Would vaginal rejuvenation help with tightening after total hysterectomy?

Question

I had a total hysterectomy a year ago and my Vaginal feels completely loose. My cervix was removed, can I still get effective vaginal rejuvenation surgery?

Lori Warren, MD · Answer

Good news, your hysterectomy has less to do with vaginal tightening than you might think. The biggest change that could effect your vagina post hysterectomy would be determined by whether or not you still have your ovaries, and how old you are. The estrogen provided by our ovaries is invaluable to our vagina’s health. Without estrogen the tone, moisture, and ability of our vagina to stretch and contract becomes less. Now loss of estrogen is an inevitable fact for all women, because once we go through menopause we lose estrogen. Just having a hysterectomy without an oophorectomy (ovary removal) should not have changed the tone of your vagina or make it loose. Vaginal rejuvenation surgery or a vaginoplasty would help restore the tightness to your vagina and the hysterectomy would not impede that in anyway. The surgeon stays in the walls of your vagina when doing a vaginoplasty and not having a cervix is of no consequence for the surgeon performing the surgery. I hope this has helped you, good luck.

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Vaginal rejuvenation for vaginal tightening is called vaginoplasty. It can certainly be done whether you had a total hysterectomy (uterus + cervix removed), or a subtotal hysterectomy aka supracervical hysterectomy (uterus removed, cervix not removed). Hysterectomy surgery has nothing to do with vaginal tightening and it doesn't affect the quality of any vaginoplasty operation. Consider a virtual consultation with an expert for more details.

Chet Mays, MD · Answer

Thank you for your inquiry! Yes, a Vaginoplasty procedure can be performed to increase vaginal tightness. We would love to meet with you in person to make sure you're a candidate for this procedure. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

Stanley Okoro, MD · Answer

Thank you for your question. It is difficult to recommend options without examining you. Make sure you consult with a board certified plastic surgeon. Broadly, there are are options when it comes to vaginal rejuvenation
1. Non surgical skin tightening with RadioFrequency heat like ThermiVa
2. Surgical consideration with Vaginoplasty
Good luck!

Burcak Tok, MD · Answer

Hello, if your ovaries were removed during total hysterectomy, you also have estrogen deficiency. Surgery or laser will be beneficial for vaginal width. However, depending on your age and condition, you may also benefit from hormone replacement therapy at the appropriate dose.

Cynthia Diehl, MD · Answer

I usually recommend the patient see a gynecologist to discuss internal surgical tightening procedures. There are several devices that can be used to "rejuvenate" and these usually include CO2 laser and radiofrequency, technology. The results vary from patient to patient, but many experience significant improvement with tightening, restoring moisture, improving stress, incontinence, and increasing sensitivity. This is not a surgical correction for laxity, but can help.

E. Jacob Simhaee, MD, FACOG · Answer

Dear concerned patient, depending on pelvic findings during the exam you can be offered surgical or nonsurgical treatment.
each procedure does have its own risk and benefit. once you have been examined you will be offered once of the two and you can make your best decision.
good luck and best of health.

Michelle Jones Singer, MD · Answer

Yes certainly. A vaginal rejuvenation can be surgical, which is called a vaginoplasty. It may also involve tightening the vaginal wall with devices that use radio-frequency or CO2 laser. It is important for you to consult an experienced cosmetic gynecologist or urogynecologist. Discuss all of your options and the results you desire.

Mark N. Scheinberg, MD · Answer

Thank you for your questionAbsolutely. The vagina is like a rectangular box connected on all six sides. Whether or not the cervix is removed it still keeps that essential form. Look for an experienced surgeon who understands vaginal anatomy, can evaluate the defects leading to your sensation of looseness and can individually repair those defects. Do your homework to find someone who can get it right the first time.See realself info on vaginoplasty for more info.

Oscar A. Aguirre, MD, FPMRS · Answer

Hello Gee31,
Yes, of course, you still have vaginal rejuvenation options following a hysterectomy. You schedule a consultation with a specialist in surgical and non-surgical vaginal rejuvenation. 
Go to the link below to learn more about these procedures. From that link you may schedule a virtual consult via phone or zoom, at which time we can discuss in-depth your anatomy, expectations, and concerns. 
Best of luck,

Would vaginal rejuvenation help with tightening after total hysterectomy?

Answers (16)

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