Before Your First Treatment

Preparing for your evaluation and understanding what to expect.

LARAMIE PHYSICIANS WOMEN & WELLNESS CLINIC

Pelvic Wellness Library · Volume 05 · Editorial version: October 20, 2026

Pelvic Wellness Library

Welcome

Preparing for a treatment conversation does not mean deciding in advance that you need a procedure. It means making room for questions, sharing relevant information through the appropriate clinical channel and understanding what the team recommends and why. It is reasonable to want clarity about comfort, privacy, risks, alternatives and the practical demands of care.

This guide helps you prepare for an evaluation without inventing medical instructions. It provides no medication-stop schedule, fasting requirement, activity restriction or procedure-specific preparation window. Those details must come from LPWWC’s approved protocol and current instructions for the exact device. Until then, a checklist is a conversation aid—not a substitute for individualized advice.

Chapter 1

Chapter 1. Start with the evaluation

Urinary symptoms can have different causes. A clinical evaluation helps determine whether device treatment, conservative care, another intervention or additional investigation should be considered. A program selection on a website cannot make that determination. Neither a symptom list nor a book can establish that you are eligible for a particular procedure. [1]

The team may ask how symptoms began, when they occur and how they affect everyday activities. Describe the difference between leakage with movement and leakage associated with a sudden urge if you can. If you are uncertain, say so. You do not need a precise diagnosis or an expert vocabulary before seeking help.

Relevant medical history, medication use and prior treatment can inform the assessment. A clinician may consider an examination, urine testing or further evaluation depending on the findings. Ask what each part of the assessment is intended to clarify. Not everyone needs the same tests or treatment plan. [1]

Before you agree to a procedure, make sure you understand the recommendation and alternatives. Asking for additional explanation, taking time to consider options or declining a proposed intervention should not be confused with failing to prepare. Informed participation is different from automatic consent.

KEY TAKEAWAY: An evaluation is a decision-making step, not a promise that a device treatment will follow.

Chapter 2

Chapter 2. Bring information, not a self-diagnosis

A current list of prescriptions, nonprescription medicines and supplements can help the team review relevant details. Include information about allergies, prior procedures and previous pelvic-floor or bladder treatment when asked. Do not stop a medication because a general source suggests it could affect symptoms; discuss the concern with the prescribing clinician and treating team.

Tell the clinician about pain, difficulty passing urine, recent changes, urinary infections or other concerns. Medical history is not a set of answers to optimize for a desired treatment. The purpose is to support a safe and useful assessment, including recognition that another form of care may be more appropriate.

If the team recommends a symptom or bladder diary, ask exactly what to record and how it will be used. A brief description of a difficult recent situation may also help you explain your priorities. The information should remain in the clinic’s approved care pathway, not an ordinary marketing or book-download form.

Educational download forms request contact information and permissions to fulfill a guide request. They do not ask for diagnoses, symptom scores or treatment history. Downloading this book is not evidence that you have a condition, are an established patient or are enrolled in a program.

QUESTIONS TO ASK YOUR CLINICIAN: Which records would be useful? How should I provide them securely? Is a diary needed, and what decision would it support?

Chapter 3

Chapter 3. Understand the treatment being discussed

Electrical stimulation and radiofrequency are different approaches. vTone’s FDA record concerns a non-implanted electrical continence device and a specific labeled indication. FormaV involves tissue-directed radiofrequency heating; the vTone record cannot be used to assert the same clearance or evidence for it. Ask about the exact device, intended use and current instructions. [2, 3]

MorpheusV / Morpheus8V is a separate optional physician-directed consideration, not an automatic part of either proposed membership. If it is discussed, ask for its distinct rationale, potential harms, alternatives, preparation, aftercare and separate quote. This book does not supply a treatment count or schedule for it.

Research findings have boundaries. The cited electrical-stimulation trial involved a specific population and an eight-week regimen; it did not test the precise LPWWC proposal. A treatment name or a combined package is not proof of a particular individual outcome. Ask what benefit is reasonably expected in your situation and what remains uncertain. [4]

Safety should not be reduced to a claim that a procedure is “gentle” or “noninvasive.” Ask what discomfort, adverse effects or other risks should be understood for the exact approach. FDA has raised concerns about certain marketed energy-based vaginal uses. The clinical discussion must account for current documentation, not simply a reassuring image. [3]

QUICK ANSWER: “Can I follow preparation advice for a different pelvic procedure?” No. Procedure-specific instructions should match the exact care recommended for you.

Chapter 4

Chapter 4. Comfort, privacy and practical arrangements

Ask what will happen during the examination or procedure, who will be present and how privacy will be protected. Tell the team if you need an explanation before each step, an accommodation or a pause. You can ask about a chaperone and the clinic’s arrangements without assuming a particular policy exists.

Discuss comfort in concrete terms. Ask what sensations may occur, how discomfort will be assessed and how to signal that something does not feel right. No book can promise a pain-free experience or a uniform recovery. The answer should relate to the actual procedure, not a general statement about the program.

Planning can include travel, time away from work, mobility needs and questions about the visit length. Ask the clinic for the actual appointment requirements. This draft does not invent arrival times, driving restrictions, fasting, activity limits or a self-scheduling service. If a change in health occurs before care, contact the team for advice rather than relying on a generic checklist.

The proposed program calendar is educational. Its weekly initial phase does not override medical judgment or approved scheduling instructions. Similarly, a payment schedule does not decide how many procedures should occur or authorize treatment when suitability is uncertain.

Practical preparation checklist

• Confirm the purpose of the visit and what information to bring.
• Review your questions about benefits, risks and alternatives.
• Ask for the clinic’s exact written preparation instructions.
• Confirm privacy, chaperone and accommodation arrangements as needed.
• Ask about appointment time and how to contact the team if circumstances change.
• Follow clinician-directed medication advice; do not independently discontinue prescriptions.

Chapter 5

Chapter 5. Leave with a clear plan, not assumptions

Before leaving the evaluation, ask the team to summarize the recommendation in everyday language. You should understand what is being considered, whether more assessment is needed and what the next decision point will be. A recommendation for further evaluation is not a failure or a reason to rush into a different device treatment.

If treatment is proposed, request written instructions for preparation and aftercare, including how to contact the team and what concerns require prompt assessment. Confirm how informed consent and any financial agreement will be handled. Reading educational material is not a substitute for those separate processes.

For proposed memberships, ask which prices and inclusions have been approved and which terms remain unresolved. Online payment and enrollment are not available in the current draft. No guide request creates a signed agreement, appointment, verified payment or clinical clearance.

Questions before the first procedure

• What findings support this choice, and what alternatives are reasonable?
• Which exact device and intended use are being discussed?
• What preparation instructions apply to me, and who can clarify them?
• What should I do if I become unwell or my symptoms change?
• What should I expect afterward, and how will response be reassessed?
• What approved financial and scheduling terms should I understand?

For non-emergency questions, call LPWWC at (307) 745-8991 or use https://laramiephysicians.com/contact/. Program education is available at https://laramiephysicians.com/bladder-control-pelvic-restoration/. Use appropriate urgent or emergency care rather than waiting for an ordinary enquiry when symptoms may be serious.

BEFORE YOU GO: The best preparation is a clear, individualized plan from the clinical team—not a generic list of restrictions.

Pelvic Wellness Library

References and educational context

[1] ACOG. Urinary Incontinence. Patient FAQ; accessed October 20, 2026. https://www.acog.org/womens-health/faqs/urinary-incontinence

[2] FDA. InMode System with vTone Applicator, K200293. May 5, 2020. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=K200293

[3] Medsafe. The USFDA Warns Against Use of Energy-Based Devices to Perform Vaginal Rejuvenation or Vaginal Cosmetic Procedures. September 5, 2018; historical safety context, not current device clearance. https://www.medsafe.govt.nz/safety/EWS/2018/EnergyBasedDevicesVaginalRejuvenation.asp

[4] Intravaginal electrical stimulation increases voluntarily pelvic floor muscle contractions in women who are unable to voluntarily contract their pelvic floor muscles: a randomised trial. 2022. https://pubmed.ncbi.nlm.nih.gov/34952812/

Educational production draft; clinical and procedure-specific protocol review is pending. This book supplies general discussion prompts, not individual medical instructions, a provider-patient relationship or a guarantee. LPWWC, 1277 N 15th St, Laramie, WY 82072. No physician approval or authorship is asserted.