Vaginal Tightening

HELP!!  After 3 children (delivered vaginally), my wife's vagina is so loose that sexual intercourse is no longer enjoyable.... what can I do???

Age and vaginal childbirth causes a woman's vagina to expand, and while her vagina can be compared to a muscle, vaginal childbirth and age will tend to make every woman's vagina, less "tight" than what you, and she may have been used to before childbirth.

In terms of what you can do, you might ask her if she has noticed a difference in her pleasure, or lack thereof, during intercourse. If she agrees that her vagina isn't as snug as it once was, you might recommend to her that she try "exercising her vagina" through "kegel exercises."  "Kegel exercises," when done correctly, will tone and tighten her vagina, and make intercourse more pleasurable. For women that cannot regain their vaginal tone and whose vaginas remain too loose, gynecologists can perform "vaginal tightening surgery" that will make a woman's vagina "nice-n-tight," again!

What Husbands Need to Know About "Vaginal Relaxation"

"Vaginal Relaxation" is a common condition of most women who have undergone vaginal childbirth.  Vaginal relaxation refers to the loss of vaginal tone of the vaginal supporting structures.  Symptoms of vaginal relaxation may become progressively aggravated and especially bothersome as a woman approaches menopause and post-menopause. 

Some doctors and researchers believe that there may be a disruption (rather than stretching) of the vaginal ligaments during childbirth in women with vaginal relaxation. 

Symptoms of vaginal relaxation include a protrusion or heavy, or "falling" feeling in a woman's vagina.  Other symptoms may include low back pain, painful intercourse, difficulty initiating stool or urination, stress urinary incontinence, and pelvic pain or pressure. 

What is a Vaginal Vault Prolapse?

The vaginal vault is the area at the top of the vagina, next to and adjacent to the cervix. It can only “fall” or descend downwards toward the introitus, or the entrance of the vagina, after a woman's womb has been removed (hysterectomy). Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons.

What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Organ Prolapse may also be called; genital prolapse, vaginal relaxation, pelvic prolapse, prolapsed uterus, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse or vaginal vault prolapse.

What is Pelvic Prolapse?

Pelvic Prolapse is another term used for "Pelvic Organ Prolapse."  Pelvic Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Prolapse may also be called; genital prolapse, vaginal relaxation, Pelvic Organ Prolapse, prolapsed uterus, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse or vaginal vault prolapse.

What is a Prolapsed Uterus?

A prolapsed uterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis. 

A prolapsed uterus may be one of three types, depending on the severity:

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