Sexual Activity After Labiaplasty?

What happens if you engage in sexual activity before the recommended six weeks after having had labiaplasty? Is it a dangerous risk to take?

Doctor Answers 25

Activity after labiaplasty

As with all surgery, it's very important to follow up with your plastic surgeon before returning to your full level of activity. It is usually best to wait at least six weeks to allow everything to heal.  Also, intercourse can be uncomfortable if performed prior to adequate healing.

I hope that helps and wish you the best!

Sexual activity after labiaplasty

The technique utilized may play a role in this. For example, the "wedge" technique may be more prone to tension than the leading edge resection.

In general, almost any wound needs approximately 3 weeks of healing to achieve satisfactory wound strength to tolerate shear and stress forces and avoid wound separration. There are numerous precations one can take when returning to sexual activities and these include:

  1. A brief course of massage to the repaired labia to encourage scar maturation as well as diminish hypersensitivity.
  2. Liberal use of lubricants to minimize labial friction.
  3. Gentle and slow, manually guided penetration to avoid or minimize tension on the repaired labia.
  4. Alternative methods of coitus which prevent labial distortion or tension (other than penile or mechanical penetration).

Generally pain in one of the best indicators of your ability to return to normal sexual activities.

In a review of 50 paitents, we found that although we allowed them to engage in sexual activities at 6 weeks, many were hesitant and did not feel comfortable until 8 weeks.

Depending on your own unique wound healing status, sexual activities prior to 6 weeks may on one hand, have few consequences or have dire results such as wound separation or hematoma. If this is a concern, return to your physician prior to resuming sexula activites and inquire about the condition of your labia.f

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 56 reviews

Sexual activity after labiaplasty

I generally tell patients that:
1) Procedure takes 1-2 hours depending on what is being done.
2) Swelling will last between 2-3 weeks with each week showing dramatic reduction in swelling
3) Discomfort follows swelling
4) Some areas that hypersensitive to touch may be due to sutures and can come out after 2-3 weeks
5) Not to partake in sexual activity until six weeks.  Any earlier and you can risk disrupting the incisions.

Labiaplasty recovery

Thank you for your question.  The type of incision used for the labiaplasty will dictate a bit of the recovery.  If the "V-wedge" excision is used, a part of the incision can be on the side wall of the vagina and thus you would want to make sure it is well healed before engaging in intercourse.  If you engage in intercourse earlier, you are at risk for the wound separating.  

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 17 reviews

Sex Too Soon After Labiaplasty Can Cause Problems

Although your best answer is probably from your surgeon, in general it is probably best for most patients to wait 6 weeks for sufficient healing to prevent your suture line splitting open.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 65 reviews

Labiaplasty & Sex: Hold your Horses for 6 weeks

Labiaplasty scars are fragile and prone to separate before healing is completed. Six weeks is the average amount of time it takes to heal before sex is safe. That doesn't mean that you are OK to have sex at 6 weeks and 1 second after surgery. You need to see your surgeon at the six week mark to make sure that you have healed. A separated scar will not only delay your healing, but it will also affect your results. It's worth the wait.

You risk early wound separation following labiaplasty if you engage in sexual intercourse too soon.

it is wise to wait 6-8 weeks after a labia minoraplasty before engaging in sexual intercourse as the incision line is too fragile early on and could potentially separate or dehisce creating a hole or a fistula.  This may then require a second procedure to repair the separation.

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 137 reviews

Sex after labiaplasty

In my experience, when women had sex prior to four weeks after labiaplasty, they would have tears that would heal up but did tend to frighten them.  I used to recommend patients avoid sex for 4 weeks, but after several patients had tears, I changed my recommendation to 6 weeks and so far, no one has had any problems with tears after sex.  Of course, some of this depends on how vigorous the vaginal sex  becomes.

Susan Kolb, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 12 reviews

Sexual Activity after Labiaplasty

For patient to have a good result after their labiaplasty it is important to carefully follow your post-operative instructions.

I typically have patients refrain from vaginal intercourse for six weeks after the procedure. The labia skin is very soft, similar to your lips and gums and thus heals very well. However because the tissue is soft it is easy to open part of the incision early in the healing period if intercourse is started prematurely.

Waiting a couple extra weeks will allow you to achieve the results that you desire and are able to enjoy for years.

Compromising Your Recovery

I recommend patients not have sexual intercourse for the first six to eight weeks after their surgery. This is to prevent complications that could occur, such as tearing of tissues, infection and bleeding.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.