My vagina feels open when I squat down, can surgery fix this?

Question

My labia majora or something feels very open when I squat? Like I can legit feel it's opened when I squat and it feels like air is going in there. But the top of my vagina lips are very tight, it's just lower down by my opening that's loose feeling? It's very open, what surgery can I get to fix this?

Burcak Tok, MD · Answer

Hello, if you feel that your vagina opens too much and air enters when you squat and this causes discomfort to you, vaginal tightening surgery or laser treatment may be beneficial for you. However, if there is only a slack at the entrance to the vagina, the perinoplasty procedure may also be suitable for you. It is best to decide on the procedure to be performed as a result of the gynecological examination.I wish you have a nice day .

Falguni Patel, MD, FACOG · Answer

It sounds like from your symptoms you can use some tightening.  Based on the laxity you may be able to proceed with a non invasive route like CO2RE Intima, Mona Lisa touch or similar device.  If the laxity is found be be profound, you may benefits from a perineorrhaphy and/or a vaginoplasty. It is best to be evaluated by a qualified surgeon to see what is appropriate for you.

George Shashoua, MD · Answer

Thank you for sharing your concerns. Vaginal looseness is a common complaint and can be caused by many different things.  In answer to your question, it can be addressed with perineoplasty and vaginoplasty procedures. In order to determine your exact needs, you would need to be assessed by a board certified surgeon who specializes in pelvic reconstruction. Often, pelvic organ prolapse is identified at the time of consultation and could also be contributing to the sensations you are experiencing.

Troy Robbin Hailparn, MD · Answer

Dear Ericaj,Thank you for writing in with your question.  Childbirth damage inside and at the vaginal opening is the most common reason women feel this way.  An exam along with your history and symptoms will help determine exactly what you need to address this problem.  Vaginal Rejuvenation surgeries include pelvic reconstruction of damaged vaginal walls and the muscles at the opening. There are also in-office, non-surgical options using either laser or radiofrequency technologies but they may not be suitable for you (depends on the severity of vaginal relaxation) and they require maintenance treatments about once a year.Be sure to find an experienced cosmetic gynecologist, uro-gynecologist or pelvic reconstructive surgeon to evaluate you for the best treatment option for you.You can read more about vaginal rejuvenation surgical and non-surgical options at the link below.I hope this information is helpful.Sincerely,Troy R. Hailparn, M.D., F.A.C.O.G.Cosmetic Gynecology Center of San Antonio

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

Air trapping is a common symptom of vaginal laxity. It doesn't determine how much laxity you have or if laxity is your only issue. I would recommend that you schedule a consultation to assess the status of the entire vaginal area and determine the best options for your needs.

Michael Litrel, MD, FACOG, FPMRS · Answer

Childbirth can cause laxity of the vagina and prolapse of the bladder, rectum, uterus and bowels.   These are problems that can be repaired surgically if necessary.  An examination by a qualified surgeon will be necessary. I would see a urogynecologist/FPMRS that is also a cosmetic surgeon as we specialize in pelvic reconstruction for women after childbirth as well as vaginal repair.  If the symptoms are not bothering you then you typically won't need anything done.  It will be important to mention to the doctor if you have pelvic pain, pain with your menses, pain with sex, bladder leakage - as this will be important with regards to what needs to be fixed and how it will be done.  Best wishes.

Oscar A. Aguirre, MD, FPMRS · Answer

Hello Ericaj567,Thank you for your post. Unfortunately, without photos I can't be much more helpful than to tell you that you are describing symptoms of vaginal relaxation and possible prolapse. You should have a consultation with a reconstructive and cosmetic vaginal surgeon, preferably a urogynecologist who specializes in vaginal rejuvenation procedures.See link below for more information on the type of training you should look for in your surgeon.Best of luck,Oscar A. Aguirre, MDAguirre Specialty Care - Pelvic Surgery & Intimate Aesthetics®

Michael P. Goodman, MD, FACOG · Answer

Hello "Erica,"

If it does not bother you, do nothing and enjoy your life. If it DOES bother you as you have intimated, and if you wish to minimize the "gaping" (what it's called when the lower portion of the vaginal opening sorta "hangs open...") then there is only one smart thing to do: find an experienced female genital plastic surgeon who is also trained in vaginal tightening.  Research "Vaginoplasty and Perineoplasty" because these are the procedures which will solve your "...open...loose...air going in" issues. There is only one specific type of surgeon who can accomplish all you wish and that is either a Gynecologist or Urogynecologist who can also PROVE competance inby describing his/her training specifically in "...vaginal tightening operations" and can show you more than a dozen before and after photos, and has good reviews from satisfied patients.

You are from New Jersey. See Dr. Marco Pelosi III in Bayonne. If that doesn't work out, fly down to Atlanta to see Drs. Moore and Miklos or, as I said, do your homework, read webpages carefully, look for many satisfied patients. Blogs on the site as well. You have some excellent surgeons close to you!

Best,

Michael P Goodman, MD

Davis, CA, USA

My vagina feels open when I squat down, can surgery fix this?

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