By Dr Nadia Yousri, OB&GY Surgeon & Sexual Wellness & Regenerative Aesthetic Gynaecology Consultant, FRCOG, MRCOG, PhD, MSc, DFSRH
In her latest International Conference 2023, the highly experienced OB-GYN surgeon Dr Nadia Yousri offers her expert insight into vaginal laxity. She explains what causes this condition, as well as the different treatment options available.
The Vagina
The vagina, like all parts of the body, is a marvel of nature and is made up of highly elastic muscles. These muscles, similar to rubber, return to their original shape after being stretched. However, various factors can cause the vaginal muscles and surrounding tissues to lose their firmness, resulting in vaginal laxity. This condition is characterised by a relaxation of the vaginal tissue, weakening of its supporting structures, and a loss of tonicity in the vaginal wall. It is often associated with pelvic floor dysfunction and can affect overall quality of life.
The primary causes of vaginal laxity include childbirth and hormonal changes. Childbirth, particularly when it occurred more than a year ago, can lead to overstretching of tissues and birth-related injuries, making individuals suitable candidates for treatment. Hormonal changes, especially during menopause, can also contribute, as a decline in oestrogen levels, which is vital for maintaining tissue strength and elasticity, can worsen the condition.
Symptoms of Vaginal Laxity:
- Stress urinary incontinence (leakage during physical activities like laughing or running)
- Increased bladder urgency
- Reduced vaginal sensitivity leading to sexual dissatisfaction
- Orgasmic dysfunction
- Faecal urgency or incontinence
- Prolapse or sagging of the vaginal wall in later life
Age-Related Effects in the Vaginal Area:
- Vaginal atrophy leading to wall shortening and narrowing
- Contraction and loss of the clitoral body
- Flattening or parting of the outer labia
- Loss of collagen and elastin fibres
- Thinning of the vaginal wall lining
- Decreased lactobacilli leading to increased susceptibility to infections
- Reduced blood flow and decreased hyaluronic acid content
Vaginal Laxity Treatment Options:
Conservative Options:
These include Oestrogen supplementation and pelvic floor exercises.
Surgical Procedures:
Effective but invasive, surgery requires general anaesthesia and has a recovery period of at least six weeks.
Non-Surgical Procedures:
- Non-surgical vaginal rejuvenation is gaining traction. This approach uses energy-based devices or plasma injections to stimulate the body’s regeneration of healthier tissues.
- The O-Shot/G-Spot (Plasma Injection): This non-surgical option must be performed by a certified gynaecologist.
- Hyaluronic Acid Augmentation: A non-surgical procedure ideal for treating menopausal atrophy, vaginal dryness, and other age-related changes.
- Use of Energy Devices: Devices like lasers or high-frequency devices should be used by experienced gynaecologists to avoid complications. How energy-based vaginal tightening treatments are assessed.
In summary:
Vaginal laxity can significantly affect comfort and quality of life. Assessment by an experienced gynaecologist is important to determine the most appropriate treatment approach, based on symptoms, tissue changes, and individual health factors.