The part of female genital organ that opens to the outside and which is also known as the uterine tract is called the vagina. It is in neighbourhood with the rectum and the bladder. Sexual intercourse ( penetration ) takes place in this area. So basically, sexuality is closely related to the vagina. However, this is the last channel from which the fully developed baby emerges during normal birth.
This organ, whose main function is birth, is the part where sexual intercourse is achieved, which is the result of both emotional and physical intimacy between partners. For this reason, women are generally affected by defects in this region or structural disorders that they consider to be defects. Any expansion or excessive narrowing of this channel may make intercourse impossible or unpleasant. This causes the relationship to be unhappy, restless and dissatisfied. In addition, both men and women can be affected by abnormalites in the vagina. Although sexuality seems to be only a reproductive function in our society, this situation can greatly affect the private lives of couples and vaginal tightening surgery becomes a necessity.
Causes of Vaginal Enlargement and Disorders That May Occur as a Result
Vaginal looseness may occur in many women as they get older mostly as a result the vaginal births , or excessive weight gain . This enlargement of the vagina, which develops due to various reasons, can decrease the satisfaction in the sexual life of the couples and the incidence of infection in the woman's vagina. In addition, it can cause uncontrolled urinary leakage or farting, make the person more to complain about the gynecological complaints , cause depression in couples, make noise in the vagina when sitting and standing, and urinary incontinence. It is actually human nature for the vagina to expand for various reasons. The main reason for this is the loss of elasticity in the skin, mucosa, muscles and many other areas, especially in older women.
Vaginal tightening operations are also quite common, as in some cases the enlarged vagina is a natural process and occurs in many women due to congenital or physical reasons .
Genetic characteristics may be a disadvantage in enlarging the vagina. Especially in women of eastern origin, the skin is quite thin and sagging occurs in case of exposure to factors such as childbirth or deficient estrogen . Accordingly, vaginal enlargements are quite common. This does not actually cause any change in the image. It only affects the sexual lives of couples and reduces the sensations during sex.
The most common reason for vaginal enlargement is the high number of compulsive births. During and after normal birth vaginal muscles become very weak. Its expansion is also a natural phenomenon. Because if it had not expanded, it would not be possible for the baby to pass through this canal. In addition, incisions and tears made surgically at birth to increase expansion also increase relaxation. The more births, the greater this loosening and the more difficult it is for the vagina to return to its previous form. If this loosening cannot be restored with exercises, vaginoplasty should be performed.
In some women, there is a structural loosening even if there is no birth. This is because the vaginal muscles are weak. Surgical procedures are not required to tighten the vagina in most of the women with this condition. Instead, the problem can be solved with some exercises. The most common exercises are holding and releasing urine while urinating. This is also called Kegel Exercises .
Vaginal width can be a huge problem for many couples. The vaginal width, which is around 2 cm under normal conditions , can reach up to 15 centimeters depending on various factors. Although there are many reasons for this expansion, their effects are always the same. The surrounding muscle tissue becomes loose and deformed. Due to the deformation, the width increases and flexibility is lost. The greater the exposure to these factors , the greater the expansion will be.
Birth
Childbirth is the most basic and common cause of vaginal enlargement. Of course, the birth mentioned here is a normal birth. Caesarean section does not have any effect on the vagina because there is no wear on the muscles around the vagina.
In the vaginal birth, that is normal birth, the baby passes through the vaginal canal. Meanwhile, the surrounding muscle tissue expands or sometimes ruptures. This is a very normal situation because it is not possible for the baby to pass through the narrow canal. Sometimes, the muscles may tear due to great difficulty during the baby's transition or the birth of a large baby, and they may not fully heal in the future. Therefore, vaginal looseness is quite common in women who gave birth vaginally. This expansion may be much greater, especially in mothers with a high number of births. This negatively affects a woman's sexual life and can even make her insensitive to sexuality. There are some factors that affect vaginal enlargement at birth. Especially if it is an operative vaginal delivery (forceps delivery for example) that will put a strain on the woman and the baby is heavier than normal, the amount of expansion increases.
There is another kind of vaginal enlargement that occurs before birth . This vaginal enlargement is mostly temporary and develops due to weight gain during pregnancy.If the muscles are not conditioned after the birth the laxity may stay.
High Frequency of Sexual Intercourse
Reproduction is a very basic and instinctive event that exists in human nature. Vaginal width increases slightly in women who have frequent sexual intercourse in accordance with their nature . Especially in multiple and forced intercourse, the vaginal muscle tissue may be strained and as a result, some enlargement may occur. Although the damage and enlargement that occurs during sexual intercourse is presented as an ingredient, its effect will be much less than that of birth.
Advanced Age
With advancing age, the amount of water and the collagen in the body decreases and as a result, relaxation occurs throughout the body. Loose body tissues also lose their flexibility. Some of the tissues affected by this are the tissues around the vagina. Vaginal enlargement occurs due to loss of elasticity in the muscle and connective tissue.
Episiotomy
Normal birth is always quite painful, no matter how experienced the woman is. Especially the passage of the baby through the vaginal canal shakes many women. A procedure called episiotomy is performed to ensure that the mother experiences less pain, to widen the baby's exit route, and to prevent muscle rupture, which can negatively affect the woman's health . Episiotomy is a procedure in which incisions are made at certain points around the vagina that are effective in the baby's exit . If these incisions are made incorrectly, it can lead to very negative consequences. Especially problems such as infection can prolong the healing process. As a result, the vagina can remain wider.
Collagen Tissue That Women Have
Some women may have a different and flexible vaginal tissue compared to others. Vaginal tightening may be necessary at a very young age, as the vaginal tissue , which is quite flexible , is suitable for expansion.
Menopause
In women body hormones are effective in controlling basic issues such as birth and menstrual cycle, as well as many other factors including the psycology. One of these is the vaginal lubrication and thickness. The female hormone that is effective in the tissues around the vagina is estrogen. This hormone provides tightness in muscle and connective tissue. Menopause causes the secretion of this hormone to stop. Vaginal enlargement may be quite extensive in older women due to the combined effect of birth trauma and menopause .
Race
Race may have an impact on vaginal width. Although there are no detailed studies, it is generally known that some breeds have a wider vaginal canal than others.
Obesity
Obesity is a very dangerous and negative condition that is a major risk factor for many diseases. In addition to these dangers, obese individuals may also encounter many negative situations. One of these negative situations is the increase in vaginal width.
Nervous, Hormonal and Circulatory Problems
Female genital organ; It is tightly controlled and regulated nervously, hormonally and circulatory. While the blood flow coming here provides nutrition, nerves and hormones provide control and regulation. This entire system is very important and works in harmony.
nervous, hormonal or circulatory problem can affect the entire genital system. Especially negative changes occurring in the vagina can cause vaginal enlargement.
Undergoing Pelvic Surgery
The pelvic system is a large area that includes the female genital organ. Any operation in this area, which is also known as the abdominal area among the public, affects the female genital organ. The vagina may expand as a result of operations performed in this area.
Being on your menstrual period
The vagina can expand even by 1-2 cm during menstruation. This is a situation that occurs in the natural functioning of the body. During menstruation, the body removes the excess structures in the uterus with blood. The width of this channel increases to facilitate the excretion of blood. When the menstrual period ends, the vagina will return to its previous shape and will not enlarge until the next menstrual period.
Smoking
Smoking, which we can present as a risk factor for all kinds of diseases, can also be effective in vaginal enlargement.
In Which Situations Is Vaginal Tightening Surgery Required?
Vaginoplasty , that is, vaginal tightening surgery, is basically performed at the request of the patient. In other words, the most accurate answer to the question of in what situations it can be done is that it can be done when the woman wants it . The first step for the operation is for the woman to see the width of her vagina as a problem in intercourse and to report her discomfort to the specialist physician. After this stage, the physician performs a pelvic floor examination to see the width. Depending on the results of the examination, sometimes it can be seen that the width is normal. In this case, it would not be appropriate to take any action. Generally, as a result of the examination, it is observed that the width has increased and an operation is performed.
Types of Vaginal Tightening
Two different techniques can be applied to narrow the vagina. These; Vaginoplasty , which is surgically cut and stitched , is a rejuvenation method using energy sources such as laser and radiofrequency .
Vaginoplasty is much more commonly used. In vaginal rejuvenation performed with laser , the heat given by the laser causes narrowing, blood circulation and increased sensitivity in the vagina. The textural renewal provided by these also makes the vagina narrower and tighter.
What is Vaginal Tightening Operation and How is It Performed?
Vaginoplasty surgery is the surgical narrowing of the enlarged vagina. The purpose of this operation is to narrow and tighten the enlarged inner surface of the vagina.
It is a very common and important surgery to prevent the consequences mentioned above.
The vaginal tightening process takes approximately 45 minutes. The tightening process is performed on the back wall of the vagina. Some tissue is removed from the vaginal wall and the remaining tissues are brought together and stitched. This sewing procedure is performed by expert surgeons in sterile operating rooms . At the end of this procedure, the necessary narrowing and tightening of the woman's vagina is achieved .
It is not necessary to stay in the hospital after vaginoplasty surgery, you can be discharged on the same day. Dressing the next day is sufficient. Avoid being in water-filled areas such as pools or bathtubs for 3 weeks. The stitches will fall out on their own. In order for the vagina to fully heal, sexual intercourse should be avoided for 6 weeks. During this process, menstrual bleeding will not have a negative effect on vaginal healing.
Vaginoplasty is the process of narrowing the vagina by applying certain methods. There are three basic methods in this regard. Although new methods are emerging every day, the three most common methods are laser vaginoplasty , ultrasound vaginoplasty and surgical vaginoplasty . All three methods have their own advantages and disadvantages. Now we will talk about these three methods in more detail.
Laser Vaginoplasty
One of the most ideal methods for patients who do not want bleeding, pain and a long recovery process is laser vaginoplasty . This method does not require anesthesia, there is no pain, and no surgical incisions or stitches are used. The probe is placed into the vagina . With the effect of the applied laser, collagen and fibroblasts are activated. Blood flow increases. As a result, vaginal tissue becomes stronger.
Laser vaginoplasty is performed in 3-4 sessions at 6-8 week intervals , depending on the width of the vagina . It is an effective and painless treatment in a short time.
Vaginoplasty with Ultrasonography Waves
The tissues are heated with the help of a probe placed in the vagina . Similar to laser, there is no incision, pain or bleeding. Its difference from laser is that ultrasonography can also affect deeper tissues.
Ultrasound waves are sent to the vaginal tissues . Tissues warm up due to the heat generated. With the effect of this, collagen tissue is activated and blood circulation increases. This is also effective in creating vaginal frequency. The resulting density restores youthfulness in the vagina and increases the pleasure and orgasm speed during sexual intercourse.
Surgical Vaginoplasty
It is the surgical narrowing of the enlarged vagina. The purpose of this operation is to narrow and tighten the enlarged inner surface of the vagina. The tightening process is performed on the back wall of the vagina. Some tissue is removed from the vaginal wall and the remaining tissues are brought together and stitched. This sewing procedure is performed by expert surgeons in sterile operating rooms. As a result of this procedure, the necessary narrowing and tightening of the woman's vagina is achieved.
Factors Affecting How Much the Vagina Will Be Narrowed
The main factor in tightening the vagina is the amount of expansion. The vaginal width of a woman who has given birth once and a woman who has given birth five times will not be equal, and the narrowing will be greater in women who have given birth more. The narrowing process can go up to 7-8 centimeters.
criterion in the tightening process is a vaginal canal that is narrow enough for men and women to enjoy . The main purpose of this operation is to bring the parts where the woman gets sexual pleasure close enough to the penis and to create a vaginal canal that is narrow enough for the man to get sexual pleasure .
Vagina Tightening Before and After Birth
As mentioned in the article, one of the most important reasons for enlargement is birth. For this reason, many women want to have this operation immediately after birth; However, vaginoplasty is not possible for at least 1 year after normal birth . The reason for this is that during normal birth, the vaginal tissue is damaged and it takes at least 1 year for it to heal. For cesarean birth, this period is 6 months.
Normal birth can be achieved after vaginal tightening surgery; But this causes the vagina to expand again. For this reason, it is recommended that vaginoplasty operations be postponed to the period after the number of children is completed, or it is recommended that subsequent births be performed by cesarean section .
Risks of Vaginal Tightening Operation
Vaginoplasty surgery is performed by doctors who are experts in their field and know the internal structure of the vagina ; It should be done in the operating room and in a sterile environment. Although it is a low-risk surgery, there is a risk of bleeding and infection, like all other surgical operations . Recovery time is fast; However, it is a process that requires careful maintenance.
Does Vaginal Tightening Surgery Affect Sexual Life?
Vaginal tightening surgery is an operation performed to improve the quality of sexual intercourse. So the answer to this question is definitely yes. Some of the effects of vaginoplasty on sexual life are:
With the effect of rejuvenation and narrowing of the vagina, the pleasure the woman receives will increase considerably. The pleasure the penis gives to the woman during penetration will increase, and as a result, the time to orgasm will decrease. Similarly, a man's better feeling of the vagina will increase his pleasure.
As a result of this operation, problems such as gas coming out of the vagina will also be solved. The quality of sexual intercourse will increase
The couple's sexual desire will increase, because the sensations will increase and the pleasure received will also increase.
How Long After Surgery Can I Have Sexual Intercourse?
There are many methods in vaginoplasty . Which of these methods is preferred depends on the condition of the vagina, the woman's wishes and the facilities at the hospital. Once the method is selected and applied, the healing process is directly related to the chosen method. Especially when narrowing is applied with laser and ultrasonography, the recovery time is much shorter. Apart from this, factors such as the success of the operation and the woman's health condition also affect the time to have sexual intercourse, that is, the recovery period. What needs to be done in this regard is to consult a doctor and find out the estimated duration.
Can Vaginoplasty be Performed on Virgins ?
It can be done, but the hymen must be removed. Because the vagina covers the part behind the hymen. It is not possible to perform this operation in the presence of the hymen, which acts as a barrier.
Can Normal Birth Be Possible After Vaginoplasty ?
Vaginoplasty does not cause any condition that would prevent normal birth. The main point to be addressed in this regard is whether the tightening effects of vaginoplasty will continue after normal birth. The answer to this question is clearly that it will not continue because the vagina has to expand as usual during the baby's emergence. Therefore, vaginoplasty should be performed again after normal birth.
Is Caesarean Section Risky After Vaginal Tightening Surgery?
Vaginoplasty is a narrowing procedure performed on the vaginal canal. It does not have any effect on the uterus and its surroundings. Caesarean section is an operation that has nothing to do with the vagina and is entirely related to the uterus. Therefore, vaginal tightening surgery has nothing to do with cesarean birth. So it does not pose a risk.
What Happens During the Healing Process After Vaginoplasty , How Long Does It Take?
Surgical vaginoplasty is an operation with low risks. In general, the first shower should be kept short and should be done after 3 days. Recovery to the point where you can go to work occurs after 3 days. The first sexual intercourse should be at least 1.5 months later. Other than that, here's what you need to do:
Dressings should be made regularly and medications recommended by the doctor should be used regularly.
personal hygiene and extra attention should be paid to toilet cleaning.
Recommended diets should be followed and plenty of water should be drunk to avoid constipation. Constipation can cause sores that stop healing
Sea, pool and bathtub should not be used for at least 1 month.
There may be a small amount of bleeding and pain during the first intercourse. It is very important to use lubricant during the first intercourse. Otherwise , it is possible for the wounds to open excessively and bleed.
Pelvic floor exercises can be effective in improving the process.
Can it be understood that vaginal tightening surgery has been performed?
In the first weeks, 4 or 5 stitches can be seen on the outside. In the future, these stitches also boil. This area is highly nourished by the veins. Therefore, wounds and stitches heal quickly. There will be no traces or symptoms in the next few months. So much so that even an expert in this field will not understand that the operation has been performed.
In summary, if vaginal width has become a problem in intercourse and negatively affects both sexual life and women's health; With vaginoplasty , the vagina can return to its former state and be satisfactory again, both in appearance and functionality, in a way that makes the woman feel self-confident and happy.
Ankara Vagina Tightening Surgery
You can contact our examination in Ankara to consult your questions about vaginal tightening and to make an appointment.
Gynecology and Obstetrics Specialist Aslı Yücetürk provides services in her own practice in Mahall Ankara , in areas of expertise such as birth , pregnancy follow-up , abortion , vaginismus , labiaplasty and infertility treatment . For information and to make an appointment, you can call 0552 328 9989 .