Would I benefit from a vaginoplasty? I gave birth almost 10 months ago. (photos)

Question

I gave birth almost 10 months ago. Before i gave birth i had a tight vagina that was hard to even put a finger in! The sex was also amazing. Ever since i give birth my vagina is just open. I even have to put extra large tampons in for it to stay put and sex is terrible. i can’t even feel it going in. Anytime i bend over and move my vagina queens and i look in the mirror and it’s just wide open! my daughter was a very big baby and I don’t know if i should get vaginoplasty to help with the problem

Michelle Jones Singer, MD · Answer

I certainly understand your concern about the tightness and appearance of you vaginal opening and the vaginal canal. You will certainly benefit a great deal from having a vaginoplasty. It will tighten up the deep muscles and the muscles on the perineum. Consult an experienced cosmetic gynecologist or urogynecologist and discuss you options.

Michael Litrel, MD, FACOG, FPMRS · Answer

You certainly describe the situation so many women face from delivery.  Surgery is indicated. The issue is will you have more vaginal deliveries. I’d wait if you plan to.   You would be eligible for c section with next pregnancy.  Download my free e book that explains all of this.

Stanley Okoro, MD · Answer

Thank you for your question and the photos you provided. Based on your history, I would agree that a vaginoplasty to reduce the diameter of your vaginal canal would help you. Be sure to consult with a board certified plastic surgeon, Good luck!

Oscar A. Aguirre, MD, FPMRS · Answer

Hello abaisden03,
You describe symptoms that many women experience following a difficult vaginal delivery. Unfortunately, your vagina will never be the same, but you can take steps to improve your current situation. Some day you may opt to have surgery, but it is best to postpone this till you are finished childbearing. Until then you may benefit from pelvic floor physical therapy to rehab your muscles following the childbirth trauma. 
The open appearance to your vagina will only improve with a vaginaoplasty/perineoplasty. At the time of surgery you should address any prolapse to achieve long lasting results. You should consult with a Urogynecologist experienced in reconstructive and cosmetic vaginal surgery. Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck

Mark N. Scheinberg, MD · Answer

Thank you for your question Vaginoplasty means plastic surgery of the vagina. Except for the creation of a new vagina, it is not a procedure but is the effect of the reconstructive procedures to improve vaginal function. The vagina is connected on six sides just like a rectangular box. Your photos only shows the entrance which does show some gaping but the insides need to be evaluated to see what is needed. You should be evaluated by a surgeon well trained in vaginal reconstruction. Remember that once you have this surgery you will not be able to deliver vaginally again so first complete your family or know that you will need a Caesarean section for future deliveries. Do your homework Read information on vaginoplasty on realself

Burcak Tok, MD · Answer

I think it is beneficial for the body to recover after a year after giving birth. You can also benefit from kegel exercises. If it still does not tighten after 2 months of regular exercise, it seems suitable for surgical vaginal tightening.

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

Yes. Vaginoplasty will fix this. Your photo shows damage to the perineum extending into the lower vagina. You probably have damage deeper inside that can't be seen on photos. The vaginoplasty, when properly done, includes repair of the muscles of the perineum (the opening) as well as the muscles of the vaginal canal (the levator muscles aka the kegel muscles). It also includes repair of the vaginal supports of the posterior vaginal wall if necessary and I can almost guarantee that it's necessary for you. Your next step should be a virtual consult with an expert in vaginoplasty to discuss specifics. There is no non-surgical fix for this problem and anyone who tells you otherwise is basically telling you that they're not an expert.

Ersin Gonullu, MD · Answer

hello. you look like you did have a loose and wide vaginal orifis which is making the appearance unnatural and less sexual pleasure for both partners. it can be fixed with posterior diamond shape skin and mucosa resection with perineoplasty and muscle repairment. and your inner labias are bigger than usual. a reduction Labioplasti can be performed in she same session as well. with my best wishes

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and photos, that make clear your problem. I would recommend vaginoplasty to stretch the vaginal tube. Consult a surgeon in your area for a physical exam. Besides, you can have labiaplasty in the same operation. Good luck!

Defne Erkara, MD · Answer

Hi I examined your photos. After one year from your birth delivery, you can have vaginoplasty. The operation will tighten all the vaginal tube and the outside view will be beter. I also recommend labioplasty at the same time. The operation lasts 1 hour under general anesthesia You do not have to stay in hospital during the night. 1 week later we do your control. You need to stop sexual relation for 6 weeks after your operation.

Would I benefit from a vaginoplasty? I gave birth almost 10 months ago. (photos)

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