The problem of a loose vagina after childbirth is a common problem for many people, and many women even refuse to have a natural birth and request a cesarean section because they are worried about vaginal relaxation after childbirth. Vaginal Relaxation Syndrom (VRS) is a problem that many women have after giving birth, often the more births they have, the greater the chance of loosening, and another factor is age, as the vaginal wall shrinks with the decline of estrogen after menopause. After menopause, the vaginal wall may atrophy as estrogen decreases, which can lead to a relaxed vagina. When the vagina is relaxed, sexual pleasure is reduced due to less friction, which can affect sexual satisfaction. Some patients complain of exhaustion during sex, which is also a sign of laxity. Kegel training is to strengthen the muscles of the pelvic floor by exercising them to improve the satisfaction of sex life, if done well, it is obvious that the satisfaction of sex life is improved, but you need to make persistent efforts. Wall repair surgery is a bit too much for mild vaginal wall bulge. For post-menopausal patients, some estrogen ointments can be used to regenerate the vaginal mucosa. Don’t worry too much about the side effects of estrogen ointments, as they are safe to apply topically and do not have the side effects of oral systemic application. Surgery to correct vaginal wall bulge and vaginal laxity is similar to trimming a part of the vaginal wall tissue to reduce the vaginal meridian and achieve vaginal reduction after the rubber band has relaxed. Surgery is a very fast and effective method, but it is inevitable that there will be bleeding, damage, scar formation, etc. You need to wait about 3 months after surgery before you can consider having sex again. Is there nothing that can be done for mild vaginal laxity or bulging vaginal walls except Kegel exercises? No. In recent years, new technologies have emerged that allow for more treatments in this area, such as laser treatment. Laser treatment is based on the principle of erbium laser irradiation of the mucous membrane of the vaginal wall, the heat of the laser heats up the tissues and causes rapid contraction and thickening of the collagen in the mucous membrane of the vaginal wall, contracture and strengthening of the stimulated tissues, reconstruction and regeneration of the tissues, reconstruction of the vaginal wall and reduction of the vaginal meridian. According to the results of the study, the vaginal wall can be reduced by an average of 17% after laser stimulation, and the sexual life can be significantly improved after the treatment. In the postpartum period, 94% of patients with combined urinary incontinence also improved after 2 laser treatments, so I now also recommend that patients with mild to moderate incontinence try laser treatment in conjunction with Kegel exercises. The laser treatment can be done on an outpatient basis, and it takes about 2 to 3 treatments, each lasting about 15 minutes, with very little pain and no need for anesthesia.