diVa
Before and After Care

Before:

• Inform the practitioner of any history of epilepsy, allergy to any topical anaesthetics or other known allergies
• Inform the practitioner of any chance of pregnancy or if you are trying to get pregnant. Pre-menopausal women will have a urine pregnancy test before the procedure so do not empty your bladder immediately before arriving.
• Inform the practitioner of any bleeding disorders, use of the medication Accutane in the last year or any estrogen therapies
• Inform the practitioner of any history of herpes or human papillovirus (HPV) warts, as there is a risk that this treatment could contribute to a recurrence
• Wear comfortable clothes and underwear that will allow you to wear a pad after the procedure

After:

• Spotting may occur. This can last for a few hours – 12 hours depending on the treatment depth. Immediately after treatment, you will be given a pad to wear.
• Pinkish colored discharge may occur. This can last for a few hours – 72 hours depending on the treatment depth.
• The treatment area may be extremely warm for 12-24 hours after the treatment. Cold compresses or ice packs may provide comfort during this time.
• Immediately after treatment, swelling is common and expected. Use of a cold compress or ice pack help relieve the swelling.
  If an antiviral was prescribed for you, continue to take as directed.
• You may return to your normal daily routine, including bathing or showering.
• You should refrain from sexual intercourse, vaginal penetration, douching or use of tampons for up to 48 hours or until spotting or discharge has stopped.
• Some patients experience sunburn or chaffed sensation for a few days. A thin layer application of Aquaphor can alleviate this sensation.
• Some patients experience mild cramping up to 24-48 hours. Post treatment discomfort may be relieved by over the counter oral pain relievers; i.e. Extra Strength Tylenol or prescribed pain medication if ordered by the physician.
• Itching may be experienced during the healing phase and is completely normal. Oral Benadryl or other anti-histamine may help itching (Benadryl may cause drowsiness). DO NOT scratch the treated area as scarring complications can occur.
• When showering in the next few days, it is recommended to avoid getting shampoo or harsh cleansers directly on the treated area.
• Gentle use of bath tissue is recommended to reduce any sensitivity to the area.

When to seek medical attention:

There may be some slight degree of swelling immediately post treatment; however, if you have excessive swelling or any of the following signs of infection, you should contact the clinic immediately.

Signs of infection include:

• Drainage – looks like puss
• Increased warmth at or around the treated area
• Fever of 101.5 or greater
• Extreme itching