If penile implants are covered by insurance--and if Viagra is covered for that matter--then vaginal tightening should be too. Maybe when I'm the surgeon general.
85% of all women experience a perineal tear during vaginal childbirth, with half of those being "severe": involving the pelvic floor muscles. Half. Of. All. Women. Studies suggest that most of these women are asymptomatic, but the reality is that many women suffer from:
• a lack of mutual satisfaction during intercourse because of vaginal looseness,
• painful scarring from tears that cause dyspareunia (pain during sex), and
• insecurity about the appearance of a wide introitus (large opening)
It's not time to start the conversation. It's actually long overdue.
This is is a before picture of a 35 year old mom of three who had vaginal deliveries for each child. Her main complaints were all three of the above. When I asked her if she had any history of birth trauma (perineal tears or lacerations during childbirth) she said no, yet when I examined her she had moderate scarring of the posterior vaginal canal and a very short perineum with an obvious history of injury, and in addition she had a wide introitus (opening). As you might assume, women don't want anything inside to be visible from the outside, and that was another of her main concerns.
While physical therapy can help with some of these issues, a vaginoplasty or perineoplasty is a small procedure that actually resolves them. Here is our same patient immediately after a perineoplasty.
We're entering an era where taboo topics are vanishing, being replaced by empowered conversation and shared medical decision making. If you're experiencing symptoms related to vaginal childbirth, find a doctor who can help you put words to them. Vaginal looseness is common after vaginal delivery, but it isn't "normal" unless we allow it to be. Erectile dysfunction is common too, but in our society men deemed it unacceptable. It's time (long overdue) for women to do the same with vaginal laxity.