Pre-Treatment Recommendations
• The patient should have an up-to-date normal PAP test (within last 12 months)
and recent normal vaginal exam to ensure that there are no active infections.
• Physician prescribed Acyclovir or Valacyclovir for prophylaxis prior to treatment
• Review all indications
• Review all contraindications
• Complete the medical history and physical prior to treatment
• Sign the informed consent prior to the procedure
• Hair should be shaved in the treatment area 2-4 days prior to the procedure. The
hair should not be waxed or chemically removed.
• Perform a vaginal exam immediately prior to the procedure to visualize the area
that is going to be treated.
• The patient should use the restroom to urinate immediately prior to treatment.
• Advise the patient to avoid anticoagulants such as aspirin throughout the treatment
regimen, if medical condition permits and pertinent to physician approval.
Anticoagulants increase the possibility of bruising.
Treatment Recommendations
1. Follow Device Start-Up from Section 5.
2. Use energy level of 20-30 and set cut off temperature as high as tolerated, starting
at 40°.
3. Basic Parameters Consideration:
• Plenty of ultrasound gel to be applied
• Gel to be applied directly to all 3 electrodes on FormaV tip.
• Pre-warm the gel by covering the tip electrodes completely and applying
RF for a few seconds.
• Inserting gel manually into the vaginal canal may be helpful in cases of
moderate to severe atrophy.
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