more to good sex than a tight vagina, but it certainly
Original Article as Published in Florida Today (PDF)
Terms such as vaginal
rejuvenation, designer vaginoplasty, revirgination,
G-spot amplification are all used to describe certain
cosmetic gynecologic procedures. With all the terms
being used interchangeably, it is sometimes hard to
understand what they all mean.
In this article, I will
describe some of the terms being used and the changes it
can possibly accomplish.
The goal of the woman
desiring cosmetic gynecologic services is often to
enhance sexual gratification/satisfaction for her and
her partner and/or to look more physically appealing by
changing the appearance of her genitalia. Cosmetic
gynecology is plastic surgery in the vaginal and vulvar
The desire to have this
surgery performed has steadily increased and more
gynecologic surgeons are offering the service. With all
kinds of terms used interchangeably it all gets to be
designer vaginoplasty are meant to describe the width
adjustment of the vagina and realignment with the
perineal body (area between vagina and rectum) that can
be made by some well-placed surgical stitches in the
support tissue of the vagina. If the laser is involved
it is mostly used for incising the tissue. The stitches
will dissolve quickly.
For clarification, I
will mention that there is one procedure on the market
that claims laser tightening without placing the
stitches, however it lacks long-term data.
Another procedure is
G-spot amplification, enlargement injections in the
front wall of the vagina where the G-spot is located.
This will have to be repeated when it wears off and
obviously the owner of the injected G-spot is the best
one to judge how well it works.
Labiaplasty refers to
reshaping or resizing of the labia majora or minora (the
large and small lips). Usually women like to have their
labia minora small and the majora will differ. In
Brazil, where plastic surgery is being used a lot, women
like protruding labia majora, in the United States women
sometimes prefer to have them flattened. Obviously it is
a very personal decision depending on what you desire to
usually to flattening of the clitoral body, obviously
not removal of the clitoris, since that would not aid
As emphasized by the
American College of Obstetrics and Gynecology (ACOG),
every woman is different and vaginas and labia come in
all different sizes and shapes. This is not any
different from breasts or any other body parts where
women choose an adjustment.
cosmetic gynecologic procedures are not medically
indicated and safety and effectiveness have not been
documented. The complications of infection, altered
sensation, pain with sex, adhesions and scarring, as
well as the lack of data, are other factors of their
hesitancy towards supporting the cosmetic procedures of
procedures did not become so popular if these problems
usually occur. Cosmetic gynecology, which includes
numerous procedures, is not limited to vaginal
rejuvenation and labiaplasty, but is emerging quickly as
a popular surgery, and for obvious reasons.
For years women and,
secretly their partner(s), wished the vaginal sensation
would return to normal before they had kids.
Women who had
noticeable sagging of their vagina, prolapse, noted that
after surgery the sexual pleasure improved tremendously.
However, so many women have a vagina that is wider, but
not prolapsed and did not qualify for regular pelvic
floor corrective surgery.
Insurance will not
cover the vaginal tightening procedures, however the
services are at least available now.
I agree with ACOG that
the proprietary use of some of the cosmetic gynecology
procedures limits a good collection of data to advance
science and offer woman improved procedures over time,
however to deny women services that could potentially
improve their sex life and self-esteem is troubling.
Women should be able to
make their own decisions towards the need for
intervention in their vulva and vagina, like they do for
their abdomen, breast, face and all other areas of their
Although it is usually
women that have had vaginal births that look for vaginal
rejuvenation or tightening of the vagina to improve
their sensation to what it used to be, the first patient
I ever treated many years ago for this reason was 50 and
never had had any children.
Her first husband left
her, as did numerous other sexual partners, for what she
discovered later was her unusually large vagina. She had
seen some other gynecologic surgeons in the area, but
preferred that I would restore her vagina, because of my
reputation and expertise in vaginal surgery.
I could only agree with
her assessment; her vagina was unusually wide over the
entire length. Subsequently her vagina was surgically
adjusted to her complete satisfaction. Her (sex) life
has improved significantly and I am glad I did not quote
her the ACOG opinion that we come in all different sizes
and she basically had to live with it.
Cosmetic gynecology has
given a lot of women an improvement in their sexual
gratification and body image. Discussion before surgery
is very important to understand your needs and wishes to
improve your genital area and happiness as well as the
A tighter vagina is not
the only answer to a more gratifying sexual experience,
but it sure helps.
Marja Sprock, MD at Central
Florida UroGynecology in Rockledge will be able to
adjust your vagina and labia to suit your needs. Please
see her for a consultation to discuss your options and
desires. Dr. Sprock is a board certified OB/GYN,
fellowship trained urogynecologist
Leave a message
on this website or call
321-806-3929 for more details.