Although, pregnancy is one of life’s most rewarding and beautiful experiences, many women experience devastating side effects from childbirth. Stretching and tearing of the vagina and its muscles during childbirth can lead to vaginal relaxation and change in sexual function and sensation.
Sex is Just Not the Same.
Many women are concerned that they no longer experience the same pleasure they once did with intercourse. Consistently these women all say the same thing, "sex is just not the same”, “My vagina is too loose", or "I just don't feel anything during sex". Sexual gratification for the female according to Masters and Johnson is directly related to the amount of frictional forces generated within the vagina and clitoral stimulation. If the vagina is stretched and widened, there is less frictional force produced with sex.
Most of the women who have these problems attribute vaginal looseness to the stretching or tearing of the vagina that occurs during childbirth. They recall what sex “used to be like" before having children. How many times have I heard this: "sex is just not the same after having the kids", or "I just don’t feel much anymore". Women who realize they have these problems can remember how sex used to be like and how it is different now. Many of these women note that it often takes longer to have orgasms due to the decrease in friction with subsequent decrease in sexual satisfaction. Some can't have orgasms at all.
After discussing these problems with their personal physicians, including Ob/Gyn, primary care physicians, and health care providers, most physicians will simply recommend Kegel exercises. Unfortunately, Kegel exercises, otherwise called pelvic floor exercises, just do NOT work well for most people! Many patients comment that their doctor told them these changes are normal and part of aging. They insinuate that there is nothing wrong, but these statements are far from the truth. Most are not even concerned about the appearance of the woman’s labia and vulva, even though it is a concern for her and her self esteem.
Do You Think You Have These Problems?
Do you have lack of sensation during intercourse because your vagina is too loose? Have you experienced a rough vaginal childbirth in pregnancy resulting in vaginal relaxation? Do you experience feelings of embarrassment about the appearance of your genitalia and your labia are too elongated or too large? Does this make you feel less “sexy”? Would you like your pelvic area to look sexier, like the women in the media or magazine? If so, we have solutions to your problems.
A Mommy Makeover Procedure May Fix These Problems
Today, there are surgeons throughout the world who understand about your concerns. Women have these problems because, in the majority of cases, their vaginal and labial structures have stretched and changed. These patients are experiencing real symptoms of vaginal and pelvic floor relaxation. They may sincerely desire correction of labial or vaginal defects. The solution to fix these problems can be the Vaginal Rejuvenation procedures.
Vaginal Rejuvenation Surgery is a vaginal tightening procedure performed on the inside of the vagina. This procedure is for patients who complain of a loose vagina and is performed to tighten the vagina. This in turn can enhance friction and sensation during intercourse. Since the problem is usually caused from pregnancy, it is part of many Mommy Makeover programs.
Before considering this procedure, you should have a thorough evaluation. Most patients who complain of diminished sensation or friction during intercourse do indeed have relaxed and stretched vaginal and pelvic structures. However, diminished sexual desire can also be from a multitude of other problems. Only through a physical exam and appropriate evaluation can the cause be ascertained and treatment assigned. If the cause for you is due to anatomic problems, then the vaginal rejuvenation procedure may be indicated.
If a candidate, you may decide to have this one hour surgical procedure. Vaginal rejuvenation will effectively enhance the tautness and tightness of the vaginal walls by correcting the causes of the loose vaginal structures. These include stretching, tears, and abnormal anatomy that have caused the vaginal looseness. There are several surgical techniques that can help these problems. Each individual patient must be evaluated for the treatment varies depending upon the amount and type of vaginal relaxation found.
Most patients who are candidates may achieve their desired results through a Vaginal Rejuvenation procedure. Using the laser, this is called Laser Vaginal Rejuvenation, or LVR. The procedure brings the muscles and tissues back together to about where they were before pregnancy. It thus tightens the vagina to increase the frictional forces during sex, designed to enhance sexual gratification. However, it is not a solution for sexual dysfunction, lack of interest or arousal, or orgasmic inadequacy.
Vaginal rejuvenation is NOT considered a medical necessity and therefore insurance companies will not pay for sexual enhancement surgery alone. Cosmetic vaginal restoration surgeries are considered elective and not medically indicated; they are cosmetic or aesthetic surgeries. Therefore they are not surgeries that will be reimbursed by the insurance companies.
There are pelvic prolapse and relaxation problems that are covered by many insurance plans. This indication is known as vaginal prolapse or pelvic relaxation. Symptomatic prolapse comes in many forms including: vaginal vault prolapse, cystocele, rectocele, enterocele and urethroceles. Patients with symptomatic prolapse may also have diminished sensation with intercourse. Fixing the prolapse, or pelvic relaxation, may also enhance the friction at the time of intercourse.
Discuss your concerns with your cosmetic surgeon. Many offer this procedure as part of their Mommy Makeover program. The following are some FAQs to help you understand this procedure better.
VAGINAL REJUVENATION FAQs:
What is vaginal rejuvenation?
This is a surgical procedure that tightens the vagina for enhanced sexual gratification. It is primarily for a woman who has had vaginal birth(s) and whose vagina has been stretched or torn from this experience. It repairs the gapping and loose vaginal tissues to recreate more the vaginal anatomy that was present before childbirth. Thus, the name vaginal rejuvenation, to restructure the vagina into a more youthful and better functioning vagina.
Why would I want to have a vaginal rejuvenation procedure performed?
Many women are concerned that they no longer experience the same pleasure they once did with intercourse. They want to feel more sensations with intercourse and enhance their sexual gratification. Consistently these women all say the same thing, "sex is just not the same”, “my vagina is too loose", or "I just don't feel anything during sex". Sexual gratification for the female according to Masters and Johnson is directly related to the amount of frictional forces generated within the vagina and clitoral stimulation. If the vagina is stretched and widened, there is less frictional force produced with sex.
Most of the women who have these problems attribute vaginal looseness to the stretching or tearing of the vagina that occurs during childbirth. They recall what sex “used to be like" before having children. Women who realize they have these problems can remember how sex used to be like before childbirth and how it is different now. Many of these women note that it often takes longer to have orgasms due to less friction and less sexual satisfaction. Some can't have orgasms at all. Because of these concerns, many women elect to have vaginal rejuvenation to correct their problems.
Who is a candidate for vaginal rejuvenation?
Any woman who complains that the looseness of her vagina decreases her sexual sensations and she would like a repair of the problems causing this concern is a candidate. The procedure is performed primarily in women who have had children vaginally, but may be indicated for any woman who has laxity of the vaginal area for any reason. It is for those women who want to enhance their sexual gratification by increasing the frictional forces within their vaginas.
How is the procedure performed?
Vaginal rejuvenation procedures are many. Some tighten the upper part of the vagina, some the lower, and some the outer lower part otherwise called the perineum. The respective tissues are repaired by bringing the stretched or torn areas back into their proper anatomic positions, as they used to be before the woman had children. These procedures entail removing the stretched tissues, reapproximating torn muscles and supporting structures, then completing the repair of the vaginal opening to build up the tissue and recreate a more youthful functioning vagina.
Where is the procedure done?
They can be performed either in a hospital setting, a surgicenter, or even in a doctor’s office if adequately equipped. Every doctor has a preferred facility to perform the procedure. As with any other cosmetic procedure, adequate equipment, supplies, and patient monitoring is vital. The patient’s health and safety are always the most important factor to any surgery, but especially to elective cosmetic surgeries.
Are there any complications from the procedure?
There are many possible complications from vaginal rejuvenation procedures. Fortunately, most are not common. These can include bleeding, hematomas, infection, and fluid collections or seromas. Because other organs are right next to the vagina, there is always a possible problem of injury to the bowel, the bladder, ureters, and vascular structures. If these problems occurred, further surgery would be necessary to correct them.
Other potential problems of the procedure include reseparation of the vagina, or what is called dehiscence. Some women do not benefit from the procedure as they thought they would and thus may not be satisfied with the results. Anyone who undergoes this procedure must have realistic expectations of the possible results from the procedure. All these should be discussed with the surgeon before embarking on the procedure.
What is the downtime from the procedure?
After a vaginal rejuvenation procedure, the woman should do light duties for two weeks without heavy lifting. Many women may resume sedentary work and activities within a few days of the procedure, making this a minimal downtime procedure for them. However, getting back into full exercise and lifting activities may not happen until four to six weeks after the procedure. Intercourse cannot be resumed until at least six weeks after the procedure, and then this should be gentle until the new anatomy is fully functional and healed.
Who performs these types of surgeries?
Skilled cosmetic surgeons trained in these types of surgeries are many. Most are gynecologists who have extra training in cosmetic surgery. Other cosmetic surgeons, such as some plastic surgeons, also offer this if they have received the extra training to perform them. One should do their research and seek out the best physician for the best result.
Many of these cosmetic surgeons offer these procedures as part of their Mommy Makeover programs. Mommy Makeovers try to rejuvenate or reconstruct what pregnancy(s) has stretched, torn, or deposited. These are usually a combination of many procedures, and may include the following procedures: facial rejuvenation, breast augmentation, breast lift, liposuction, tummy tuck, vaginal rejuvenation and labiaplasty. Discuss these with your physician who offers Mommy Makeovers.