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Question
Posted by: worried | 2004/02/16

feel like vagina too open

can one have a vaginal surgery to make it smaller or tighter.

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Our expert says:
Expert ImageSexologist

Kegel exercises strengthen pelvic floor muscles, the muscles that stretch during childbirth. They help improve sexual pleasure (more intense orgasms) by making the muscles stronger and more elastic, and they can improve bladder tone so that you don't leak urine. They won't, however, actually make your vagina smaller, but they can make the opening tighter.

Here's how to do Kegel exercises:

When you're peeing, clench (without your hands) your muscles to stop the flow of urine for about four seconds. Then release those same muscles to let the urine flow again. These are your pelvic floor muscles; these are the muscles you'll be exercising when you do Kegels.
If you want to check and make sure that you're using the right muscles, put a finger or two into your vagina. Tighten the muscles. If you can feel your fingers being squeezed (even just a little), then you've located the right muscles.
About five to ten times a day, repeat the Kegels ten times per session.
It can take up to 8 - 10 weeks to notice improvement, and there will most certainly be improvement. Like any kind of weight lifting or muscle building exercises, Kegels take time to make a difference! (Adding a vaginal barbell to your regular Kegel exercise routine can help. They are available at specialty stores that carry sex toys or sexual enhancement items.)
If you do Kegel exercises enthusiastically and regularly, and notice no change at all, ask your health care provider about other methods to strengthen your pelvic floor muscles, including:

Vaginal cones
These objects are weighted, tampon-sized devices that a woman puts into her vagina and holds there. A set of cones increases gradually in weight. One starts with the lightest cone, inserts it into the vagina, and squeezes the muscles to hold it in place. This is done twice a day, for about fifteen minutes per session, while going about one's usual activities. When a woman is successful at keeping the cone in place, she can move on to the next heavier cone, working her way up to the heaviest.

Electrical stimulation (called NMES or Neuromuscular Electrical Stimulation)
This method uses a probe in the vagina to stimulate the muscles of the pelvic floor with an electric current, which causes the muscles to contract and relax. Treatments are performed every one to four days and last about 20 minutes per session. Depending on the situation, one might do these treatments for a few weeks, or longer. Some health care providers perform these sessions in their offices; others prescribe home units for their patients.

NeocontrolTM
This is a special chair that uses magnetic fields to stimulate the muscles of the pelvic floor. These treatments are usually administered by a technician or nurse in a urologist's office in 20 - 30 minute sessions, twice a week, for about eight weeks.

If you have severe problems due to vaginal stretching, some health care providers will recommend surgery; this is usually a last resort. Laser procedures and more complicated ones to re-position your bladder are available. You and your provider will figure out what makes sense for you.

At the DISA Feamel Sexual Medicine Centre we provide the above mentioned services. (011) 787 - 1222 or contact SA Sexual Health Association on 0860 100 262 for a referral in your area.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: James | 2004/02/16

There is an operation called a posterior repair but as with any surgery there are risks involved.My wife is experiencing many problems since surgery ie.leaking urine,painful intercourse etc.Doctors just deny that the surgery is the cause of the problem.

Reply to James
Posted by: Exercise | 2004/02/16

You can also tighten the muscles by doing exercise. When you go to the loo try and stop your urine halfway through. That action can be performed at any time during the day while at your desk and at home while watching TV. Do regular exercises and it should tighten the vaginal opening.

Reply to Exercise
Posted by: pixie | 2004/02/16

It really doesnt matter so long as you (both partners) derive pleasure from the act. It is embarasing at times of course cos there are squashing sound bot just shut out aly sound and enjoy. However you may wush to try pinnign the man with yr thighs as this helps a bit. you control penetration and also the opening, which may be a little consolation. Let surgery be the last resort. also go easy on the lubricants, they are messy.

Try also cleaning yrself up before the act, powder the vulva a bit with baby powder, just enough and wash well after.

Reply to pixie
Posted by: a | 2004/02/16

Why have surgery? Has anyone complained? Check out Betty Dodson's website and it will give you an idea of how varied they are.

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