Vaginal Tightening
There are two options for a tighter vagina: the Vajaser (a laser treatment) or a Vaginoplasty (a surgical treatment).
VaJaser
VaJaser: Painless Laser Vaginal Rejuvenation
The VaJaser is an FDA approved laser that is inserted into the vaginal canal. During a 10 minute--painless--treatment, the lining of the vagina is stimulated by laser energy. This leads to a healthy, new mucosal lining that produces more lubrication for increased comfort during sex. In addition, both the urethra AND the vagina are tightened, leading to less urine leakage and increased tightness.
How does the VaJaser work?
CO2 Lasers have been used in the medical field for decades. Only recently have developments allowed for the laser to be used inside the vagina for vaginal rejuvenation. The CO2 laser targets water inside of the cells that line the inside of the vagina. By gently heating these cells, a micro-injury occurs, which then stimulates the body's own collagen to form, thus tightening the vagina. The VaJaser also stimulates the mucosal cells to produce more mucus, thus increasing the vagina's natural ability to lubricate itself during sex. Read more about Vajaser and options for Vaginal Rejuvenation here.
What *exactly* does the VaJaser do?
The VaJaser is a vaginal laser that gently heats the vaginal mucosa. By inserting a small laser probe into the vagina, the vaginal rejuvenation laser can create a controlled micro-injury to the vaginal wall, allowing new collagen to form and thus promoting a tighter vagina. By tightening the vagina, the urethra is also made smaller, and this reduces urinary leakage (urinary incontinence). In addition, the mucus-producing cells of the vagina are stimulated, creating more moisture, which helps produce natural lubrication during sex. "Better living through technology," as they say.
Does it really work?
If you're not happy, we're not happy. We would NEVER expose our patients to any procedure unless we were confident that there would be a true benefit to you. We worked with one of the leading laser companies to create a safe and effective laser. Most of our patients notice increased lubrication within DAYS of the procedure. These are life-changing results.
Am I a candidate for the VaJaser?
There are three types of patients who are candidates for the VaJaser: painless laser vaginal rejuvenation procedures. The patients who experience the most positive results are those who complain of vaginal dryness. By gently heating the mucosal cells in the vaginal canal, the VaJaser is able to help them produce more mucous, and more moisture during sexual intercourse. Patients who experience mild stress urinary incontinence, or leaking of urine when coughing or sneezing, are also candidates for the VaJaser. The VaJaser gently stimulates the deeper tissues of the vaginal canal adjacent to the urethra, thus shrinking these tissues and tightening the urethral opening. This means less urine leakage! Patients who have mild vaginal laxity, or vaginal looseness, are also good candidates for the VaJaser. The laser vaginal rejuvenation procedure causes stimulation to the deep layers of the vaginal walls, thus tightening the vaginal opening for better sex!
What is the consult like?
Your visit with the nurse practitioner is VERY UNLIKE a visit to the GYN! There are NO SPECULUMS, and the exam is a very brief 3-5 seconds! Most of the important parts are your personal history. We will be asking questions about:
And that's about it! Very simple, very easy! We know this is inherently uncomfortable, so we will make it as simple as possible for you to have a very brief history and exam in our private clinic.
I'm embarrassed to have an exam! What now?
The entire exam and treatment can be done by our Nurse Practitioner, so this is a female-only process. Most of the decision-making around the VaJaser treatment has more to do with your history than your exam. This means we can just talk it through and decide if the VaJaser is your best option. Don't stress. We can make this very easy for you. Promise!
How long does the VaJaser procedure take?
Surprisingly, the VaJaser: painless laser vaginal rejuvenation procedure takes only minutes. A small laser is inserted into the vagina, and pulses of gentle heat energy are delivered to the vaginal canal. The total laser vaginal rejuvenation procedure takes about 8-10 minutes, and there is a series of 4 treatments that are one month apart.
Does the VaJaser Hurt?
It may seem hard to believe, but the VaJaser is nearly painless. Surprisingly, there are very few nerve endings within the vaginal canal. Most of the sensation is at the introitus (the opening), the clitoris, and the cervix (the end of the vaginal canal). By treating the canal and avoiding these other sensitive areas, the VaJaser is able to create a painless vaginal rejuvenation. Most women report the mildest warm sensation during treatment. When treating the very edge of the urethral and vaginal openings, there may be the slightest pinching feeling, that may last for only a second.
Is The VaJaser FDA Approved?
Yes! The VaJaser is FDA approved! We only believe in the best and safest vaginal rejuvenation treatments for his patients.
Do I need numbing medicine or anesthesia?
No! The VaJaser: painless laser vaginal rejuvenation, does not require numbing medicine or any anesthesia! Because there are so few nerve endings within the vaginal canal itself, the procedure only feels mildly warm. Occasionally when the treatment is delivered close to the cervix, there can be a very mild cramping sensation. Similarly, when the laser vaginal rejuvenation treatment is brought closer to the vaginal opening, there can be a mild pinching sensation. We understand that these areas are very sensitive and we have a gentle touch!
How Many VaJaser Treatments Do I Need?
The standard protocol is 4 treatments, spaced 1 month apart. We also offer a one-year follow-up treatment.
Who performs the procedure?
The VaJaser: painless laser vaginal rejuvenation, is performed by our Nurse Practitioner. We both understand that this topic is uncomfortable and often seen as taboo. We understand that NO ONE wants to talk about this and that examinations and treatments are awkward by definition. Fortunately by being nice, respectful, and gentle, we can overcome these issues and help you to MOVE ON to other life goals!
How do I schedule an appointment?
You can start with the consult link HERE. We'll get back to you within 24-48 hours!
Where Is The VaJaser Offered?
The VaJaser: Painless Laser Vaginal Rejuvenation is currently only offered at two locations Dr. Oppenheimer's Orlando, Florida office, where he specializes in Plastic & Reconstructive Surgery, with a focus on functional & aesthetic surgery of the vagina and Dr. Shatkin's Buffalo, NY office.
How much does the VaJaser Cost?
Our price list is published HERE. We just ask for your contact information first, and then forward you directly to the pricing page. We offer financing and payment plans to make this as easy as possible. Our goal is your happiness with your vaginal rejuvenation!
Do I Have To Pay Up Front? Is There Financing?
We can accommodate many different options for payment plans and financing. We're always available by phone: (407) 377-7714 You can also apply for financing before your consult on our pricing page.
Conditions the VaJaser addresses:
Vaginal Dryness
Of all its benefits, the VaJaser is BEST at correcting vaginal dryness related to menopause or hypoactive sexual desire. The CO2 laser creates micro-injuries to the vaginal mucosa, which stimulates the development of healthy new mucous producing cells. This increases mucus production and allows for more lubrication during sex!
Vaginal Looseness
The VaJaser can correct a mild degree of vaginal looseness or vaginal laxity. The VaJaser is ideal for women who don't quite feel as tight as they used to, and for patients who have experienced a mild (1st degree) perineal tear and those with a history of a well-healed episiotomy. In women who have prolapse, or more severe vaginal looseness, a vaginoplasty is a better option.
Urinary Incontinence or Leaking
If your urinary incontinence is mild stress urinary incontinence (meaning that you leak a small amount of urine only when you cough or sneeze or laugh) then the VaJaser is VERY likely to help you. The VaJaser works by tightening the tissues within the vagina, including those around the urethral canal. If, however, you have a prolapse or a cystocele, or if your incontinence is more severe, you may need additional surgical procedures for correction.
Episiotomy and Tearing
Depending on the severity of your perineal tear, or how well your episiotomy healed, you may be a better candidate for a vaginoplasty and perineoplasty surgery. In general, patients who have had a mild perineal injury or a well-healed episiotomy, that just don't feel quite as tight as they used to, are the BEST candidates for the VaJaser: painless laser vaginal rejuvenation.
Difficulty Achieving Orgasm
In many cases, this will help women to feel more comfortable and more confident during sexual intercourse. That confidence alone is oftentimes enough to overcome issues with sexual desire and orgasm. Unlike the male sexual response (which is almost purely physical) the female sexual response is more complex and is a combination of physical and emotional considerations that are often intertwined. By correcting vaginal dryness, for one, intimacy can become less painful and more enjoyable. That's a great first step to an orgasm!
Our nurse practitioner also offers the OPP Shot, which is an injection of your own platelets and growth factors into the clitoris and G-spot. This has been shown to improve orgasms by increasing sensitivity in those critical two areas.
Vaginal Abnormality
There is very rarely an "abnormal vagina". We are all made differently and that's OK!
The amount of variation between female (and male) anatomy is dramatic! If you are concerned about the appearance of your vagina, you may be a better candidate for a labiaplasty or other aesthetic procedure. The VaJaser: painless laser vaginal rejuvenation is directed at functional issues.
Alternative Procedures
Vaginal Tightening Surgery
If you have had moderate (2nd, 3rd or 4th degree) perineal tears, then you are a better candidate for a vaginoplasty surgery. Similarly, if you feel that your vagina is "very loose" then surgery is a better option for you. Lastly, if you have vaginal prolapse, surgery is required.
That said, it can not hurt you to have a VaJaser treatment, even if you are a better candidate for surgery. If you have a VaJaser treatment and aren't satisfied AND you desire surgery, we can apply much of the cost from your VaJaser treatments to surgery (if you desire a surgical procedure to create even more tightness to your vagina). If, however, you have mild vaginal looseness or have had an episiotomy that healed well, and you only have mild symptoms of vaginal laxity (looseness) then you are the PERFECT candidate for the VaJaser: painless laser vaginal rejuvenation! Patients who have problems with uterine prolapse, rectocele, enterocele, or cystocele, are best treated with vaginoplasty surgery and not the laser treatments.
Diva, ThermiVa, MonaLisa, FemiLift
Diva, MonaLisa Touch, and FemiLift all use the same CO2 laser technology as the VaJaser. ThermiVa is a radiofrequency heating device that uses heat to achieve similar results. All devices are FDA approved.
What's the Recovery Like After the VaJaser?
The VaJaser treatment is truly painless and the recovery is immediate. There's no downtime, no pain, and no real special considerations following treatment. You can go back to your normal life ASAP! We generally recommend that you avoid intercourse for the first 24 hours, but that is not a hard and fast rule.
When can I have sex?
The VaJaser: painless laser vaginal rejuvenation has almost ZERO DOWNTIME. That includes sexual intercourse. We recommend about 24 hours without sex after the treatment, but that is not a hard and fast rule. Listen to your body, in general, is always a good policy.
When Will I See Results from my VaJaser Treatment?
The first results you will see in a matter of days, with more wetness and moisture during stimulation and intercourse. The full treatment is a series of three treatments that are one month apart, so it will take 4-6 months to experience the full effects. For most women, this includes:
We stand by what we do, and Dr. Oppenheimer and the team are SO confident that you'll be happy with your treatment. It is, after all, our number one goal.
The VaJaser is an FDA approved laser that is inserted into the vaginal canal. During a 10 minute--painless--treatment, the lining of the vagina is stimulated by laser energy. This leads to a healthy, new mucosal lining that produces more lubrication for increased comfort during sex. In addition, both the urethra AND the vagina are tightened, leading to less urine leakage and increased tightness.
- Increased Vaginal Tightness
- Improved Vaginal Lubrication
- Less Urine Leakage
How does the VaJaser work?
CO2 Lasers have been used in the medical field for decades. Only recently have developments allowed for the laser to be used inside the vagina for vaginal rejuvenation. The CO2 laser targets water inside of the cells that line the inside of the vagina. By gently heating these cells, a micro-injury occurs, which then stimulates the body's own collagen to form, thus tightening the vagina. The VaJaser also stimulates the mucosal cells to produce more mucus, thus increasing the vagina's natural ability to lubricate itself during sex. Read more about Vajaser and options for Vaginal Rejuvenation here.
What *exactly* does the VaJaser do?
The VaJaser is a vaginal laser that gently heats the vaginal mucosa. By inserting a small laser probe into the vagina, the vaginal rejuvenation laser can create a controlled micro-injury to the vaginal wall, allowing new collagen to form and thus promoting a tighter vagina. By tightening the vagina, the urethra is also made smaller, and this reduces urinary leakage (urinary incontinence). In addition, the mucus-producing cells of the vagina are stimulated, creating more moisture, which helps produce natural lubrication during sex. "Better living through technology," as they say.
Does it really work?
If you're not happy, we're not happy. We would NEVER expose our patients to any procedure unless we were confident that there would be a true benefit to you. We worked with one of the leading laser companies to create a safe and effective laser. Most of our patients notice increased lubrication within DAYS of the procedure. These are life-changing results.
Am I a candidate for the VaJaser?
There are three types of patients who are candidates for the VaJaser: painless laser vaginal rejuvenation procedures. The patients who experience the most positive results are those who complain of vaginal dryness. By gently heating the mucosal cells in the vaginal canal, the VaJaser is able to help them produce more mucous, and more moisture during sexual intercourse. Patients who experience mild stress urinary incontinence, or leaking of urine when coughing or sneezing, are also candidates for the VaJaser. The VaJaser gently stimulates the deeper tissues of the vaginal canal adjacent to the urethra, thus shrinking these tissues and tightening the urethral opening. This means less urine leakage! Patients who have mild vaginal laxity, or vaginal looseness, are also good candidates for the VaJaser. The laser vaginal rejuvenation procedure causes stimulation to the deep layers of the vaginal walls, thus tightening the vaginal opening for better sex!
What is the consult like?
Your visit with the nurse practitioner is VERY UNLIKE a visit to the GYN! There are NO SPECULUMS, and the exam is a very brief 3-5 seconds! Most of the important parts are your personal history. We will be asking questions about:
- Vaginal deliveries and childbirth injuries
- Feelings of vaginal looseness
- Vaginal dryness
- Urine leakage
And that's about it! Very simple, very easy! We know this is inherently uncomfortable, so we will make it as simple as possible for you to have a very brief history and exam in our private clinic.
I'm embarrassed to have an exam! What now?
The entire exam and treatment can be done by our Nurse Practitioner, so this is a female-only process. Most of the decision-making around the VaJaser treatment has more to do with your history than your exam. This means we can just talk it through and decide if the VaJaser is your best option. Don't stress. We can make this very easy for you. Promise!
How long does the VaJaser procedure take?
Surprisingly, the VaJaser: painless laser vaginal rejuvenation procedure takes only minutes. A small laser is inserted into the vagina, and pulses of gentle heat energy are delivered to the vaginal canal. The total laser vaginal rejuvenation procedure takes about 8-10 minutes, and there is a series of 4 treatments that are one month apart.
Does the VaJaser Hurt?
It may seem hard to believe, but the VaJaser is nearly painless. Surprisingly, there are very few nerve endings within the vaginal canal. Most of the sensation is at the introitus (the opening), the clitoris, and the cervix (the end of the vaginal canal). By treating the canal and avoiding these other sensitive areas, the VaJaser is able to create a painless vaginal rejuvenation. Most women report the mildest warm sensation during treatment. When treating the very edge of the urethral and vaginal openings, there may be the slightest pinching feeling, that may last for only a second.
Is The VaJaser FDA Approved?
Yes! The VaJaser is FDA approved! We only believe in the best and safest vaginal rejuvenation treatments for his patients.
Do I need numbing medicine or anesthesia?
No! The VaJaser: painless laser vaginal rejuvenation, does not require numbing medicine or any anesthesia! Because there are so few nerve endings within the vaginal canal itself, the procedure only feels mildly warm. Occasionally when the treatment is delivered close to the cervix, there can be a very mild cramping sensation. Similarly, when the laser vaginal rejuvenation treatment is brought closer to the vaginal opening, there can be a mild pinching sensation. We understand that these areas are very sensitive and we have a gentle touch!
How Many VaJaser Treatments Do I Need?
The standard protocol is 4 treatments, spaced 1 month apart. We also offer a one-year follow-up treatment.
Who performs the procedure?
The VaJaser: painless laser vaginal rejuvenation, is performed by our Nurse Practitioner. We both understand that this topic is uncomfortable and often seen as taboo. We understand that NO ONE wants to talk about this and that examinations and treatments are awkward by definition. Fortunately by being nice, respectful, and gentle, we can overcome these issues and help you to MOVE ON to other life goals!
How do I schedule an appointment?
You can start with the consult link HERE. We'll get back to you within 24-48 hours!
Where Is The VaJaser Offered?
The VaJaser: Painless Laser Vaginal Rejuvenation is currently only offered at two locations Dr. Oppenheimer's Orlando, Florida office, where he specializes in Plastic & Reconstructive Surgery, with a focus on functional & aesthetic surgery of the vagina and Dr. Shatkin's Buffalo, NY office.
How much does the VaJaser Cost?
Our price list is published HERE. We just ask for your contact information first, and then forward you directly to the pricing page. We offer financing and payment plans to make this as easy as possible. Our goal is your happiness with your vaginal rejuvenation!
Do I Have To Pay Up Front? Is There Financing?
We can accommodate many different options for payment plans and financing. We're always available by phone: (407) 377-7714 You can also apply for financing before your consult on our pricing page.
Conditions the VaJaser addresses:
Vaginal Dryness
Of all its benefits, the VaJaser is BEST at correcting vaginal dryness related to menopause or hypoactive sexual desire. The CO2 laser creates micro-injuries to the vaginal mucosa, which stimulates the development of healthy new mucous producing cells. This increases mucus production and allows for more lubrication during sex!
Vaginal Looseness
The VaJaser can correct a mild degree of vaginal looseness or vaginal laxity. The VaJaser is ideal for women who don't quite feel as tight as they used to, and for patients who have experienced a mild (1st degree) perineal tear and those with a history of a well-healed episiotomy. In women who have prolapse, or more severe vaginal looseness, a vaginoplasty is a better option.
Urinary Incontinence or Leaking
If your urinary incontinence is mild stress urinary incontinence (meaning that you leak a small amount of urine only when you cough or sneeze or laugh) then the VaJaser is VERY likely to help you. The VaJaser works by tightening the tissues within the vagina, including those around the urethral canal. If, however, you have a prolapse or a cystocele, or if your incontinence is more severe, you may need additional surgical procedures for correction.
Episiotomy and Tearing
Depending on the severity of your perineal tear, or how well your episiotomy healed, you may be a better candidate for a vaginoplasty and perineoplasty surgery. In general, patients who have had a mild perineal injury or a well-healed episiotomy, that just don't feel quite as tight as they used to, are the BEST candidates for the VaJaser: painless laser vaginal rejuvenation.
Difficulty Achieving Orgasm
In many cases, this will help women to feel more comfortable and more confident during sexual intercourse. That confidence alone is oftentimes enough to overcome issues with sexual desire and orgasm. Unlike the male sexual response (which is almost purely physical) the female sexual response is more complex and is a combination of physical and emotional considerations that are often intertwined. By correcting vaginal dryness, for one, intimacy can become less painful and more enjoyable. That's a great first step to an orgasm!
Our nurse practitioner also offers the OPP Shot, which is an injection of your own platelets and growth factors into the clitoris and G-spot. This has been shown to improve orgasms by increasing sensitivity in those critical two areas.
Vaginal Abnormality
There is very rarely an "abnormal vagina". We are all made differently and that's OK!
The amount of variation between female (and male) anatomy is dramatic! If you are concerned about the appearance of your vagina, you may be a better candidate for a labiaplasty or other aesthetic procedure. The VaJaser: painless laser vaginal rejuvenation is directed at functional issues.
Alternative Procedures
Vaginal Tightening Surgery
If you have had moderate (2nd, 3rd or 4th degree) perineal tears, then you are a better candidate for a vaginoplasty surgery. Similarly, if you feel that your vagina is "very loose" then surgery is a better option for you. Lastly, if you have vaginal prolapse, surgery is required.
That said, it can not hurt you to have a VaJaser treatment, even if you are a better candidate for surgery. If you have a VaJaser treatment and aren't satisfied AND you desire surgery, we can apply much of the cost from your VaJaser treatments to surgery (if you desire a surgical procedure to create even more tightness to your vagina). If, however, you have mild vaginal looseness or have had an episiotomy that healed well, and you only have mild symptoms of vaginal laxity (looseness) then you are the PERFECT candidate for the VaJaser: painless laser vaginal rejuvenation! Patients who have problems with uterine prolapse, rectocele, enterocele, or cystocele, are best treated with vaginoplasty surgery and not the laser treatments.
Diva, ThermiVa, MonaLisa, FemiLift
Diva, MonaLisa Touch, and FemiLift all use the same CO2 laser technology as the VaJaser. ThermiVa is a radiofrequency heating device that uses heat to achieve similar results. All devices are FDA approved.
What's the Recovery Like After the VaJaser?
The VaJaser treatment is truly painless and the recovery is immediate. There's no downtime, no pain, and no real special considerations following treatment. You can go back to your normal life ASAP! We generally recommend that you avoid intercourse for the first 24 hours, but that is not a hard and fast rule.
When can I have sex?
The VaJaser: painless laser vaginal rejuvenation has almost ZERO DOWNTIME. That includes sexual intercourse. We recommend about 24 hours without sex after the treatment, but that is not a hard and fast rule. Listen to your body, in general, is always a good policy.
When Will I See Results from my VaJaser Treatment?
The first results you will see in a matter of days, with more wetness and moisture during stimulation and intercourse. The full treatment is a series of three treatments that are one month apart, so it will take 4-6 months to experience the full effects. For most women, this includes:
- Tighter Vagina
- Increased Moisture
- Less Urine Leakage
We stand by what we do, and Dr. Oppenheimer and the team are SO confident that you'll be happy with your treatment. It is, after all, our number one goal.
To set up your VaJaser consult, please click HERE or call (407) 377-7714
Vaginoplasty & Perineoplasty
For the tummy, an abdominoplasty (aka Tummy Tuck) is the solution for tightening the abdomen. For the vagina, a vaginoplasty & perineoplasty may be beneficial to restore vaginal tightness. While we are currently not performing vaginal tightening surgeries (Vaginoplasty or Perineoplasty) the following information may be helpful to you in your women's health journey.
Vaginal delivery always causes some tearing to the vagina. In some women, this tear is very small and heals immediately, much like a cut to the inside of the mouth. In other cases, an episiotomy is performed, or a perineal tear or laceration occurs during childbirth. This is most common for a first time mom when a big baby is born, but can really happen at any time.
If the vaginal muscles are torn--a Grade 2 perineal tear or greater--the vagina may feel loose during sex or may appear more open. While a VaJaser treatment--painless laser vaginal rejuvenation--may be helpful for small amounts of looseness, vaginal tightening surgery may be required to restore muscle tone.
Just like some tummy muscles become loose after pregnancy, some vaginal muscles become loose after childbirth. Even though sit ups can strengthen the tummy--and Kegels can strengthen the vagina—the muscles won’t magically fuse back together in the midline.
A perineoplasty is a smaller procedure that closes the very outer portions of the vagina, the very edge closest to the vaginal opening. A perineoplasty is a good surgery for women with very little looseness, who may have had a minimal mucosal tear during childbirth (Grade 1 perineal tear) or who may simply feel loose during sex. Some women have larger vaginal openings, just like some men have larger penises. Even so, sometimes you may be changing partners. If your partner is smaller, you may desire to seek out a vaginal tightening procedure to make sex feel better.
The best candidates for a vaginoplasty, which is a full muscle repair and includes a perineoplasty, are those who have had a more extensive tear or episiotomy. In these cases, the looseness is more noted, and there is not an adequate seal around the penis during intercourse. This can lead to low sexual satisfaction for both partners.
Of note, some women actually develop internal hernias from severe lacerations during childbirth. These may present as bulges pushing into the vagina from above (the bladder) and below (the rectum). In these cases, a more extensive vaginal repair is required, involving vaginal reconstructive surgery.
A non-surgical, laser vaginal tightening procedure may be the best option for mild cases, a perineoplasty for more looseness, and a full vaginoplasty for cases where the looseness is more pronounced.
Vaginal delivery always causes some tearing to the vagina. In some women, this tear is very small and heals immediately, much like a cut to the inside of the mouth. In other cases, an episiotomy is performed, or a perineal tear or laceration occurs during childbirth. This is most common for a first time mom when a big baby is born, but can really happen at any time.
If the vaginal muscles are torn--a Grade 2 perineal tear or greater--the vagina may feel loose during sex or may appear more open. While a VaJaser treatment--painless laser vaginal rejuvenation--may be helpful for small amounts of looseness, vaginal tightening surgery may be required to restore muscle tone.
Just like some tummy muscles become loose after pregnancy, some vaginal muscles become loose after childbirth. Even though sit ups can strengthen the tummy--and Kegels can strengthen the vagina—the muscles won’t magically fuse back together in the midline.
A perineoplasty is a smaller procedure that closes the very outer portions of the vagina, the very edge closest to the vaginal opening. A perineoplasty is a good surgery for women with very little looseness, who may have had a minimal mucosal tear during childbirth (Grade 1 perineal tear) or who may simply feel loose during sex. Some women have larger vaginal openings, just like some men have larger penises. Even so, sometimes you may be changing partners. If your partner is smaller, you may desire to seek out a vaginal tightening procedure to make sex feel better.
The best candidates for a vaginoplasty, which is a full muscle repair and includes a perineoplasty, are those who have had a more extensive tear or episiotomy. In these cases, the looseness is more noted, and there is not an adequate seal around the penis during intercourse. This can lead to low sexual satisfaction for both partners.
Of note, some women actually develop internal hernias from severe lacerations during childbirth. These may present as bulges pushing into the vagina from above (the bladder) and below (the rectum). In these cases, a more extensive vaginal repair is required, involving vaginal reconstructive surgery.
A non-surgical, laser vaginal tightening procedure may be the best option for mild cases, a perineoplasty for more looseness, and a full vaginoplasty for cases where the looseness is more pronounced.
