Human beings have still not fully adapted to take into account bipedalism (the fact that they walk on two legs instead of four). Amongst the problems this causes is back pain, which is highly common amongst humans but very rare in animals.
Another problem caused by walking on two legs is suffered by women who have to bear the entire weight of the foetus during pregnancy, a nine-month period in which their pelvic muscles have to support more weight than usual. This causes problems such as distension of the pelvic muscles, loss of tone in the area and detachment of the bladder, which can lead to significant urine loss during physical effort. Furthermore, sexual relations are not satisfactory either for the women suffering from this complaint or for their partner.
Added to all this is the distension of the tissues caused, after nine months of gestation, by the birth and the exiting of the baby through the vaginal channel. What is more, if the birth is difficult, the gynaecologist may decide to carry out an episiotomy, which involves cutting through the skin and muscle of the perineum to help the baby to exit.
When the post-partum tissue recovery is not complete, women can suffer from problems during sexual relations as a result of the huge dilatation of the vaginal walls or due to the cutting of the vaginal and perivaginal muscles during the episiotomy.
When this occurs, women can find it difficult to enjoy sexual relations and in many cases suffer from stress and anxiety. Women tend to resign themselves to this situation, either due to taboo or because some gynaecologists do not regard it with the seriousness it deserves.
There are numerous functional treatments and exercises designed to improve muscle tone in this area. However, they often fail to work because it has become completely destructured.
Today, we have surgical techniques to solve or at least alleviate this problem.
It is important for women to be aware of all their treatment options, as many patients come to our Intimate Surgery Unit when they suffer from functional problems such as urine lost when straining or carrying out physical efforts. It should be noted that lack of satisfaction during sexual relations can seriously affect couples and that in many cases, either due to shame or the taboo surrounding the matter, it is not discussed, thus leading to a cooling off of sexual activity and thus of the entire relationship.
Surgery as a solution
Vaginal tightening surgery may or may not be associated with other vaginal rejuvenation techniques. It is usually a short procedure lasting one or two hours, carried out under general anaesthetic and involving an overnight stay.
Surgery consists in tightening the muscles located around the outer third of the vagina, which are those responsible for strengthening and narrowing the vaginal wall. This ensures improved muscle tone, elasticity and control of the vulva.
An incision can be made by laser, a procedure which is called laser vaginal tightening. Nevertheless, at the Female Intimate Surgery Unit, we recommend a cold (scalpel) incision, which is much more gentle on the tissues.
Stitches fall out on their own two weeks after surgery and sexual relations can resume after a month. When the patient suffers from urine loss, this must be tackled by reinforcing the vaginal roof.