Can this be fixed and will I ever be able to use tampons again? (photos)
Doctor Answers 6
Urinary urgency is not a sign of vaginal laxity
For the issues that you describe you first need to have an evaluation by your gynecologist. The urgency and frequency issues you mentioned may be alleviated by medication. ThermiVa can also help with the urgency as well the laxity.
Urgency after delivery - fixable?
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We have found ThermiVa to be very effective for tightening the vaginal muscles. Our patients report significant improvements in urgency and stress incontinence. In addition, every patient reports overall tightening and strengthening of the vaginal canal. Patients also report this being noted by their sexual partners. Also, thus far all patients have noticed improvements in sensation and lubrication.
Three treatments are recommended about four weeks apart. Maintenance treatments are recommended yearly.
Dr. Grant Stevens
Childbirth of a 9 pound baby with the urge to go often. Can this be fixed?
Thank you for writing in with your question and concerns. Unfortunately, your photos didn't come out so I cannot tell anything about your bottom from those. However, the umbrella of damage from childbirth can affect bladder, bowel and sexual function. Feeling too wide or loose during sex or just in general, and not having your tampons stay in place like they used to are due to the stretch of the vaginal walls, and can be fixed with vaginal reconstruction including vaginal rejuvenation surgeries, and possibly with the non-surgical, no downtime radiofrequency treatment called ThermiVa. The urge to go can be related to bladder damage or irritation and you should see your obstetrician/gynecologist to rule out a bladder infection and assess you for pelvic relaxation. You may also need to see a urologist to address the urge component which can be due to an over-active muscle in the bladder wall many times and can be treated with an anti-spasmodic medication.
If you do not have much pelvic relaxation documented and don't want to take meds for the rest of your life, the ThermiVa may be a good option as it can tighten the vaginal tissues, improve sexual sensation and calm down the spasming muscle in the bladder. However, it is not a permanent solution and annual maintenance treatments may be needed.
You can read more about vaginal rejuvenation surgeries and ThermiVa at the link below.
I hope this information is helpful.
Troy Robbin Hailparn, MD, FACOG
Cosmetic Gynecology Center of San Antonio