The Pelvic Center’s Team has answers

Is treatment covered by health insurance?

Treatments have not been medically coded and therefore can not be submitted to health insurance companies. However, treatment may be covered by your FSA or HSA, Health Savings Plans. There are also many medical financing options available including interest deferred payments with monthly payments as little as $45. (include financing links here)

How much do the vaginal treatments cost?

After your consult with Dr Hettiarachchi, the Dr will recommend a treatment plan specifically tailored to your needs. Cost is dependent on your personalized treatment plan. Female Pelvic Treatment plans start at $1200 with monthly payments as low as $45.

What can I expect at the Consult?

When you arrive, you can expect to be greeted and introduced to our team. The Dr will meet with you to discuss your issues and concerns, review your medical history and answer any medical questions. He will then explain in detail different treatments available. You will also have the opportunity to discuss the treatments with female team members to get their perspective. Some of our team have been treated and freely discuss their personal experiences. Our team is also available to help you with financing questions or applications. After you have a full understanding of treatments available, the Dr will examine you, evaluate and provide a treatment plan. You may have the option to start treatment that day if indicated.

What is the downtime?

In most cases, Monalisa Touch treatments require refraining from intercourse 3-7 days and you may(or may not) experience some itching and alittle discomfort during the healing process 3-7 days. The Geneveve requires refraining from intercourse about 5 days but no other downtime nor discomfort. The ThermiVa and O-shot do not have any downtime.

How long is the treatment?

Expect to spend 60 minutes in our office total for a consult. The treatments themselves:  10 minutes for numbing plus 5-10 minutes for internal and external Monalisa Touch therapy 3 treatments 6 weeks apart, 35-55 minutes for internal and external ThermiVa therapy 3 treatments on month apart , 30 minutes for Geneveve one time treatment, 25 minutes for numbing and blood prep plus 5 minutes for injecting O-Shot one treatment or multiple treatments may be required. These are estimates and may be revised depending on your individual response to therapy.

Can I bring my partner to the consult and treatment?

Yes, absolutely! We encourage partner involvement and support. It is important for your family member to have a clear understanding of your treatment plan as well. Many partners are also present in the treatment room during the treatments with the patients approval, of course. We are also happy to schedule treatments for siblings, mother/daughters as well as  friends around the same time. It is a great support system!

Does it hurt?

There have been no reports of any discomfort with the Geneveve nor the ThermiVa treatments. Some patients have reported feeling a cool or a warm sensation during Geneveve treatment. Some patients have said that ThermiVa feels like a warm stone message. For both the O-shot and the Monalisa treatment, we provide numbing externally using a very effective agent specially compounded by the pharmacist. For the O-Shot women have reported either no sensation of being injected at all or a slight pinch during the procedure and slight "full" sensation in the area treated right after the procedure. For the Monalisa treatment, 95% of women report a slight buzzing, humming or vibration during the internal portion of the treatment and may feel an itchy or pricklly feeling if at all during the external treatment. If any patient does feel discomfort during the treatment, Dr Hettiarachchi immediately adjusts the laser settings to ensure the patient can tolerate the treatment.

How long does it last?

Most treatments studied are showing lasting results of 12 months and longer and are suggesting one touch-up treatment annually as needed. The O-shot may vary per patient requiring more than one shot per year.

My Gynocologist told me not to get the treatment. Isn't she the expert in the field?

Your Gynocolgist may be an expert in her field. However, her field is typically limited to the medical practice dealing with the health of the female reproductive systems (vagina, uterus, and ovaries) and the breasts. She is not trained in managing clinical problems associated with dysfunction of the pelvic floor and bladder. That would require additional multiple years of surgical and medical training. Pelvic floor disorders affect the bladder, reproductive organs, and bowels. Urogynecologists and Female Urologist with additional Board certification in Female Pelvic Medicine and Reconstructive Surgery(FPMRS) are responsible for the care of women who have experienced trauma to the perineum during childbirth, urinary incontinence, female genital prolapse, Lichen sclerosus, painful intercourse, dyperunia and pelvic organ prolapse to name a few. A FPMRS has the expertise in this field to perform procedures, surgery or non-invasive treatments.