Fibroids Of The Uterus

Vaginal Rejuvenation: Is it right for you?

Vaginal Rejuvenation: Is it right for you?

We live in a world where many people feel pressure to stand out, to be special, or unique; to have something that nobody else has. And yet, ironically, we simultaneously strive to look and feel our best. We work hard to achieve he?look; to look like the tars? The cosmetic and fashion industries obviously promote these endeavors. There are now, many new and varied surgeries that are being developed to help us meet our personal appearance goals. Additionally, exercise programs, diet education, healthy living advice, drug and tobacco avoidance are all important goals that we are all well in tune with. All of these pieces of advice will help us lead longer, happier and healthier lives.

So what does all this have to do with aginal Rejuvenation?(also known as Vaginoplasty, Vaginal Tightening Surgery, Vaginal Tightening by Surgery, Cosmetic Vaginal Surgery, and Laser Vaginal Rejuvenation)? Good question.

I want to take this opportunity to point out that, in my opinion, Vaginal Plastic Surgery and Vaginal Cosmetic Surgery may have less to do with how the vagina looks and more to do with how it works and feels. A recent study showed that nearly 50% of women in the United States report some form of sexual dysfunction(1). The most common complaints are lack of interest in sex (39%), low arousal (26%), and difficulty reaching climax (20%). Each of these issues is directly related to the function and appearance of the labia and vagina.

Over time, many changes occur to the pelvic floor muscles, bladder, rectum, anus, vagina, and labia. There are many causes for these changes; most of which are beyond the control of the individual. Most commonly, pregnancy and childbirth have a dramatic effect on the integrity and strength of the pelvic muscles. Many women heal back to a point where they feel satisfied but often state just not the same? Care providers will usually teach Kegel exercises as a way to improve pelvic function non-surgically. When these efforts are not adequate, many women will seek surgical assistance. Natural aging, repeated heavy lifting, medical conditions that cause a lot of coughing or straining, and weight gain can also lead to drastic changes in genital function and appearance.

In our experience, urinary incontinence and difficulty with bowel movements are two of the more common problems that develop and then worsen over time. Fortunately, there are very effective procedures that will help one regain normal function and return to an independent daily living free of these debilitating limitations. In regards to Vaginal Rejuvenation, Arizona has seen a sharp increase in demand for these types of procedures. The most important thing you can do to help yourself is discuss these issues with your physician. There are some new materials and techniques available that have revolutionized the ease of Vaginal Plastic Surgeries, recovery and the effectiveness of these repairs. Thousands of women are regaining their active lifestyles after minimally invasive surgeries that only require a week or so of recovery and yet yield a lifetime of satisfying and normal function.

The words aginal Rejuvenation?are a relatively new term that refers to the multiple procedures that can be done to repair the various problems that one may experience. Each person will have her own unique needs, and treatment should be designed on an individualized basis. An experienced, versatile gynecologic surgeon, fully versed in the different options available, will be able to design a treatment plan that is ideal for your specific needs and desires in regards to Vaginal Plastic Surgeries, Vaginal Tightening, and Vaginal Tightening by Surgery,. I have found that really listening to what my patient is noticing and feeling in her body provides me with invaluable information. This information helps me recommend the correct combination of Vaginal Rejuvenation repairs that are right for her. So, be frank, open, and honest with your doctor when you have discussions on these topics.

Let’s turn our attention to the specifics of these options.

I evaluate my patients with attention to four compartments: external (labia minora and introital skin), anterior vagina (urethra and bladder neck), posterior vagina (rectocele and anal sphincter), and the deep vagina (cervix, uterus and enterocele). Any person may need attention to one individual area, all four compartments or any combination thereof. Therefore, each person must be carefully evaluated for what would maximize benefit and minimize risks. Repair of the anterior and posterior compartments (if necessary) are usually straight forward. Revisions of the labia and whether or not to remove the uterus (hysterectomy) are often times a more difficult decision.
First, labia minora come in a wide variety of normal shapes, sizes and colors. When a patient has recurring infections, discomfort or pain with different activities (whether it be intercourse, biking, running, horseback riding, etc), or unhealed trauma, she should be considered for revision. In cases where there is dyspareunia (painful sexual intercourse), frequent urinary tract infections, and difficulties with hygiene and urination, your health insurance may cover Labioplasty Surgery. However, when a patient has a cosmetic goal for the labia without a functional issue, we think it is important to carefully review and discuss the risks and benefits involved in a surgery of this type.

As far as hysterectomy is concerned, we usually recommend a conservative approach if the uterus is not greatly enlarged or severely prolapsed. Many women would love to avoid monthly menses and often request a hysterectomy. Hysterectomy is a very common surgery. It is considered a major surgery and, as such, carries certain risks and problems. New ablation techniques are very effective in alleviating menstrual difficulties without the serious complication risks or lengthy recoveries. Additionally, the uterus and cervix are thought to be instrumental in normal sexual function and climax. Consequently, its?removal can adversely affect female orgasm. Armed with these options/benefits/risks, I only recommend hysterectomy when conservative management has failed or there is documented tissue pathology (i.e., cancer or large fibroids of the uterus). Two other situations arise that often lead me to recommend hysterectomy; painful or tender uterus (adenomyosis) and severe (grade III or IV) prolapse. Although neither of these situations is life threatening, they both cause significant dysfunction and diminish quality of life. Hysterectomy will allow this person to be functional again and thus make up for any loss in climax sensitivity. Certainly normal sexual function and orgasm are achievable after hysterectomy but make require a new approach and a shift in focus to external stimuli.

In summary, aginal Rejuvenation?is a modern term that represents a variety of procedure combinations utilized to surgically repair the internal and external female genitalia. Many of the techniques used are tried and true procedures that have been utilized for decades. Others are new twists with new materials that have offered significant improvements in effectiveness and reduced recovery times. Don’t be too nervous or shy to discuss personal issues with sexual function, urinary leakage, vaginal pressure with bowel movements, or any other seemingly embarrassing topic with your doctor. You are not alone in your struggles. We are trained to help you with these issues by formalizing an individual plan for repair and rejuvenation.

In conclusion, I would like to emphasize the importance of finding a surgeon with two equally important attributes. First, your surgeon should be well trained and skilled in the techniques required for this type of repair. Get personal recommendations from friends and/or do your research with the medical board and specialty board. For example, is your surgeon board certified? Check with your friends for referrals. Second, and just as important, he or she should also be able to listen carefully to your needs, issues, and desires and then perform your work-up and evaluation in a skilled, organized fashion with understandable explanations for you regarding options, risks, and expectations. Communication, explanation, and expectation are all crucial components in a successful relationship with your doctor ensuring your happiness and fulfillment. For more information regarding vaginal rejuvenation please visit us online at

1.Shifren JL, Monz BU, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970-978

Ty Witt, MD, FACOG is a board certified Gynecologist. Steven Gitt, MD, FACS is a dually board certified and re-certified Plastic Surgeon who has been in private practice for over 16 years. Dr. Gitt and Dr. Witt are in a group practice with 3 other Plastic Surgeons at North Valley Plastic Surgery in Phoenix, Arizona.

About the author: For more information regarding vaginal rejuvenation please visit us online at . North Valley Plastic Surgery additional services can be found online Read more.


Frequently Asked Questions

    what r the reasons for formation of uterus fibroids. What precautions should be taken. ?

    • ANSWER:
      Honestly there is no reason even gynecologists dont know why but most of them say you have to have a child before they fill up your uterus,or go for an operation where they will be removed and usually they come back again.

    Have any possibilities for surgical removal of the uterine?
    Have any possibilities for surgical removal of the uterine
    fibroids uterus on labor period?

    • ANSWER:
      I’m sorry, but I don’t understand your question.

    uterus/ fibroids?
    I had a large uterine fibroid removed on April 22. The fibroid was large 10.5 cm, so they did it by an incision cut (from my belly button down to the top of my vagina). The first week and 1/2 were painful, but now I’m up, walking around doing pretty normal activities. Went to my post-op visit, and the pathology was normal/benign (orig. they were worried it was cancer because the tumor grew so big so fast). But I’m ok, and the stitches had dissolved. The Dr. performed and internal exam and said everything looked fine and that for the next two to three months it’s normal to feel a little “off” down there.
    Well other than the scar healing and the skin being a bit bruised and tightened I was feeling fine. Now I constantly feel bloated. I feel like my colon is always filled with pressure and gas. I don’t know if this is what she means by “off” and it’s normal after major abdominal surgery or if I should call and make another appt?

    • ANSWER:
      your colon might feel funny because poking around in the abdomen can disturb it (and colons are sensitive!) call & ask just to be sure, but unless you are suddenly in pain or severely constipated you should be fine.
      I had a fibroid & some ovarian cysts removed & I was a little bloated for a month or so afterwards as well. I think it’s a combo of inflammation in the area & retaining some excess fluids from the IV.

    fibroids, enlarged uterus, enlarged ovary(malignant)?
    My uterus is enlarged (1/3 again), 2 fibroids 5x5cm each and ovarian cyst about 5x5cm. Upper fibroid attached to bowel, lower fibroid attached to main artery to left side of Uterus. Cancer of ovary contain. Am waiting operation to remove all. Anyone had the same?

    • ANSWER:

    fibroids in uterus?
    yesterday i found out i had fibroids in my uterus actually a year ago i was diagnosed thru ultra sound then six months ago another ultrasound came back showing no more,now again i have them do they cause infertility?my DR. says no but i really don’t like him i’m looking for a female periods are very long and heavy with lots of pain he says fibroids do not cause pain well what does he know he’s a man.test also showed polyps in to parts of my colon and are alot scattered he says that’s what’s most likely causing my pain and i think it’s a female problem that’s causing my pain is he just trying to throw me back to my regular DR. or do you think that he’s wright that i should be worried about my polps then anything else wright now,he says i’m fine in the female dept why can’t i believe it?buy the way i’m 35 and it just seems impossible to have so may polyps in my colon.

    • ANSWER:
      I had Fibroid removal surgery in April and it took care of a lot of the problems. I have always had them but pregnancy made them get bigger.

      I was also in the process of being a Surrogate and found out that Estrogen makes them get bigger. Mine got so big that the doctor said that if I was to get pregnant that there would not be enough room for me to carry a baby to full term. Subsequently I had a miscarriage with my couple because of their size.

      Go to another doctor because yours does not seem to know his A$$ from his hand (excuse the lang.)! They cause heavy bleeding, clotting and bad cramping. They, YES, can cause infertility unless taken care of.

      My doctor now (whom is male) is a second opinion doctor that I went to because my original doctor (a female) said that I should get a complete hysterectomy at the age of 31. NO WAY! I AM TOO YOUNG! My new doctor said that I would be better off having a hysteroscopy and that my uterus was the size of a womans whom would be 8-10 weeks pregnant. They ended up taking out one that was 6mm by 6 1/2mm and becoming neucrotic along with 2 medium sized ones and 5 smaller ones. Now I am completely healed and feel better than ever! I look thinner now too!

      A lot of women have them but they usually don’t cause any problems. My doctor said that by menopause most women have them but don’t feel them because menstration has stopped. Also by that time some are getting hysterectomys and they go away at that time.

      Please if you only remember one thing about my letter, is that above all else, get a second opinion. And a third if you are not satisfied with what you are hearing.

      Good luck to you! 🙂

      P.S. I looked on to get info on fibroids and their treatment. Maybe it will help you in making an informed decision.

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