Best Vaginoplasty in Trivandrum | Expert Cosmetic Gynecology Care

What is vaginal laxity?

Vaginal laxity (also mis-spelled as Viginal laxity or virginal laxity) commonly happens due to main reasons, pregnancy and aging.

Vaginal laxity is characterized by a feeling of looseness in the vagina, which may result from various factors.

It is considered a symptom of weakening of pelvic floor muscles and can indicate a decline in sexual health and overall well-being of a woman.

Research indicates that vaginal laxity affects approximately 48% of women, particularly those who have experienced multiple vaginal deliveries.

Despite its prevalence, many women do not discuss this issue with healthcare providers due to embarrassment or the belief that it is a normal part of aging.

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What are the causes of vaginal laxity?

The 3 main reasons for vaginal laxity are:

Childbirth: The most significant risk factor for vaginal laxity is childbirth, especially through vaginal delivery. Trauma to the pelvic floor during delivery can lead to stretching and weakening of vaginal tissues. Forceps delivery is most susceptible to trauma.
Aging: As women age, collagen production decreases, leading to reduced elasticity in vaginal tissues. Aging alone as a factor just affects the local vaginal tissues, but if it is combined with trauma during childbirth, it can significantly add to the overall laxity.
Hormonal Changes: Menopause and hormonal fluctuations can lead to thinning of vaginal tissues and decreased lubrication. This can get combined with vaginal dryness making intimacy uncomfortable.

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Can you have normal delivery after laser vaginoplasty?

Yes, you absolutely can. Since laser vaginoplasty preserves the normal anatomy of the vaginal wall, and because it is not an invasive procedure, it will not hamper your pregnancy decision. You can discuss your plans for pregnancy with our doctor to get proper guidance.

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What are the benefits of laser vaginal rejuvenation?

Vaginal rejuvenation involves delivery of CO2 laser energy in the vaginal tissue. This energy delivers the following benefits to the vagina:

Collagen Remodeling: The increase in collagen synthesis results in improved tissue tightness and elasticity. As new collagen forms, it helps restore the vaginal wall’s firmness and resilience, which can alleviate symptoms such as laxity and dryness.
Enhanced Blood Flow: The thermal effect of the laser also promotes increased blood circulation to the treated area. Improved blood flow enhances nutrient delivery and oxygenation, further supporting tissue health and hydration.
Improvement in Mucosal Health: The treatment helps rejuvenate the vaginal mucosa by promoting cell turnover and improving moisture retention capabilities. This is particularly beneficial for women experiencing symptoms related to vaginal atrophy, such as dryness and discomfort during intercourse.

With this CO2 vaginal rejuvenation and tightening delivers the following distinct benefits:

Vaginal Tightening: The laser stimulates collagen production, leading to tighter vaginal tissues, which can enhance sexual satisfaction for both partners.
Moisturization: The procedure improves hydration in the vaginal area, alleviating dryness often associated with menopause or aging.
Restoration of Vaginal Balance: It helps restore the natural balance of the vaginal environment, which can be disrupted due to hormonal changes or other factors.
Improvement in Urinary Incontinence: Many women experience urinary incontinence, especially during activities like coughing or sneezing. Laser rejuvenation can significantly reduce these symptoms.
Alleviation of Pain During Intercourse: By enhancing tissue elasticity and moisture, the treatment can reduce discomfort during sexual activity.
Enhanced Sexual Desire and Sensitivity: Patients often report increased sexual satisfaction and desire following the procedure due to improved tissue health and functionality.
Cosmetic Improvements: The treatment can lead to a brighter and smoother appearance of the vaginal skin, contributing to improved self-esteem and confidence.
Quick Recovery: The procedure is minimally invasive, requiring little to no downtime, allowing women to resume normal activities almost immediately

How do you know you have vaginal laxity?

Women can understand their own vaginal laxity if they have following symptoms:

Feeling of Looseness: You can detect looseness in your vagina especially during sexual intercourse. This is a primary indicator of vaginal laxity in most women.
Reduced Sensation: Because the vagina is loose, many women will feel decreased sensitivity during sex. This can lead to dissatisfaction for both partners.
Urinary Issues: As vaginal laxity is sometimes contributed to weakening of pelvic floor muscles you may also experience symptoms of stress urinary incontinence. You will experience urine leakage during activities like laughing or exercising.

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How do doctors diagnose loose vagina?

Doctors usually use the following tools to detect vaginal laxity:

Patient history: Doctors will ask for your sexual history and other symptoms mentioned above, as the first step of assessment
Visual examination: The doctor may observe the vaginal introitus (the opening) for signs of laxity.
Muscle strength assessment: Doctors may also assess muscle strength by checking the contraction. This test is done by inserting a finger inside the vagina and will ask you to contract the vagina. Based on the strength of contraction, she will grade the laxity from 0 to 5. 5 being a normal contraction and 0 being no contraction.

All these tests are important to also make a personalized treatment plan for you.

Are there home remedies for vaginal looseness?

Yes. Kegel exercises are extremely useful for strengthening the pelvic floor muscle. Check out our reel on how this exercise needs to be performed.

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Are there treatments that I can opt for vaginal laxity?

There are 2 non-surgical and 1 surgical option to treat vaginal laxity:

Non surgical treatments:

HIFEM Chair: The HIFEM (High-Intensity Focused Electromagnetic) chair is a revolutionary non-invasive device designed to strengthen pelvic floor muscles through advanced electromagnetic technology. This treatment is beneficial for both men and women, addressing various pelvic health issues. HIFEM has many benefits as follows:

Pelvic Muscle Strengthening: A single 30-minute session can produce the equivalent of approximately 12,500 Kegel exercises, making it a highly efficient method for strengthening pelvic floor muscles, shortening the time for seeing the results from doing kegel exercises alone.
Treatment of Urinary Incontinence: HIFEM has also proven effective in treating stress, urge, and mixed urinary incontinence. Clinical studies indicate significant improvements in symptoms and quality of life for patients after a series of treatments.
Enhanced Sexual Function: For men, HIFEM has shown to improve erectile function, ejaculation and penis rigidity. Women may experience enhanced sexual pleasure and improved vaginal tightness.
The HIFEM typically requires a course of 6 treatments for optimal results. These sessions are usually scheduled twice a week over the span of 3 weeks, with each session lasting about 30 minutes. Many patients may begin to notice improvements after just one session, but significant benefits are often observed after completing the full course of treatment

Laser vaginal tightening

Laser vaginoplasty is also referred to as laser vaginal rejuvenation. This is a minimally invasive procedure aimed at tightening the vaginal canal and improving its elasticity. This technique utilizes CO2 laser technology to promote collagen production and enhance the overall health of vaginal tissues. This technique works on:

Collagen Stimulation: The laser used stimulates collagen production. Collagen is essential for maintaining the elasticity and strength of these tissues, which helps tighten the delicate skin inside the vagina.
Improved Muscle Tone: Patients also experience enhanced muscle tone and tighten vaginal muscles after the procedure.

This procedure has minimal downtime and is a safe and non-surgical approach who have mild to moderate laxity.

Surgical vaginoplasty

For women with severe vaginal laxity, surgery is the best option. The procedure is done as follows:

Anesthesia: The procedure is usually performed under general anesthesia or regional anesthesia (anesthesia you had received during delivery.
Incision: The surgeon makes incisions in the vaginal wall
Tissue Removal and Muscle Tightening: The surgeon removes excess vaginal tissue and also tightens the surrounding muscles by stitching them together.
Closure: The incisions are closed with dissolvable stitches, which do not require removal.
Duration: The surgery typically lasts between 1 to 2 hours and is often performed on an outpatient basis.

How soon can you recover after laser vaginal rejuvenation?

Discomfort and Pain Management: Some patients may experience mild discomfort or a sensation similar to a sunburn in the vaginal area immediately after the procedure. This typically resolves within a few days. If needed, your doctor may prescribe you painkillers in case you need it.
Activity Resumption: Most women can return to their normal daily activities within the next day itself. However, it advised to avoid strenuous exercise and heavy lifting for at least 7-10 days for proper healing.
Sexual Activity: Sexual intercourse can be resumed after about 4-5 days. This is important for proper healing of the vagina.
Follow-up appointments: It is important to attend follow-up appointments as scheduled where we can check for the healing process..
Keep the vaginal clean: wash the area with clean water, avoid using harsh soaps. Our doctor may recommend a soap free, fragrance free product to clean the area if needed
Clothing: Avoid using tight or uncomfortable under garments or pants. Wear comfortable and breathable fabrics

The only potential side effect of laser vaginoplasty is redness, swelling or irritation, which generally subsides within a few days on its own.

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What is the recovery after surgical vaginoplasty?

While there is no admission after vaginoplasty, patients are advised to stay in bed on the day of surgery and take it easy for at least 48 hours12.
Expect swelling, soreness, and bruising, after the procedure which comes down within one to two weeks. Use the prescribed medications to manage the discomfort
Patients can shower on the next day after the surgery but should avoid hot tubs and swimming pools. Ensure to clean the area with clean plain water
Avoid any strenuous exercises for a minimum of 4 weeks. You can do light exercise like walking after 1 week’s rest
Avoid penetrative sex for 6-8 weeks, allowing the vaginal tissues to completely heal and reduce the risk of infections
You can resume your full routine after 1 week of surgery

The risks of surgical vaginoplasty include

Bruising or bleeding may happen after the surgery. In most cases it can be easily controlled. In case there is bleeding your doctor will advise you on the next steps
Infections can happen at the surgical site. Infections must be controlled after the surgery by taking the antibiotics as prescribed. This is a very important step to manage this complication.

Can my vagina become loose again after laser vaginoplasty?

Recurrence in vaginal laxity after laser vaginoplasty happens because of the following reasons:

Insufficient treatment: This can happen if you do fewer than recommended sessions. It is not that the vagina will become looser than what it already is, but the initial gains you made through the initial settings can be lost if you discontinue the sessions
Menopause: As the hormone levels drop, some women may experience laxity even after they have done laser vaginoplasty before. This
Childbirth: If you have another baby after laser vaginoplasty, there are chances that the childbirth creates laxity again.
Smoking: Smoking can increase the risk of laxity even after you have done all the sessions. Smoking can affect the healthy bacteria in your vagina and also cause more inflammation. These changes can cause laxity of vagina.

Since surgical vaginoplasty is a more aggressive procedure it can give more permanent results, but this is only recommended in advanced case of vaginal laxity.

Cost of vaginoplasty in Kerala

Laser vaginoplasty is quite new to Kerala, hence the cost differs significantly. Since cost is an important decision making factor, Smart Surgeons decided to give complete price transparency for our packages. The cost per sitting for laser vaginoplasty can range from Rs. 5,000 to Rs. 10,000 depending on the location and doctor fees.

The cost of surgical vaginoplasty is higher, as this requires regional anesthesia, which adds to the cost of treatment. The cost of Surgical Vaginoplasty can range from Rs. 80K to Rs. 1 lakh. This is primarily determined by the location and specialty.

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Does insurance cover vaginoplasty?

Vaginoplasty is typically not covered under insurance as it is believed to be a cosmetic procedure. However, surgical vaginoplasty can be covered under insurance if there are medical reasons like urinary leakage or fecal incontinence. You can discuss with Smart Surgeons counselor to discuss the possibility of insurance coverage. However, the insurance coverage is by reimbursement mode, so you will have to pay for the procedure beforehand and then wait for the insurance company to reimburse you the amount.

Vaginoplasty & Vaginal Rejuvenation in Kerala

Vaginal rejuvenation in Trivandrum, Kerala

Laser Vaginoplasty & Rejuvenation

Laser Vaginoplasty & Rejuvenation

Surgical Vaginoplasty

Surgical Vaginoplasty

Vaginal PRP / GFC

Surgical Vaginoplasty

Doctor at Smart Surgeons

What is vaginal laxity?

What are the causes of vaginal laxity?

Can you have normal delivery after laser vaginoplasty?

What are the benefits of laser vaginal rejuvenation?

How do you know you have vaginal laxity?

How do doctors diagnose loose vagina?

Are there home remedies for vaginal looseness?

Are there treatments that I can opt for vaginal laxity?

Non surgical treatments:

Laser vaginal tightening

Surgical vaginoplasty

How soon can you recover after laser vaginal rejuvenation?

What is the recovery after surgical vaginoplasty?

Can my vagina become loose again after laser vaginoplasty?

Cost of vaginoplasty in Kerala

Does insurance cover vaginoplasty?