Will my vagina be tighter after my hysterectomy (keeping ovaries ) or do I need to ask my doctor I want that done?
Doctor Answers 9
Hysterectomy versus vaginal tightening
Hysterectomy has no effect on vaginal tightening
Vaginal tightening at time of vaginal hysterectomy
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Hysterectomies and tighter vaginas
Don't be shy, just ask and he/she will give you all the information you need
There is one exception though: if you are having a vaginal hysterectomy and your surgeon also plans a posterior colporrhaphy (THE operation to reduce the vaginal outlet dimensions) as part of a pelvic relaxation surgery.
If you are having an abdominal/ laparoscopic hysterectomy though, you can expect no changes to your vagina. Be aware that, even though removal of your cervix requires entry into, and trimming/suturing of some vaginal skin, narrowing the upper vagina does nothing for the tone/tightness of the lower vagina.
I urge you to discuss all of the above with your gynecologic surgeon before your surgery date.
A Hysterctomy does not tighten the vagina
The birth canal needs to be repaired separately from the hysterectomy. Vaginal Rejuvenation includes seven different procedures to address the different areas of damage due to aging, childbirth and life. The vagina may have back wall and opening damage that need to be fixed or the front wall, and side walls too. The perineum, the space between the vaginal opening and anus, usually needs to be rebuilt to help support the area.
Will a hysterectomy make my vagina tighter?
You may want to speak to your surgeon about your desires and concerns prior to surgery. It is a great time to undergo a vaginal tightening procedure and you should try and take advantage of that if you need one.
Best of luck!
Request vaginal tightening and seek a second opinon if declined
For a second opinion you should look for a gynecologist who offers vaginal rejuvenation options to their patients. As a fellowship-trained, board certified Urogynecologist and cosmetic vaginal surgeon I've been addressing the functional and aesthetic concerns of patients for many years. Based on your alias of "Basen65" and that you're keeping your ovaries I'll assume you turn 50 years old this year and that you've had vaginal deliveries. If this is the case, I would recommend a detailed history and examination looking at bladder, bowel, vaginal, sexual, and hormonal function before making final recommendations and address all of your concerns in one surgery.
If you have prolapse, such as a rectocele or cystocele, then this could be repaired and a vaginoplasty performed at the time of your hysterectomy. This could be done at the same time as a Labiaplasty or any other aesthetic procedure you desire so you could have one recovery. If you do not have prolapse that warrants surgical repair, then I'd recommend Laser Vaginal Tightening with a CO2 laser, such as FemiLift. Many of my patients are now choosing this less expensive option because it is less expensive, painless and there's no risk of pelvic pain, painful sex or scarring afterwards. Not all patients are candidates for the FemiLift, specially those with a very wide vaginal opening, in this case surgical vaginal tightening with or without a rectocele repair is their best option.
Good luck in your quest for vaginal rejuvenation!