Is my vagina normal? Is surgery the answer? (Photo)
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Doctor Answers 11
Non-surgical vaginal rejuvenation
Vaginal Tighteness after c section with loss of urine
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Vagina tightness after pregnancy
NON-SURGICAL OPTIONS FOR VAGINOPLASTY AND LABIAPLASTY
With the availability of recent technology, there are few nonsurgical vaginal rejuvenation options available for our patients. CO2 fractionated lasers include the FemiLift, MonaLisa Touch and IntimaLase. The ThermiVa as radiofrequency energy that can also treat the outer Labia to reduce and tighten this area.
It can increase blood flow, sensitivity , and orgasm. It can increase moisture and decrease stress urinary incontinence for many women.
Leakage after a baby
Hope this helps!
Is my vagina normal? Do I need surgery?
Thank you for writing in about your concerns. Know you are not alone when worrying about how pregnancy and delivery plus life (aging, gravity) has impacted how your body looks and functions. Your anatomy looks great from your photo!
You mentioned having a baby recently...Congratulations! If it has been less than a year then your body still needs to recover from the experience. Plus are you breastfeeding? Breastfeeding keeps your body in a higher progesterone, lower estrogen state which negatively affects the bladder and vagina. How much weight did you gain and how big was your baby? These impacted the pressures downward on the bladder and vaginal canal over time.
Do you have any other symptoms such as constipation, hemorrhoids, problems with tampons staying in, gas-like noises from air moving in and out during sex, decreased sensation for you (you mentioned) or your partner, or having to rock, apply pressure on the perineum or manually assist in moving your bowels?
Mild to moderate symptoms with mild to moderate pelvic relaxation many times can be managed non-invasively. When it comes to the bladder, reducing caffeine consumption, losing 5-10 pounds, practicing proper kegel exercises for a limited period of time, and vaginal estrogen (when appropriate) can be helpful. The newest non-surgical no downtime, in-office treatment for tightening the vagina, improving lubrication and reducing incontinence using radiofrequency is called ThermiVa, and this may be a great option for you. It takes three 20 minute treatments four weeks apart and you can go back to work, to exercise class or have sex the same day if you felt like it. ThermiVa increases blood flow, shrinks tissues and improves sensation. Many of my patients have described improved sensation and bladder function after the first treatment.
You can read more about ThermiVa and other vaginal rejuvenation procedures at the link below.
I hope this information is helpful.
Dr. Troy Hailparn
Urinary incontinence is not normal, but surgery isn't the only option
Non-surgical treatments include: kegels, devices to help with kegels, Physical therapy, vaginal pessary, vaginal estrogen, CO2 Laser Vaginal Ablation with FemiLift, O-Shot with Platelet Rich Plasma (PRP), etc.
You should see your gynecologist or get a referral to a Urogynecologist for evaluation and treatment recommendations.
I hope this helps. Also, look at link below for more information on Urogynecology.
BTW - your vagina looks perfectly normal.
Best of luck,
See a pelvic surgeon who also offers vaginal rejuvenation.
You may be a good candidate for pelvic floor physical therapy, and your physician may be able to recommend a good physical therapist. If you are not a surgical candidate and you are well-healed, ThermiVa may be a very good choice for you. I'm having excellent success with vaginal tightening and mild to moderate stress urinary incontinence with ThermiVa which also has the added bonus of no downtime and an excellent safety record. This can be done in conjunction with pelvic floor physical therapy since there is no damage to the vaginal mucosa.
Look for a physician with pelvic reconstructive training who offers vaginal rejuvenation as an option.
Do you need a vaginoplasty if you had a cesarean?
Is my vagina normal? Is surgery the answer?
The pressure / weight of pregnancy on pelvic floor , specially for a person who goes through labor is significant and can cause changes.
I am not sure if you went through labor and or even you made it to pushing stage. If you have slight urine incontinence, I assume the answer to my question is yes.
without examining you, I am not able to state what is the best for you, saying that, surgery is the last route one needs to go, and not necessarily surgery will address your complains of feeling different during intercourse.
Recently I have been treating my patients who have the same complaint as you with Co2 laser and PRP ( platelet Rich Plasma) with great result.
I will include the latest statement from one of my patient for your review, which had been posted on Real Self.
Good Luck and Best of Health.
I was having a hard time with my partner reaching...
- 20 Jan 2016
- 1 month post
Thankyou DR simhaee.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.