1. Exercises – Pelvic floor training and Kegel Exercises

This option requires discipline on regular implementation and may not be effective or suitable for everyone as they do not address the vaginal wall issues.

2. Surgery – Vaginoplasty

While this appears to be the most effective of all, not everyone wishes to go through this surgery to rebuild the vaginal wall.

3. Non-surgical methods utilising Radiofrequency energy and laser devices

Radiofrequency energy (RF) devices deliver thermal energy to tighten the inner and outer vaginal area. It creates deep heat within tissues to stimulate collagen production to firm sagging skin and muscles within the vaginal canal. Popular RF brands include ThermiVa, Viveve, and Exilis Ultra 360.

Laser non-surgical vaginal rejuvenation usually includes the use of CO2 fractional or Ebium laser technology (Er:YAG). It sends pulses of laser energy into the vaginal tissue, which damages the surface of the skin and perforates the skin, signaling the body to repair itself. This healing process stimulates collagen remodeling, which is the protein responsible for keeping the skin elastic. By stimulating collagen, the skin elasticity is restored with formation of new collagen fibres, thus tightening the vaginal canal. Popular laser brands include Fotona SP Dynamis and MonaLisa Touch.

Call us at 62351512 to discuss your concerns and options with our female doctors.

Stress Urinary Incontinence (SUI)

40% of women suffer from urinary incontinence and don’t often talk about it. Urinary incontinence is not just for the old, it is actually a common concern for females that often goes undiagnosed due to the stigma associated with it.

Stress Urinary Incontinence is a type of incontinence that results from increased pressure within the abdomen. It is a common and embarrassing female problem that causes involuntary urine leakage when they cough, sneeze or laugh. This involuntary leaking of urine may also occur during physical activities like exercising. For the gym goers, they may find themselves leaking whenever they exert themselves or carry weights.

Stress incontinence occurs due to the weakening and laxity of muscles and connective tissues controlling “continence”, that controls our flow of urine. It is caused by the weakening of the pelvic floor muscles mainly contributed to by childbirth, ageing and obesity.

Vaginal Relaxation Syndrome (VRS)

Vaginal Relaxation Syndrome (VRS) is defined by the laxity of the vaginal wall, usually associated with childbirth and natural ageing. The onset of menopause may also be a contributing factor, as it causes a sharp decline in hormone levels and vaginal atrophy. These problems reduce the quality of pelvic floor tissues and muscles, resulting in a loss of vaginal tightness, which is directly related to the reduction in friction during intercourse and eventually a loss of sexual desire. All these factors play a crucial role in contributing to intimate satisfaction during intercourse and can impact a couple’s sex life.

Vagina Atrophy (VA)

Vaginal Atrophy refers to thinning, drying and inflammation of the vaginal wall that occurs by hormonal imbalances, particularly when there is a fall in estrogen levels. Vaginal atrophy occurs most often after menopause. 60-80% of women over 50 will experience atrophy in their lifetime.

It is associated with vaginal dryness which can lead to pain and discomfort during sexual intercourse, and also increase the incidences of urinary tract infection and vaginal thrush.