INDIBA® gynecology. Restore intimate tissue with clinical precision.
Radiofrequency at 448 kHz, applied under medical supervision, for pelvic floor health, postpartum recovery, menopause, and intimate discomfort. No surgery, no anesthesia, integrated into a personalized health plan.
Tissue pro-induction technology
integrated into a medical protocol,
not for cosmetic purposes.
Monarka · Paseo de Gracia
What is INDIBA
in gynecology?
A monopolar radiofrequency medical technology at 448 kHz, validated in functional gynecology and applied exclusively under specialist prescription.
Technology
Monopolar radio frequency 448 kHz
Application
Transvaginal and/or external as indicated
Session duration
30 to 45 minutes
Anesthesia
It does not require
Recovery
Immediate normal life
Indication
Only with a doctor’s prescription.
Indications
When gynecological INDIBA
is indicated
Gynecological radiofrequency is not a universal treatment. It is prescribed when a medical evaluation identifies a functional condition that could benefit from vaginal tissue regeneration and pelvic floor support.
— 01
Genitourinary syndrome of menopause
Vaginal dryness, burning, itching, and discomfort associated with decreased estrogen. Improves mucosal health without the need for local hormone therapy.
— 02
Chronic pelvic pain and myofascial syndromes
Vulvodynia, pudendal neuralgia, painful bladder syndrome, endometriosis with pelvic involvement, and myofascial pelvic floor pain. INDIBA works by modulating nociceptive signals and reducing reflex muscle tone.
— 03
Postpartum recovery
Vaginal laxity, episiotomy or tear scars, weakening of the pelvic floor after vaginal delivery or cesarean section. Compatible with breastfeeding.
— 04
Mild stress urinary incontinence
Urinary incontinence when coughing, laughing, or exercising. It is usually combined with pelvic floor rehabilitation to enhance the results.
— 05
Dyspareunia and pain in relationships
Discomfort, burning, or pain during intercourse associated with dryness, atrophy, pelvic floor hypertonia, or post-surgical scarring. The functional or organic origin is always evaluated.
— 06
Functional vaginal laxity
Loss of muscle tone associated with age, previous births, or hormonal changes that affect sensitivity and the quality of relationships.
— 07
Perimenopause support
As part of the Monarka perimenopause program, along with hormonal, gynecological and nutritional assessment, within a unified plan.
Clinical mechanism
The neuromodulatory effect
⸺ Mechanism 01
Modulation of nociceptors
Radiofrequency ablation at 448 kHz interferes with peripheral pain signaling, reducing the hyperexcitability of nociceptors that perpetuate chronic pain. This is especially relevant in central sensitization conditions such as vulvodynia and painful bladder syndrome.
⸺ Mechanism 02
Reduction of reflex muscle tone
It reduces hypertonia and trigger points in the pelvic floor by acting on the protective muscle contraction reflex. It allows pelvic floor physiotherapy to progress where pain previously prevented it, breaking the pain-contracture-pain cycle.
⸺ Mechanism 03
Sympathetic/parasympathetic balance
It restores the balance of the autonomic nervous system locally, promoting vasodilation, drainage, and tissue oxygenation. This neurovegetative regulation is key in patients with chronic pelvic pain, where the dysautonomic component is almost always present.
Clinical note
This three-pronged approach is the reason why INDIBA has become a key tool in advanced pelvic floor physiotherapy protocols. At Monarka, it is always prescribed following a gynecological evaluation and, when necessary, in coordination with the clinic’s chronic pain unit.
How it works
The Monarka protocol
The treatment is part of a clinical process, not a single session. The specialist determines if INDIBA is indicated and designs the plan based on the functional assessment and therapeutic objectives.
01
Initial session
Functional gynecological assessment
Medical history, examination, and evaluation of the pelvic floor and vaginal mucosa are performed. The indication is identified and contraindications are ruled out.
02
Customized plan
Treatment design
Number of sessions, frequency and combination with other therapies (pelvic floor rehabilitation, hormonal treatment, nutritional follow-up) depending on the case.
03
30-45 min per session
INDIBA application
Weekly or bi-weekly sessions. Transvaginal and/or external application, painless, without anesthesia. The patient resumes her activities immediately.
04
Follow-up
Inspection and maintenance
Results are monitored 4–6 weeks after the cycle ends. The maintenance plan is adjusted according to progress and objectives.
"INDIBA is not a standalone treatment: it is a tool within a unified gynecological plan, where multiple specialties converge into a single roadmap for each patient.
— Functional Gynecology Unit · Monarka Clinic
Frequently Asked Questions
What you should know
Is transvaginal treatment painful?
No. INDIBA uses radiofrequency at a controlled temperature that most patients describe as a pleasant warmth. It requires no local anesthesia or sedation, and the session is performed with a specific sterile applicator.
How many sessions are needed?
It depends on the specific indication. As a general guideline, standard protocols typically involve between 4 and 8 sessions, held weekly or bi-weekly. The specialist determines the exact number of sessions after the initial assessment and adjusts the plan based on the patient’s progress.
Does it really work for vulvodynia or chronic pelvic pain?
INDIBA is one of the few non-pharmacological treatments with clinical evidence for chronic pelvic pain, vulvodynia, and myofascial pelvic floor syndromes. Its effect is based not only on tissue regeneration but also on its neuromodulatory action: it reduces nociceptor hyperexcitability, lowers reflex muscle tone, and rebalances the local autonomic nervous system. In these cases, it is usually prescribed in combination with specialized pelvic floor physiotherapy, and results are evaluated 4–6 weeks after the start of the treatment cycle.
Can I resume my normal life afterwards?
Yes. There is no recovery time. The patient can immediately return to work and sports activities. Sexual intercourse is not recommended for 24–48 hours, as directed.
Is it compatible with breastfeeding?
Yes. INDIBA is compatible with breastfeeding and most hormonal treatments. The specialist assesses each case and rules out any specific contraindications during the initial consultation.
When will the results be noticeable?
Some patients report symptomatic improvement (hydration, comfort) from the first sessions. Collagen regeneration is a progressive process that continues for 8–12 weeks after the treatment cycle.
Does it replace hormone therapy?
Not necessarily. INDIBA can be an alternative for patients with contraindications to hormone therapy or a complement to a menopause plan. This decision is always made by the gynecologist after evaluating the case.
Who is not a candidate for treatment?
There are specific contraindications (pregnancy, pacemakers, certain metallic intrauterine devices, active infections, undiagnosed genital bleeding, among others). Therefore, treatment is prescribed only after a medical evaluation.
INDIBA within the Monarka women’s health ecosystem
Gynecological radiofrequency is part of a broader approach that addresses intimate health from hormonal, functional, and emotional perspectives. Each plan integrates the tools that each patient needs.
Functional Gynecology Unit
Comprehensive assessment of the pelvic floor, intimate health, and sexuality. A natural entry point to evaluate whether INDIBA is right for you.
Perimenopause and Menopause
A multi-specialty plan that brings together gynecology, endocrinology, nutrition and emotional health in a single roadmap, where INDIBA can be integrated as a therapeutic tool.
Start with a
medical assessment
The first step is a consultation with our functional gynecology specialist. There, we will decide together if INDIBA is the right tool for your case, or if your plan requires a different approach.