Dryness after vaginoplasty/perineoplasty. Is there any way to reverse this procedure or tips to get the wetness back?

Hello Kristin,
There is not reversing your vaginoplasty, but there are ways of improving your lubrication. Your options depend on the etiology of your poor lubrication. You should consult with a gynecologist to help you determine the cause and your treatment options.

Vaginal dryness after vaginoplasty is caused by one of two things. The first is over correction at the introitus to tighten and lift the perineum, resulting in blockage of the opening of the Bartholin's gland. The Bartholin's glands are responsible for lubrication at the vaginal opening. If the dryness is only at the opening of the vagina then the cause is most likely due to your operation. If however, you experiencing full length dryness of the vagina, then the most likely cause is GSM (Genitourinary Syndrome of Menopause) which is easily treated with vaginal Estradiol. In any event, an in person exam is warranted. Best of Luck! Michael A Reed MD Davis CA @thecosmeticgyn

Hello Kristin,
I'm sorry to hear about the challenges you've been experiencing since your surgery. Changes in vaginal lubrication can be concerning, and I understand your distress.
Firstly, it's important to note that changes in vaginal wetness can be influenced by various factors, including hormonal changes, stress, certain medications, and of course, surgical procedures. Every individual's response to surgery is different, and sometimes, post-operative changes can affect the natural lubrication process.
While it may not be possible to completely reverse a surgical procedure, there are several options we can explore to help improve vaginal lubrication and your overall comfort:
One of them is Topical Estrogen Therapy: If hormonal changes are contributing to dryness, localized estrogen treatments can be effective in restoring vaginal moisture. (We definitely recommend this treatment after the examination, if necessary.)
Lubricants and Moisturizers: Vaginal lubricants and moisturizers can provide immediate relief and are helpful for maintaining vaginal moisture.
Hydration and Diet: Adequate hydration and a balanced diet can also play a role in improving overall vaginal health.
Laser Treatments: Vaginal laser therapies, such as the FemiLift or similar treatments , can help rejuvenate vaginal tissues and improve moisture.
Hormonal Assessments: A thorough evaluation of your hormonal levels might provide insights into any underlying issues that could be addressed.
Counseling and Therapy: Sometimes, psychological factors or medicines can influence physical responses of the body , and counseling might be beneficial.
I encourage you to consult with a specialist who can provide a comprehensive evaluation and tailor a treatment plan specific to your needs. In Turkey, where I practice, we have a range of advanced treatment options and technologies to address issues like yours.
Best regards,
Dr. Mehmet Bekir ŞenGenital Aesthetic Surgeon