woman holding a baby in her lap

Treating Postpartum Vaginal Laxity

If you’ve given birth, you know all the physical and emotional distress associated with the process! And if you’ve given birth vaginally, you know it can be difficult to bounce back to normal “down there,” which can have a major effect on your sex life.

Vaginal Laxity, or “looseness” as it relates to vaginal childbirth occurs when the muscles in the walls of the vagina are over-stretched as you push that bowling-ball sized baby’s head through it. The vagina naturally relaxes in response to sexual arousal, but regular sexual activity will not contribute to the vagina “loosening” because the vaginal will naturally re-tighten itself afterwards. The relaxing of the vaginal wall also naturally occurs during childbirth, but there are limits to its elasticity. You can stretch out a waistband or a sock in the same way – over-stretch it, and it will never be the same… or will it?

Sometimes Vaginal Laxity sorts itself out along with a host of other post-partum body complaints that new moms have once their babies have transitioned over to solid food and stopped breast feeding. But, Vaginal Laxity can also persist, and can contribute to sexual dysfunction. Not everyone who experiences Vaginal Laxity has complaints about their sex life, but it can reduce pleasurable sensation during intercourse and result in less sexual satisfaction for you and your partner, which of course contributes to less sexual intimacy. Add Vaginal Laxity to the list of other life-altering changes that baby brings and it can seem like your love life is over!

The good news is, you do not have to live with Vaginal Laxity! There are many ways to treat it. Talk to your OB/GYN about it at your next appointment, try pelvic floor physical therapy, and keep up with your Kegel exercises, but your vaginal walls might still need a little extra help. That’s where we come in! IntimMedicine Specialists is host to several ongoing clinical trials, and we are excited to offer a free treatment in a study on a new technology to help with vaginal tightening! If you’ve given birth vaginally at least six months ago and are experiencing sexual dysfunction related to vaginal laxity, you may qualify. Medical insurance is not required for study participation and compensation for time and travel is provided.

If Vaginal Looseness is keeping you from enjoying sex, it’s time to treat it! Space is limited, so call to schedule your appointment with Laura Barbee at 703-242-6362.

Researchers have discovered many of facets related to women’s biological and physiological reactions, but when it comes to sexual response, there is still a learning curve. However, there is great news! A recent study on sexual pleasure among women, reports that certain variations of genital touch are pleasurable, preferable, and/or associated with orgasm. Women know this but at what level? As we discussed in our previous blog, women’s early sexual partners provided them with their only sex education; with little knowledge and much fumbling, clitoral pleasure, for example, was discovered almost by accident. Sharing sexual history is important for women as patients, medical professionals, and sexual wellness educators. Helping women to communicate as honestly as they can with their medical care team, can help to improve women’s sexual health and wellness and overall fulfillment.

Sexual Pleasure Study
A large-scale study about women’s pleasure was conducted in partnership with OMGYes Sexual Pleasure Project: Women and Touch and researchers at Indiana University’s School of Public Health and The Kinsey Institute in 2015. The team asked 1,055 women ages 18 to 94 years to take an internet study that asked specific questions about genital touch, sensation, pleasure, and orgasm. Previous studies that have focused on more specific techniques related to women’s sexual pleasure and orgasm have not fully examined types of touching in detail. Rather, they have often focused on stimulation of particular body sites such as the clitoris, “g-spot,” or breasts/nipples, and so on. But this study was specifically focused on one area, to gather as much information in greater detail than has been previously recorded. The full report is in the July issue of the Journal of Sex and Marital Therapy.

Orgasm during Intercourse
Of the survey respondents, 347 women who ever had intercourse reported that they needed clitoral stimulation in order to have an orgasm; 341 said that although they did not require clitoral stimulation for orgasm during intercourse, adding it enhanced orgasm; and 174 reported that vaginal penetration alone during intercourse was sufficient for orgasm. The remaining 71women reported they did not have orgasms during intercourse.

We’re All Different and That’s Okay
Respondents varied widely on at least four areas: (1) location, (2) pressure, (3)
shape/style, and (4) patterns. Women might find it helpful to think about these different dimensions of genital touch or stimulation when exploring their sexual response during solo or partnered sexual play. Having these four dimensions of touch in mind may give individuals or couples more direction to experiment and find out what works best for her/them!

Results also shed light on orgasm during penile-vaginal intercourse. In the study sample, some women reported experiencing orgasm from penetration alone (without additional clitoral stimulation), however more than half do so infrequently. Specifically, more than have the respondents experienced orgasm 50% of the time without clitoral stimulation, sometimes less so.

Question and Answers
As an example of how detailed this study was this question exemplifies the desire to better understand the source of pleasure when being touched:

“When you or your partner use fingers/hands/mouths/tongues, where
primarily do you prefer your genitals to be touched?” with the ability to choose all that applied.

Options were:

  • directly on clitoris, on the skin around clitoris
  • avoid touching clitoris directly
  • occasionally brushing over clitoris but not applying pressure to it
    on vaginal lips (labia minora or labia majora)
  • on the mons (the pubic mound; the triangular part where pubic hair grows)
  • Something else, please describe.

What’s Next?
The purpose of this study was to provide data on sexual pleasure among women, and specifically some variations of genital touch that are pleasurable, preferable, and/or associated with orgasm. Overall, results demonstrated substantial variability among American women’s preferences. Some kinds of genital touching or stimulation were more often preferred than others and most women endorsed a narrow range of touch techniques, underscoring the value of partner communication to sexual pleasure and satisfaction. We can learn a lot by asking questions of our patients and our partners.

If you have questions about your sexual wellness please contact our compassionate and caring staff at (202) 293-1000.

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