Viveve Geneveve Treatment of the Vaginal Introitus to Evaluate Safety and Efficacy

Decreased sensation and decreased sexual satisfaction following vaginal childbirth has the potential to negatively impact overall sexual function and quality of life in many women. Previous research by obstetricians and gynecologists (OB/GYNs) found that changes in sexual health post-childbirth are not often discussed between physicians and their patients. One possible reason these discussions are not being initiated by physicians is the lack of an evidence-based treatment other than surgery.

While traditional surgery can be performed to improve sexual function following childbirth, pain at incision lines and scarring can lead to dyspareunia for months following the procedure, and a surgical procedure can be painful and the sutures may cause dense scarring. The post-operative recovery may last up to seven days before a woman can return to work. Resuming intercourse is not recommended for at least six weeks after these invasive surgeries. For the many women who are not good surgical candidates, due to health issues or situational limitations on downtime or their unwillingness to undergo a surgical procedure to improve sexual function, there is no other option.

The Geneveve Treatment offers a simple alternative to traditional surgery using non-ablative radiofrequency (RF) energy as a non-surgical approach to improve sexual function following vaginal childbirth. It induces a mild, controlled reaction in the submucosal tissues that stimulates the body to deposit collagen, thereby remodeling the tissue without causing scarring.

This study is designed to demonstrate that active treatment (i.e., Geneveve Treatment) is superior to the sham treatment for the primary efficacy and safety endpoints.

The active treatment group will receive a treatment dose of 90 J/cm^2 and the sham group will receive a sub-therapeutic dose of ≤ 1 J/cm^2. The participant, the investigator, and all study personnel will be blinded to the assignment for the entire study duration.

Inclusion criteria

• 18 years of age at time of screening and pre-menopausal
• At least one vaginal delivery (> 37 completed weeks gestation)
• Sexual dysfunction
• Negative pregnancy test at Screening visit
• Sexually active

Exclusion criteria

• Currently breastfeeding or recently discontinued breastfeeding
• Medical history of keloid formation, genital fistula, thin recto-vaginal septum or obstetric trauma
• Implantable electrical device
• Medical or immunological condition
• Chronic use of anti-inflammatory drugs
• Current or previous use of local vaginal hormones
• Undergone previous elective surgical or non-invasive procedure(s) at the vaginal introitus