Help please - why can't I feel anything a year after vaginal reconstruction? Would an O-Shot help get the feeling back?

Vaginal reconstruction for prolapse aka pelvic floor reconstruction is only focused on fixing the sagging of the vaginal walls. It does this by repairing the vaginal supports. Nothing more, nothing less. Vaginal tightening operations (aka vaginoplasty) is focused on fixing the loose muscles in the vagina and at the perineum. However, if you have prolapse, fixing the prolapse must be done before you can tighten the vagina because the muscles sit on the vaginal supports. An expert in vaginoplasty usually does both of these operations at the same time. It's perfectly acceptable to do the vaginoplasty at a later time in a situation such as yours. I would recommend that you seek out a virtual consultation with an expert to get more information.

Thank you for sharing your story—and I'm truly sorry to hear how long you’ve been dealing with these challenges. It's more common than people think, but that doesn’t make it any less frustrating or disheartening.

When it comes to lack of sensation during intercourse—especially after pelvic organ prolapse repair—there are a few potential reasons:

Nerve disruption or scarring from surgery can reduce sensation.

Pelvic floor muscle dysfunction may persist even after prolapse correction.

Laxity or reduced blood flow in the vaginal tissues can contribute to feeling “numb” or disconnected during intimacy.

Based on what you’ve described, you may benefit from a combination approach. Here’s how we typically help patients like you:

The O-Shot® (PRP injection): This helps stimulate nerve regeneration, improve blood flow, and increase sensitivity and sexual response. Many women report improved ability to orgasm and enhanced pleasure after this simple, in-office treatment.

Vaginal Tightening (Vaginoplasty): If there is persistent laxity or stretching of the vaginal canal, surgical tightening can restore tone and support, which may help with friction and sensation during intimacy.

Laser or RF Therapy: Treatments like Votiva or ThermiVa can improve tissue quality, lubrication, and mild sensation loss—but are less effective than surgery for more significant concerns.

I’d recommend coming in for a detailed evaluation where we can assess what’s going on anatomically and tailor the best solution for you. The goal is not only to restore function but to help you feel like yourself again.

We’re here for you, and I’d be honored to help you take the next step toward feeling better.

Warmly,
Dr. David Ghozland

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center.

The O-Shot is a non-surgical treatment that uses your body’s own platelet-rich plasma (PRP), gently injected into the vaginal area to help stimulate tissue regeneration. Many women have reported improvements in sensitivity, arousal, natural lubrication, and even bladder control after treatment.

If you're looking for a non-invasive option, the O-Shot can be a wonderful place to start.

The best next step is always a personalized consultation with a skilled provider who specializes in such concerns, where you can talk through your goals and create a treatment plan that’s just right for you.