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Vaginoplasty in Pakistan, Vaginal Laxity, Why Does the Vagina Get Loose?

Vaginoplasty in Pakistan, Vaginal laxity, also known as vaginal looseness, can significantly impact a woman’s well-being, particularly affecting those who are sexually active. This condition may induce feelings of self-consciousness during intercourse. Leading to performance anxiety and a notable decline in confidence.

Typically, vaginal laxity results from natural occurrences like vaginal childbirth and the aging process. If you notice that vaginal laxity is negatively affecting your quality of life. Especially if accompanied by symptoms related to other pelvic floor conditions, it’s advisable to seek a consultation with a highly experienced gynecologist Dr Shafaq Ramay at Lemonade Clinic in Islamabad and Lahore.

What is Vaginoplasty Treatment?

Vaginal tightening, also known as vaginoplasty, is a cosmetic surgery procedure that is carried out with both non-surgical and surgical methods. This surgery reconstructs big vaginas or hymens into their natural size and shape in women. With vaginoplasty surgery, women’s vaginal laxity is restored to its ideal shape. The cost of this treatment in Islamabad, Lahore, Pakistan, is really affordable.

Vaginal tightening is the term used to describe a range of non-surgical and surgical procedures intended to tighten the vaginal canal or firm the skin surrounding the vagina.

In this post, you have to look all the important information about any kind of vaginal laxity, loseness, change in shape, form, tissue structure of vagina. For the treatment required surgical or non surgical intervention to restore its shape (into original form), integrity and tissue elasticity of vagina.

Causes Vaginal Laxity or Reason Behind Vaginal Looseness

Vaginal laxity (VL) refers to the sensation of vaginal looseness that can occur following a vaginal birth and pregnancy. Menopause, aging, and previous pelvic surgery can all have an impact on VL. A condition known as pelvic organ prolapse (POP) causes the pelvic organs to drop out of their natural place.


Collagen, the most abundant protein in the body and the main component that gives your tissues stability, is lost as we age. Your vaginal tissues may gradually become more slack due to a decrease in collagen.

Some women may naturally have vaginal laxity as they age, which is caused by the vaginal muscles and tissues gradually weakening and atrophying over time.

In your 30s to 40s, you might start to notice a change in the flexibility of your vagina. This is because as you approach the perimenopausal stage, your estrogen levels will start to decline.


After a vaginal birth, vaginal looseness is a frequent occurrence, particularly if you had a large kid. It results from stretching of the pelvic floor muscles during vaginal birth and the vagina, particularly the vaginal opening.

Women body will naturally alter after giving delivery. Your vaginal muscles must expand during a vaginal delivery. In order to make a space big enough for the baby to pass through the birth canal and exit your vagina.

i) Simple Vaginal Delivery (SVDS)

This happens when a woman gives birth to her child naturally, without the aid of medication or other labor-inducing methods. And without the need for forceps, vacuum extraction, or cesarean surgery. a vaginal birth that occurs naturally without the use of medication to induce labor. It’s ideal to go into natural labor at 40 weeks of pregnancy.

This is the situation that arises when a pregnant woman gives birth to her child via the vagina (birth canal) without the need for forceps, vacuum extraction, or a cesarean section. And also without the use of medications or other methods to induce labor. Approximately four million vaginal births occur in Pakistan annually, the majority of which are spontaneous. As we’ll see later, nevertheless, it should be mentioned that not all moms or pregnant women. They are recommended to have spontaneous vaginal deliveries. In 2009, 58.1% of all women giving birth in South Asia did it vaginally spontaneously.

ii) Delivery with Higher Baby Weight > 8 IBS

Delivery with higher baby weight typically refers to childbirth involving infants who weigh more than the average newborn. In medical terms, this is often referred to as macrosomia.

Macrosomia is defined as a birth weight of more than 4,000 grams (8 pounds, 13 ounces) regardless of gestational age. However, some sources may define macrosomia as a birth weight above 4,500 grams (9 pounds, 15 ounces) or even 5,000 grams (11 pounds, 0 ounces).

Delivery with a higher baby weight can present challenges during childbirth, both for the mother and the baby. Some potential complications associated with delivering a larger baby include:

  1. Difficulty during labor: A larger baby may have difficulty passing through the birth canal, leading to a longer or more complicated labor process.
  2. Increased risk of birth injuries: Both the baby and the mother are at an increased risk of birth injuries. Such as shoulder dystocia (when the baby’s shoulder gets stuck behind the mother’s pelvic bone), brachial plexus injury, and perineal tears for the mother.
  3. Operative delivery: In some cases, especially if labor is prolonged or complications arise, a healthcare provider may recommend an operative delivery. Such as a cesarean section (C-section), to safely deliver the baby.
  4. Postpartum hemorrhage: The risk of postpartum hemorrhage may be higher in deliveries with larger babies due to potential trauma during birth.
  5. Hypoglycemia: Larger babies are at an increased risk of hypoglycemia (low blood sugar) shortly after birth, which may require monitoring and treatment.

iii) Frequent or Constant Fluctuations Weight During Pregnancies

Pregnancy causes the average person to gain between 11.5 and 16 kg of weight. However, your pre-pregnancy weight and other factors will determine how much weight you should acquire.

You might begin by figuring out your pre-pregnancy body mass index (BMI) to determine how much weight you should acquire.

Your weight category will be indicated by your pre-pregnancy BMI:

  • BMI of less than 18.5 (Underweight)
  • BMI of 18.5 to 24.9 (In a healthy weight range)
  • BMI of 25 to 29.9 (Overweight)
  • BMI of 30 or over (Obese before your pregnancy)

What Fluctuation (20kg to 30kg) During Each Pegnancy Causing

  • Extra Force
  • Pressure
  • Pelvic Gutter Muscles Under Gravity

3-Long or Deep Episiotomy

A surgical incision called an episiotomy is used to enlarge the vaginal opening. This makes it easier for your baby’s head to fit through. An episiotomy won’t be necessary for most people.

The midline incision, which faces back toward your anus, and the mediolateral incision. Which faces away from your anus, are the two different forms of episiotomy incisions.

First-degree: A little rip involving only the vaginal lining.
Second-degree: A rip that penetrates your vagina’s lining and reaches the vaginal tissue underneath. Second-degree episiotomies predominate.
Third-degree: A rip encompassing the tissues and lining of your vagina as well as the anal sphincter.
Fourth-degree: The anal sphincter, rectum, vaginal lining, and vaginal tissues are all impacted by the tear. The kind of tear that is the worst and causes the greatest problems.

4-Use of Ventouse/ Suction Vacuum

The baby’s head is suctioned to a ventouse, or vacuum cup. A tube connects a metal, plastic, or soft cup to a suction apparatus. The cup securely fits over your infant’s head. The obstetrician or midwife gently pulls to assist in the delivery of the baby during a contraction while you push. In cases where you are fewer than 36 weeks pregnant and require assistance giving birth. Forceps may be a better option than ventouse. This is because your baby’s head is softer at this stage of pregnancy, so there’s less chance of harm from forceps.

5-Use of Forceps

Forceps are thin, smooth metal tools that resemble big tongs or spoons. To fit around the baby’s head, they are curved. Your baby’s head is gently placed around the forceps. Which are then attached at the handles.

An obstetrician gently pulls to assist in the delivery of your baby while you push during a contraction.

Why Might Women Need Suction Vacuum or Forceps?

Assisted deliveries are utilized in approximately 1 out of every 8 births and may be necessary under various circumstances:

  • If advised against pushing due to an underlying health issue like high blood pressure.
  • When concerns arise regarding the baby’s heart rate.
  • If the baby is positioned awkwardly.
  • When the baby shows signs of fatigue or distress.
  • During the vaginal delivery of a premature baby, where forceps can shield the baby’s head from the perineum.
  • When an epidural is required for pain management during labor.

Typically, a pediatrician is present to assess the baby’s condition post-birth. Additionally, antibiotics may be administered intravenously to minimize the risk of infection after delivery.

6- Victim of Rape Cases

Forceful vaginal trauma in these situations can result in vaginal rips, tissue rupture, hematoma formation, and the need for vaginal repair.

In the rape cases, the rectum may be affected if the tear extends across the rectovaginal septum due to the application of very deep force. The first penetration, congenital vaginal abnormalities, intoxication of either party, violence, and insertion of foreign objects. Which are risk factors for vaginal damage during sexual activity.

Hematomas may result from localized trauma or injury. Blood can seep into the surrounding tissue when blood vessel walls are broken by an injury. Any blood vessel, including veins, arteries, and capillaries, can develop hematomas. The hematoma’s placement may alter its character. Although, this is one of other reasons for hymen repair surgery.

7-Multiple Vaginal Births

Women body will naturally alter after giving delivery. Your vaginal muscles must expand during a vaginal delivery in order to make a space big enough for the baby to pass through the birth canal and exit your vagina.

  • Your vagina could feel a little bit looser than it did before giving birth. That is anticipated.
  • A few days after giving birth, your vagina should begin to tighten again,
  • Though it might not take its former shape entirely.

Your vaginal muscles are more likely to lose some of their flexibility if you’ve given birth via vaginal means several times.

There are activities to strengthen your vaginal floor muscles before, during, and after pregnancy if this makes you uncomfortable.

Some other reasons are available caused for vaginoplasty:

  • Trauma during childbirth
  • Fall in labour room
  • Fall on staris during last trimester of pregnancy
  • Road side accident
  • Domestic violence household

How Does Lack of Exercise Affect on Women’s Vaginal Muscles?

While some helpful exercises, such as kegel and other pelvic floor exercises, assist women in tightening the laxity and strength of the muscles surrounding the vagina. When it comes to women, the majority lack sufficient awareness about the activity and are unaware of its functions.

Engaging in pelvic exercises is an effective method to bolster the strength of your pelvic floor muscles, integral for supporting various organs, like bladder, rectum, small intestine, and uterus. As these muscles may weaken due to factors like aging or childbirth. Individuals may experience issues such as urinary or fecal leakage, frequent urination, pelvic pain, or discomfort during intercourse.

While pelvic floor exercises can mitigate mild urinary incontinence, they may not provide significant benefits for severe cases. Consulting with a healthcare professional is advisable to devise a tailored treatment plan for Vaginoplasty in Pakistan, Lahore, Islamabad and so on.

For Kegel exercises:

  1. Identify your pelvic floor muscles by halting urination midstream.
  2. Once located, follow these steps:
    1. Choose a comfortable position, often lying on your back.
    1. Contract your pelvic floor muscles and hold for 5 seconds, then relax for another 5 seconds.
    1. Repeat this sequence at least 5 times, gradually increasing to 10-second holds. Avoid tensing other muscle groups and focus solely on the pelvic floor.

For pelvic tilt exercises:

1. Stand with your back and shoulders against a wall, keeping knees slightly bent.

2. Draw your belly button towards your spine, flattening your back against the wall.

3. Hold this position for 4 seconds before releasing.

4. Repeat multiple times throughout the day to strengthen vaginal muscles.

Contact with Dr. Shafaq Ramay, Well-Performed Gynecologist

Dr. Shafaq Ramay is one of Pakistan’s leading gynecologists at the moment. Thanks to her extensive experience and the large number of patients that visit the Dr. Shafaq clinic in Islamabad at address F6, she is performing a fantastic job.

Contact +92 321 8880038

Email: contact@docshafaq.com

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