Welcome to Practice Happiness


Practice Happiness specializes in the treatment of pelvic issues using ThermiVa – an office based, non-invasive procedure that uses radiofrequency to tighten tissue and pelvic muscles, encourage collagen production, and possible help in tissue and nerve healing.

Would you like to hear more about the ThermiVa treatment?

Natalie Drake, M.D., F.A.C.O.G.ThermiVa Specialist Natalie Drake, M.D., F.A.C.O.G.

Dr. Drake is a board-certified OB/Gyn who received specialty training at Duke University in their Urogynecology and Pelvic Reconstructive Surgery fellowship.  She has served as a Clinical Assistant Professor at UT Southwestern Medical School, at Case Western School of Medicine, and at The Cleveland Clinic Lerner School of Medicine.

She has presented her research at national organizations, including the American Urogynecologic Society (AUGS) and has published in the peer review journals The American Journal of Obstetrics and Gynecology, Obstetrics and Gynecology, and The International Urogynecology Journal and Pelvic Floor Dysfunction.  She has worked closely with the pelvic floor physical therapists to help women with dyspareunia and levator muscle spasms return to a normal life.


Conditions treated by Thermiva:

Vaginal Laxity: This will tighten both the vaginal opening and the full length of the vagina. This is usually noticeable to both the patient and a partner.

 Vulvar and labial laxity: This will tighten the labial (external) tissues, reducing sag and “camel toes”. This results in softer, smoother skin, more comfort in tight clothing, and less self-consciousness in exercise clothes and bathing suits.

Vaginal and vulvar dryness or atrophy: This will add more resilient, thicker, more youthful skin and more moisture both internally and externally to make daily activity and sexual intercourse more comfortable without the use of hormones.

Mild to moderate stress urinary incontinence: This will decrease accidents and leakage of urine and may reduce urge symptoms. Along with Kegal exercises, women may be able to avoid surgery and the use of mesh slings in their vaginas.

Urinary urgency: This may result in an ability to hold the bladder longer without the perpetual feeling of needing to urinate. It may also help decrease the number of times women wake at night to urinate.

Sexual or orgasmic dysfunction: May result in increased sensitivity, more coordinated, and stronger muscular contractions, and ability to achieve orgasms in a shorter period of time. Please click here if you are over the age of 18 to see our before and after gallery.

Who are Candidates for ThermiVa?

Many women are qualified candidates for the ThermiVa treatment, most commonly:

Women who are experiencing vaginal laxity and loose feeling for any reason Women who are displeased with the appearance of their labia majora, particularly when conscious of their appearance while wearing bathing suits, athletic clothing, leggings, jeans, etc.

Women who are experiencing sexual dissatisfaction or having trouble reaching orgasm Women who are having difficulty retaining tampons Women who may have pelvic prolapse, such as a fallen bladder or rectum Women who may suffer from urinary leakage

Women who may suffer from dryness of their vagina or labia (atrophic vaginitis) due to the effects of menopause

Is ThermiVa Safe?

The ThermiVa is FDA approved and a safe alternative to surgery for vaginal skin laxity. No blisters, burns, infections, organ or nerve damage have been seen or noted in hundreds of uses.

Would you like to hear more about the ThermiVa treatment?