Many women complain of vaginal looseness problems. They attribute this 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.

Most patients who complain of diminished sensation or friction during intercourse have relaxed and stretched vaginal and pelvic structures when examined. These women would benefit from vaginal rejuvenation surgery. 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 is secondary to anatomic problems, then the vaginal rejuvenation procedure may be indicated.

If a candidate, the patient can have a one hour surgical procedure designed to enhance the tightness of the vagina and strengthen the pelvic structures, resulting in an increase in the friction during intercourse. 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, usually due to vaginal childbirth. 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.

If you are having these problems and would like them fixed, call my office at 817-399-8783 and set up an appointment. There is no reason why you cannot improve your quality of life if you are a candidate.