Age 22, what are some options for tightening my vagina? (Photos)

Question

Hello, I am 22yo female with concerns amount the “tightness” of my vagina. I have had issues and comments from partners stating I am loose. I’m not sure what procedure is best for “tightening” my vagina.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your inquiry regarding options for vaginal tightening. There are several options available, including a vaginoplasty. However, considering that you have not specified a history of childbirth, I would recommend exploring non-surgical options first. One of the options is radio frequency.  Another is Emsella, a chair designed to stimulate the pelvic floor muscles with approximately 1000 kegels per session (each session is around 30 minutes). This treatment can help to tighten the pubic floor muscles, subsequently improving vaginal tightness. Typically, six sessions are required, and it is considered one of the more affordable treatment options. I wish you the best of luck and encourage you to prioritize your personal satisfaction over that of your partner.

Courtenay Poucher, MD · Answer

Thank you for your question. First, I want to address an important issue. You mention that your partners have told you that you’re “loose.” I want to make sure that these comments made to you weren’t done to body shame you or make you feel bad about having sexual experiences prior to that individual. Sadly, there are people in the world who will say things like this to erode the confidence of a woman so that she is easier to manipulate and control. If this feedback is accurate, you would likely notice yourself. Do you have gaping during intercourse? Does your partner frequently “fall out” during intimacy? Does your body have a difficult time keeping a tampon in during your period? Comments from partners aren’t a reliable way to assess anatomy or function - and sexual experience varies widely between people. Many people associate the subjective feeling of tightness with confidence or sexual feedback, but anatomical variation and normal tissue elasticity play a large role in sensation.That all being said, if tightness is still a concern for you, I’d begin with non-invasive options you can try at home - like Kegel exercises - or a visit to your local pelvic floor physical therapist. At your age, this is often the most effective first step if the concern is about muscle tone and sensation.If that doesn’t adequately address your worries, I would likely recommend ThermiVa, a radiofrequency treatment that works by gently heating tissues to stimulate collagen and blood flow. Patients report improved tissue quality, enhanced sensation and a reduction in mild laxity. Surgical tightening is usually reserved for specific functional conditions (e.g., childbirth injury, prolapse) rather than isolated concerns about “tightness” in a 22-year-old with no obstetric history. After a consultation that would include a review of your anatomy, a perineoplasty might be recommended. These procedures tighten the support structures of the vaginal opening and perineum, but they are indicated when there is symptomatic laxity with functional impact. Feeling confident and comfortable in your body is important, but perceived “looseness” is not a medical diagnosis. There are safe, effective steps you can take before considering any surgical procedure - and many women find meaningful improvement without surgery.If you want, a consultation can help determine whether your concern is a muscular vs. tissue quality issue and which approach would best fit your anatomy and goals.
Best Wishes, 
`Dr. Poucher

Chet Mays, MD · Answer

Thank you for your inquiry! A Vaginoplasty procedure can be performed to increase vaginal tightness. We would love to meet with you in person to make sure you're a candidate for this procedure. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

Frank Lista, MD · Answer

Thank you for your question. There are a host of vaginal procedures available to tighten the area for improved sexual sensation. Non-surgical vaginal tightening is a minimally invasive operation that involves injection and/or radio-frequency to promote collagen production and increased elasticity. You can explore your options further during a consultation with a board-certified plastic surgeon.

Stanley Okoro, MD · Answer

Thanks for your question and the photos you provided. ThermiVA is a great non-surgical option that provides instant results with no downtime. ThermiVa utilizes RadioFrequency heat to tighten the tissue of the vaginal canal, labia minora, clitoris and clitoral hood. Be sure you consult with a board certified plastic surgeon, good luck!

Lori Warren, MD · Answer

First of all, I would like to say, I’m sorry for the stress that your past partners comments have caused you. I find it incredibly unlikely that you would be so loose that you need some kind of intervention to tighten at your age and  that you you did not mention having had a vaginal delivery. I see nothing in these pictures that tells me that you have a loose vagina. Of course it’s impossible to tell from the pictures but I suspect that the vaginal exam would yield the same information. There are multiple modalities that can be used for surgical and non-surgical to tighten your vagina . However, I believe if you are seeking any kind of tightness more than likely, you just need increased muscle tone and pelvic floor physical therapy would be the best option for you. If you were anywhere near the Louisville, Kentucky area we would be happy to see you in clinic for a consultation. I hope this helps.

Mark N. Scheinberg, MD · Answer

Thank you for the question There are two directions one can go. Nonsurgical and surgical. At 22 with childbearing ahead of you I would avoid surgery. Therefore you can do a radio frequency procedure like Thermiva or laser procedure like Mona Lisa both of which increase collagen which stiffens the tissue making if seem as if it is tighter.

E. Jacob Simhaee, MD, FACOG · Answer

Dear Ashly20122 Thank you for your question.
for an individual at your age of 22 definitely I stay away from any surgical procedure regardless of if you have had any pregnancy and delivery or not.
Also as a physician who has had experience with Fractional Co2 laser ( Femilift) Heating Radiofrequency ( Votiva) and injection of PRP into the vaginal wall, I have noticed the best treatment that is available now is Morpheous 8V Microneedling with Radiofrequency.
With this treatment, I am getting reports from my patient who state their partner is telling them, that they are tighter.
Good luck and Best of health.

Burcak Tok, MD · Answer

My recommendation for young and non-childbirth women is generally non-surgical methods. Vaginal tightining can be done with laser or radiofrequency, in addition to these, if necessary, combined treatment with PRP can be performed in the same session.

Corey R. Babb, DO, FACOOG · Answer

Thanks for your question! When discussing vaginal tightness, it is important to note that "tight" is a very subjective term. How tight is tight enough? In just looking at your pictures, your vaginal entrance does not appear to be more "open" than expected. In fact, I would look towards your partner's penile sensitivity as the cause of his comment. Is he on any medication? Certain medications, such as antidepressants, are known to decrease genital sensitivity.

Age 22, what are some options for tightening my vagina? (Photos)

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