Having children and reproducing is necessary for the survival and development of the human race, but natural childbirth can also lead to a decrease in the quality of life in some areas. For example, some women who have given birth naturally (or had multiple children) have poor postpartum recovery, resulting in vaginal laxity, reduced quality of life for couples, and even strained relationships and divorce. For decades, we have met many women who came to the doctor with their husbands or their children’s mothers, complaining of vaginal laxity due to perineal tears during childbirth, poor postpartum rest, and disharmony in couple life, asking for vaginal tightening. Vaginal laxity has a certain impact on the couple’s life, and the high demand may lead to a certain psychological shadow on both sides. 1. Causes of vaginal laxity: laxity of ligaments due to pregnancy hormones; laxity of vagina due to overexpansion after birth; decrease in tissue tension with age. All of these causes can lead to vaginal laxity. Husband does not want to have conjugal life with her and does not return home from working outside all the time. 2. Can postpartum vaginal laxity be restored as before? During the breastfeeding period, the body functions and appearance will gradually recover, and if you do the appropriate postpartum exercises, the recovery will be better and faster. No medication is usually needed. However, it is not possible to recover as well as before, and there may be some degree of vaginal laxity. 3. The normal vaginal opening can accommodate two and a half fingers, but more than three fingers can be diagnosed as vaginal laxity. 4. Indications for surgery for vaginal laxity: vaginal tightening should be considered in the following cases: ① vaginal laxity that affects the quality of married life; ② old vaginal laceration with vaginal laxity; ③ stress urinary incontinence, which is manifested by urine flow when the abdominal pressure increases such as coughing. 5. How is vaginal tightening performed? Vaginal rejuvenation as the name implies is to reduce the diameter of the vagina and reduce the vaginal space. A semi-circular incision is made along the vaginal opening, the vaginal sphincter is folded and tightened, and the incision is then closed. Gauze is placed in the vagina for 1 to 2 days after surgery to stop bleeding by compression. 6. Vaginal tightening can be performed on married women with vaginal laxity, but women who have not given birth naturally usually do not have much vaginal laxity, so they do not need to have this surgery. 7. Some women have scarring from the lateral perineal incision made during childbirth, and some have pain during intercourse due to poor suture alignment. This can be corrected at the same time as vaginal rejuvenation. 8. What is the best season for vaginal rejuvenation? Vaginal rejuvenation can be done in any season and the seasonal temperature has no effect on wound recovery. 9.Preparation for vaginal rejuvenation: ①Avoid menstruation, preferably 3 days after menstruation. ②No vaginitis in gynecological routine leucorrhea examination. ③Stop taking anticoagulant and blood-activating drugs (such as aspirin, salvia tablets, panax ginseng tablets, etc.) for more than 3 days. 10.How is the anesthesia used for vaginal tightening? It can be done under local anesthesia, general anesthesia or continuous epidural anesthesia. It is slightly painful when injected with local anesthesia, but you will not feel any pain if you operate under general anesthesia or continuous epidural. 11. Does vaginal tightening bleed a lot? The surgeon will stop the bleeding in time during the surgery, and after the surgery, gauze will be placed in the area to stop the bleeding, so there is not much bleeding. 12.Post-surgery precautions After surgery, the diet is as usual and there is no contraindication. You can walk as usual without bed rest, but heavy physical labor is prohibited. For good healing of the incision, intercourse is prohibited for 2 months after surgery. 13.Postoperative medication and wound infection The routine application of antibiotics for about 3 days after surgery, usually no bacterial infection. Occasionally, there is mycosis vaginalis after surgery, but it can be cured soon with normal treatment. 14.What is the relationship between menstrual flow after surgery? Avoid menstruation as much as possible, in case you get your period after surgery due to irregular menstruation, it does not matter. Menstrual blood is sterile and will not cause infection of the incision. 15. Is the scar of vaginal tightening surgery obvious? The incision of vaginal rejuvenation is concealed at the vaginal opening, which is a mucous membrane, so the scar of the incision is almost invisible. Even if the patient is a keloid, the scar will not be obvious. 16. What are the results of vaginal tightening? The results are obvious after vaginal tightening surgery and if good pelvic floor muscle exercises are maintained at the same time, the results will last for more than 10 to 20 years. 17.How can I enhance the recovery of pelvic floor muscle tone after delivery? The way to exercise the pelvic floor muscles is very simple, that is, to do frequent anal lifting exercises – contracting and relaxing the anus. You can exercise during meetings and offices. The exact way to do this is to interrupt urination while urinating and experience the position of the muscle groups that are contracting in the lower body, remembering the feeling of tightness. When exercising, you should quickly contract and relax the pelvic floor muscles for tens of seconds at a time, and contract the muscles for as long as possible after a long period of time, with 2 minutes as the upper limit. If you can control yourself, slowly increase the persistence time and exercise times. 18.Does the shrinkage pill work? It is not recommended to use vaginal reduction pills, especially the so-called vaginal reduction pills sold by some irregular adult health stores are very dangerous, which contain corrosive agents that cause damage to the surface of the vaginal wall and increase the sensitivity of the vagina, which can cause great damage to the body. 19. Are there any risks associated with vaginal tightening? Will it affect pregnancy and childbirth? Vaginal rejuvenation surgery is risk-free and there are no after-effects. For safety reasons, it is necessary to stay in hospital for 2 days after the surgery for observation. The surgery will not affect the pregnancy or birth again. Modern people are paying more and more attention to improving their quality of life as their living conditions improve, and more and more people are having vaginal rejuvenation. This shows that society is progressing and people are developing, and the quality of life is becoming more and more recognized. Case A middle-aged couple in their 40s came to the clinic. The couple were college friends and had a son after marriage. Due to the large size of the child (weighing more than 9 pounds), the woman suffered a third degree perineal laceration during delivery because she did not have a lateral perineal incision. After the birth, the quality of life of the couple decreased, so the husband worked for a long time outside and rarely came home, and often traveled. Because of the good relationship between the couple, they did not want to divorce. She heard that I can do vaginal tightening, so she came to me for treatment. On physical examination, the woman’s vagina could easily accommodate 4 horizontal fingers, the vaginal opening was misaligned and sutured malformed, and there was no vaginitis. After routine blood tests were normal, I performed vaginal augmentation under local anesthesia and repaired the vulvar deformity. After the surgery, the couple was satisfied with the result of the surgery and had a harmonious sex life.