearance 2.9 points better on a 4-point scale, and sexual function scores rose by about 18%, a month after the last. One small series, no comparison group, and we say so; 94% felt mild or no discomfort. The full guide sets out every series.

The session and after

The doctor examines you first, with your cervical screening up to date. In our practice a session takes about 20 minutes while the warmth builds. A little warmth or a watery discharge for a day, and intercourse waits until the tissue has settled, usually a few days. Usually four sessions a week apart, as the published series ran them, then the review.

Who it suits

In our practice, a woman after a vaginal birth with laxity and less sensation that she puts down to it, a few months past the birth. She has no current infection, no unexplained bleeding and no metal coil, and is not pregnant or breastfeeding. The full guide covers the rest, and the doctor tells you plainly at the consultation whether Exilis, Emsella or another treatment fits.