Please help! Vaginal canal feels loose & lax, how could I correct this? (Photos)

THANK YOU FOR YOUR QUESTIONYes, you can be helped. To understand what needs to be done, you need to understand the anatomy. The vagina is like a six sided tube: entrance, apex, upper inside(bladder), lower inside(rectum) and two sides. Each of these needs to be evaluated and has different treatments. My best analogy for understanding what is going on the inside is the steel belted tire which which has a strong support structure (fascia steel belt) and a flexible stretchable surface which has grooves(mucosatread). When the steel belt tears, the tread balloons out increasing the surface area and smoothes out the grooves. This is what is called prolapsing or "an acquired sensation of smooth/wide vagina." There typically are several defects that can occur from childbirth and these can all be corrected best by a procedure called " site specific defect repair".. You need a surgeon who knows how to identify and correct each of the possible defects within the length of the vagina. Also, there can be defects on the entrance(orifice) and apex. These also must be evaluated and repaired. Be aware that once these are repaired you should not have another vaginal delivery so if you get pregnant again you will need a caesarian section. Do your homework and research well looking at reviews and before and after photos. Better to have it done right the first time.No, it is not the uterus protruding but rather appears to be prolapsing of the rectovaginal mucosa.

Thank you for reaching out, based on your photo it appears that you do have some degree of prolapse, which is a relaxation of the vaginal walls. It is likely that your vaginal deliveries played a large roll in contributing to the relaxation. In some patients, non surgical treatments and kegels do help, but this is all dependent on the amount of relaxation present. If you have tried conservative measures without any improvement in symptoms, surgical intervention may be indicated. In order to determine what type of prolapse you have and what surgical options may be appropriate I recommend seeking evaluation with a board certified urogynecologist. Based on your exam your surgeon will recommend a treatment plan to address your specific concerns.

Hello,
Thank you for reaching out with your concern about vaginal laxity . This is a common issue many women face, generally after multiple vaginal deliveries. You're not alone, and there are solutions available.
Non-surgical treatments and Kegel exercises can offer some improvement, but they may not always provide the desired tightening effect, particularly for those who have experienced significant stretching or tearing during childbirth. In such cases, surgical intervention, such as Vaginoplasty or Vaginal Tightening Surgery, may be a more effective option.
Vaginoplasty is a surgical procedure that aims to "tighten up" a vagina that's become slack or loose from vaginal childbirth or aging. This is achieved by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. The procedure generally has a good track record for improving vaginal tightness, sexual satisfaction, and overall self-esteem.
Another option is Laser Vaginal Tightening, which uses laser technology to tighten the vaginal canal by stimulating collagen and elastin production. While less invasive than surgery, it may require multiple sessions and the results may not be as long-lasting as surgical options.
It's imperative to consult a genital aesthetic surgeon for a comprehensive assessment and to discuss the most suitable treatment options for you. Because, sometimes there may be a bladder prolapse problem, then bladder recovery surgery may be required. (if urinary incontinance problem has occured) Vaginal tightening procedures should be personalized based on your anatomy, medical history, and desired outcomes.
For further reading, you may consider searching for terms such as "Vaginoplasty," "Vaginal Tightening Surgery," or "Laser Vaginal Rejuvenation."
Thank youDr Mehmet Bekir SENGenital Aesthetic Expert