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

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.

I'm sorry to hear that you're experiencing discomfort after your surgery. To provide you with the most accurate guidance, I'll need more information about your surgery, including details about mesh placement, the extent of cystocele/rectocele, and specifics about your childbirth experiences. Your age, the sizes of your babies, and the duration of your deliveries are also important factors to consider.
While the O-Shot can enhance sensation in specific areas, initially I would suggest treatment options like a CO2 laser or the Morpheus8 V which combines radiofrequency with deep microneedling. Both of these options are minimally invasive and can offer benefits such as improved sensation, a more youthful appearance, and enhanced lubrication. It's not uncommon for me to use various medical therapies to attain the desired result for my patients. Make sure that your cosmetic gynecologist discusses all the available options with you!

First of all, I want to say I’m so sorry to hear of your troubles. That is not an expected result after having the surgery that you had. Though it is no guarantee, I do believe that using some PRP as in Oshot and maybe some scattered injections throughout your vagina would help increase sensation. Additionally, you might like to try some vaginal rejuvenation treatments like Morpheus8V or CO2 laser for your vagina. These treatments help improve collagen and elastin and help rejuvenate the vaginal tissue. These are all just suggestions to try and help you with your problem, if you are anywhere near the Louisville Kentucky area, consider coming to see us for a consultation. Our double board-certified gynecologist is an expert in pelvic prolapse surgery, which you already had and may have some insight into your current condition, additionally she is also an expert in a number of cosmetic vaginal treatments and surgery. I hope this has helped.

Dear unhappy patient
Sorry that you are not feeling the same as before.
Oshot will not help you to feel Sex, it is good to enhance your orgasm.
If your issue is vaginal sensation, I would suggest asking your surgeon and finding out if during the surgery vaginal reconstruction is done and the pelvic muscles/kegel muscles were reapproximated? If this was done then the issue might be the amount of collagen/ elastin in the vaginal wall tissue has decreased due to your vaginal delivery and expansion of the vagina. to help with this performing 3 or 4 sessions of vaginal Morpheus can be helpful.
Good luck and Best of health

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

I'm sorry to hear about your challenges I truly empathize with how this has affected your quality of life. Loss of sensation during intercourse after vaginal reconstruction surgery and childbirth is not uncommon, but it’s certainly distressing. Let’s break this down so we can address your concerns thoroughly. What’s Happening?The loss of sensation in your vaginal area could stem from a few potential factors, including: Nerve Damage: Prolonged childbirth, particularly with a larger baby (like your 9-pounder), can stretch or compress pelvic nerves, leading to reduced sensitivity.
Scar Tissue: Surgical procedures for prolapse can create scar tissue that may affect the sensory nerves or the elasticity of the vaginal walls.
Pelvic Floor Dysfunction: Weak or overly tight pelvic floor muscles after surgery or childbirth may contribute to a lack of sensation and discomfort.
Hormonal Changes: Hormonal fluctuations, particularly post-childbirth or during perimenopause/menopause, can lead to thinning of vaginal tissues and reduced sensitivity.
Could the O-Shot or Vaginal Tightening Help?
O-Shot (Platelet-Rich Plasma Injection):
The O-Shot involves using your body's platelets to regenerate tissue and improve sensitivity. Some women report enhanced sensation and improved lubrication after the procedure, but results can vary. It's worth discussing with a specialist in sexual health or a urogynecologist.

Vaginal Tightening Surgery (Vaginoplasty):
If there’s significant laxity or scarring from childbirth, vaginoplasty could potentially restore sensation by improving the structural support of the vaginal tissues. However, it’s not guaranteed to restore nerve function if the underlying issue is nerve damage.
Next steps before committing to any additional treatments, I recommend the following:
Consult a Urogynecologist or Pelvic Health Specialist: You can make an appointment with me; I am located in Beverly Hills, just so you know.
They, or I, can assess if scar tissue, nerve damage, or other physical issues are contributing to the loss of sensation. Pelvic Floor Therapy:
A specialized pelvic floor therapist can evaluate muscle function and guide exercises or treatments to improve sensation and circulation. Advanced Testing for Nerve Health:
Electromyography (EMG) or other tests can assess if nerve function has been compromised and help guide treatment decisions.
Hormones can be a problem as well! If hormonal changes are a factor, therapies like vaginal estrogen or other treatments may help rejuvenate the tissues and improve sensation.
While the O-Shot or vaginoplasty might be beneficial, the best outcomes often come from a tailored approach that addresses the root cause of the problem. Don’t hesitate to seek a second opinion or work with a multidisciplinary team to explore your options. There is hope, and many women in similar situations have found effective solutions.

It takes a long time to regenrate nerve endings and sensation so be patient. But an O-shot should help hasten the process due to the growth factors in the PRP used. It's worth trying.