Allowed vagina , freedom of vagina
I have a problem with excessive vaginal looseness or laxity
Excessive vaginal looseness or laxity often occurs after a vaginal delivery, but it cannot be ruled out by a caesarean section. It can also be associated with the ageing process and menopause (a decrease in collagen and oestrogen).
Most symptoms are related to a person’s sex life. This can mean:
Reduced sexual function and libido
Sounds produced by the release of air from the vagina during sexual intercourse, exercising, or some particular movements.
Extended expulsion of water from the vagina after bathing in water requiring repeated changes of underwear.
A decline in vaginal lubrication.
The problem of lower sensitivty during sex, with resulting decline in satisfaction and potentially increased difficulty in achieving orgasm.
How the problem is diagnosed
It is important to note that there is currently no way to examin or diagnose vaginal looseness. Diagnosis is based upon a detailed consultation and urogynecological examination.
How the problem is treated
Localized application of oestrogen
A CO2 laser effects changes at the point of application, particularly to the vaginal tissues in remodelling collagen, the basic building proteins of connective tissue. The laser emits light at a frequency of 10 600 nm which perfectly affects the water (particularly at eh surface) of the tissues. The heat produed leads to the vapourization of water from these tissues, in other words to their drying. This in turn leads to an increase in the ammount of intercellular matter and activity of the connective tissue cells (fibroblasts) which contribute to the formation of collagen. According to an Italian study, this leads to an improvement to all aspects of sexuality. Furthermore, 85% of women who were sexually inactive, begin again to live sexually.
The solution depends on the seriousness and type of incontinence as well as the results of a diagnostic examination. The goal is to improve the function of one or more structures on which the holding of urine depends: ligaments, muscles, vessels, nerves and hormones.
Stress incontinence is solved by pelvic floor exercises (physiotherapy), surgically (using TVT tape) or bulking agents.
Urgency or urgent incontinence is usually solved with tablets that reduce muscle contraction in the bladder wall (detrusor) or even increase its relaxation. Another option is the application of botulinum toxin into the bladder wall or, on the contrary, neuromomulation, where the function of nerves leading to the bladder is affected.
Surgical correction
The aim of this is the identification of defects in the vaginal wall, and the removal of excess tissue which results in bringing the musculature of the pelvic floor (levator) closer together.