Complain of Urinary Leakage (due to vaginal laxity), Dryness and Loss of Sensitivity in the Intimate Areas

History of the Patient:

Doctors come across various patients, with various complains each day. I, Dr. Garima Sawhney, have several years of experience as a Gynecologist and Obstetrician and specializes in Laser Gynaecology. A few months back, a 36-year-old female, (whose name and other details would not be disclosed to keep the privacy and confidentiality of the patient) who had two normal deliveries, the second one just two years back. She came with the complaint of frequent mild urinary leakage upon even being exerted minor force on the lower abdominal region or while laughing hard. She also told me that she was suffering from the loss of pleasure at the time of intercourse & dryness on and off, with on and off a foul smell. Her period cycle was normal. Although she was an independent, working woman, she was hesitant about involving her husband or family in this.

Also Read: Factors Causing Vaginal Dryness among Married Women

What did the examination show?

After talking to the patient for a while, I gave her some privacy so she could change into the hospital gown for the examination. During the examination, the loss of laxity in vaginal walls could be clearly seen. There was also an acute bacterial infection, which was not a big problem. There was also dryness and soreness in the vagina.

So the problem was clearly evident. The patient had an extremely loose vagina which raised problems including Stress Urinary Incontinence, Vaginal Dryness, Vaginal Itching, and Soreness. The other problem that came out was an acute bacterial infection, Bacterial Vaginosis. It is a common infection among females. The patient mentioned that she had been using vaginal gels, without medical supervision, to get rid of vaginal looseness. That explained the cause of the infection.

Diagnosis after examining the patient

Bacterial Vaginosis occurred because of the use of unprescribed vaginal gels. It interrupted with the natural pH balance. There might be some cross-infection also in this case.

Stress Urinary Incontinence occurring because of the laxity of the vagina due to sexual life and multiple childbirths, age, and multiple vaginal deliveries.

Medical Counselling- Explaining the Condition and Cure

First Consultation- For Bacterial Vaginosis

After a thorough examination, I sat down with the patient and explained the condition. Now the case was not simple. The patient was suffering from Bacterial Vaginosis also. It was evident that she needed multiple sessions of Vaginal Tightening. But the infection needed to be treated first.

I explained to the female that the cure for Stress Urinary Incontinence, loss of laxity, decreased the sensitivity of the vagina, dryness, and itching and loss of intimate pleasure was Laser Vaginal Tightening. But there was a hindrance that needed attention before starting the tightening procedure. It was essential to get rid of Bacterial Vaginosis, the infection prevailing. I prescribed her the medications for seven days to treat and eliminate the infection. The infection would probably be gone with the medication for that period. I gave some precautions to her for a speedy recovery.

“Maintaining intimate hygiene and avoiding the use of scented soaps and douching is very essential to maintain a female’s intimate health”, I told her.

She should take strict precautions to follow them, especially during the seven days of medication. The patient assured that she would take the medications on time and follow all the precautions I mentioned. Her follow up appointment was scheduled seven days after that date.

Second Consultation- for Stress Urinary Incontinence/ Vaginal laxity

As scheduled, my patient came for her follow up seven days later. After the examination, I told her that, I was sure that there is no infection now. So we were clear and ready to start the vaginal tightening procedures. Now was the challenge to explain her the vaginal tightening procedure. There are two ways to do that, either surgically or with laser treatment.

  • Surgical Vaginal Tightening- In surgical vaginal tightening, the walls are tightened surgically. The surgical procedure involves cuts and stitches, is painful and would require hospitalization and bed rest for several days.
  • Laser Vaginal Tightening- The Laser treatment for vaginal tightening, on the other hand, is completed in four to five sessions, of twenty minutes, each carried out at a gap of 25 days. There are no cuts, stitches, blood loss, pain, hospitalization or bed-rest involved in the case of laser treatment.

Explaining the procedure of “Laser Vaginal Tightening” to the patient

The laser vaginal tightening is the vaginal tightening procedure aimed to prevent and control disorders stemming from increased laxity of vaginal walls. The laser probe is inserted inside the female’s vagina which leaves laser patches on the vaginal walls. The laser beam emitted by the laser probe penetrates about 0.5 millimeters deep inside the inner walls of the vagina.

The patient was relieved that all her troubles of urinary leakage, vaginal dryness, itching, soreness and loss of sensitivity of the vagina would be solved with laser vaginal tightening. She was amazed by the fact that this treatment would bring back the sexual pleasure that was lost due to the laxity of the vagina. Laser Vaginal Tightening makes the vagina as good as new!

“Statistically speaking, the rate of women choosing Laser Vaginal Treatment is increasing rapidly by 30% each year.”

 Deciding on the treatment

There definitely is a cost variation in both treatments but the patient found the laser vaginal treatment much more convenient and suitable for her situation. But she was not confident that she would be able to undergo it on her own.

I assured her she would feel no pain or discomfort during or after the treatment and we will take responsibility to pick and drop her back home after each session. We decided on scheduling the appointment for the next day, and so we did.

Laser Vaginal Tightening Procedure

The first session was carried out as scheduled. “I just feel a little warm down there, there is definitely no pain!” was the patient’s words during the treatment. In twenty minutes, the session ended. There were just a few precautions to be strictly followed. I told my patient to “maintain proper hygiene, keep it clean and fresh down there, and wear comfortable loose clothing and no sexual intercourse for the next 3 days.”

 Five days after the first session, the patient texted me that there are no complications or side effects and it was all good.

 “I can feel the difference. My vagina feels different, in a good way! Looking forward to completing the treatment”! Thank You 

 Just like the first session, the next four sessions went smoothly, without any complication or side effects. I remember her coming with a bouquet and a box of chocolates to thank me for the last session. And I replied: 

“We, as doctors, aim to provide a healthy and enhanced quality of life.”

Also Read: VAGINAL TIGHTENING- Protect Your Feminism!

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