Before your procedure

  • 6-12 MONTHS BEFORE: You must have normal test results from a routine pelvic exam and PAP Smear.
  • 6 MONTHS BEFORE AVOID Accutane (Isotretinoin) within 6 months of your treatment.
  • 2 WEEKS BEFORE AVOID tanning: natural, spray tan, tanning beds, and all other self-tanners.
  • 7 DAYS BEFORE treatment, do not ingest blood thinning medications such as Aspirin, Motrin, Ibuprofen, and Aleve. If you have a history of cardiovascular disease, please check with your doctor before stopping blood thinners. 
  • 5 DAYS BEFORE AVOID alcoholic beverages and herbal supplements, such as Garlic, Vitamin E, Ginkgo Biloba, St. John’s Wort, and Omega-3 capsules.
  • 5 DAYS BEFORE, we recommend starting OTC Arnica tablets to minimize bruising.
  • 3-5 DAYS BEFORE AVOID shaving, waxing, bleaching, tweezing, or using depilatory creams in the treatment area.
  • 3 DAYS BEFORE: If you have a history of Herpes or cold sores, a course of anti-viral medication before and after treatment is required. Please call our office for a prescription.

Day of your procedure

  • Wear loose-fitting clothing
  • A topical anesthetic will be applied to your skin, and you will numb for 30-45 minutes.
  • A single-use wand is inserted into the vagina to treat internal areas. It may also be placed on external areas.

What to Expect

  • Soreness and cramping
  • You may have light spotting. You may use a panty liner as needed
  • Small needle marks or small scabs
  • Most healing occurs within the first 2-4 weeks

After your procedure

  • 1-3 DAYS AFTER you may take OTC Tylenol for mild to moderate cramping or discomfort.
  • Any scabs should flake off naturally; avoid touching or scratching. Apply Aquaphor ointment to external skin ONLY to reduce skin irritation caused by treatment.
  • 3 DAYS AFTER Avoid alcohol, smoking, and NSAIDS (Aspirin, ibuprofen, etc.).
  • 7 DAYS AFTER You may resume exercise, swimming, pools/hot tubs, using tampons, or having intercourse.

Contact Our Office

  • If you develop blisters or open sores in the treatment area.
  • If your side effects worsen or persist for longer than 4 weeks
  • If you are experiencing significant pain that is not relieved by the recommended pain medication listed above.


  • 4-6 weeks after each treatment.

Back to Pre & Post Care Instructions

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We have been fully operational since May of 2020. With patience and with care, we all are returning to normalcy. Our office continues to use safety protocols, and we are eager to see you.


For patients who desire a virtual consultation, this option is available.
Our virtual web consultations can be done right in the comfort of your own home. All you need is a secure Internet connection and a computer, tablet, or smartphone.
If you would like to have a VIRTUAL CONSULTATION or have any questions, please give us a call at (425) 827-7878 or contact us via our website to set up your virtual consultation today.


Updated May 2022
We have been fully operational since May of 2020. This includes skincare and our non-invasive center (ENIC).
We know that so much of this pandemic caused an inconvenience for you, but we are delighted to see a return to normalcy. 
We will continue to be vigilant in our approach to Covid 19. For over two decades, we have considered safety as our most important prerogative — and there has never been a more important time to put that to use.
Here are some things we’re doing to ensure you are protected and that we maintain this facility as a Non-Covid Care (NCC) zone:

Patient Flow and Clinical Office Space

We now have a well-tested protocol of texting patients for control of flow for consultations.
We are assigning everyone to hourly wipe-downs of high-use areas with approved sanitizing wipes.
We are asking that no one wait in the waiting area.
We are coming up with protocols for room wipe-downs after each patient visit.
Every staff member will always wear a mask while in the office.
Every staff member will sanitize or wash hands after every interaction.
Implementation of virtual pre-ops, nursing visits, and questions.

Operating Room Experience

Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
All staff will always wear a mask. All staff will always wear gloves.
Hand washing will be done for any patient interaction.
Specific wipe-down of our operating room, recovery, and pre-op areas will be performed.
We will minimize accompanying caretakers to only one. Those caretakers will be treated just like the patients.
Anesthesia Experience
Every anesthesia staff will wear goggles and other protective equipment during intubation.
Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
All circuits will be changed between each patient.
Full wipe-down of surfaces and floors will be performed.
We will implement a time-out protocol to confirm the Covid-19 Clear Status of every patient.

As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term, but realize that it is for the best.
Although Covid-19 has been a serious issue, we are seeing a resumption of normalcy. We continue to monitor this situation on a real-time basis, and we will not sit back until we know that we have done everything possible to avoid unnecessary exposure.
When you see us in action, you’ll realize that you have put your trust in the right practice.
Here are some links that might be useful:
State of Washington Department of Health
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
Please do not hesitate to contact us. We are always here to answer your questions!
Call us at (425) 827-7878
Email us at [email protected]

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