Female Sexual Wellness

What is the anatomy of the vagina?

The vagina is a flexible, muscular canal running from the cervix (just below the opening of the uterus) to the vulva. The vaginal walls are composed of skin tissue, smooth muscle, and connective tissue.

At the opening of the vagina is the hymen-a thin piece of tissue that can be broken through sex, exercise, or tampon use. The labia majora and minora are the skin folds surrounding the vaginal opening. The clitoris lies towards the front of the body and contains a bundle of highly sensitive nerve endings. The clitoris is covered by the clitoral hood. The muscles and ligaments of the pelvic floor surround the vaginal structures providing structural and functional support. Pubic hair runs from above the pubic bone to the perineum.

During sexual excitement the vaginal walls relax and expand as blood flow to the area increases. The vagina is not especially well innervated and so vaginal stimulation alone is usually not sufficient for orgasm. The “g spot” is believed to exist a few inches above the vaginal opening on the front side of the vagina, and it’s stimulation can sometimes result in orgasm. Stimulation of the clitoris more commonly results in orgasm.

To complete the anatomy of the urogenital triangle, towards the front of the body lies the urethral opening, which is connected to the bladder and carries urine from the body. Behind the vagina is the perineum, or the skin which runs from the vagina to the anus. (1)

What are the main cosmetic concerns related to vaginal health?

Now that we’ve got our anatomy basics, let’s consider some of the specific concerns women may have relating to their vaginal health. These concerns can affect women of any age.

• Vaginal Skin Laxity: As we age, or following pregnancy the vaginal skin can become loose and sagging. This can impact both aesthetic and function.
• Hymen Repair: The hymen can be broken through tampon use, exercise, or sexual intercourse. Decisions concerning hymen repair are deeply personal.
• Labia Shape & Size: The size and shape of the labia majora, and minora are mostly cosmetic. Some women may, however, find some functional discomfort related to overly large labia.
• Sexual Wellness: Sex drive can decrease for a number of reasons, such as age, environmental factors, and stress. Of note, no solutions to increase sex drive are FDA approved.

Who may wish to seek treatment to improve their vaginal health?

Whether your concerns are aesthetic or functional, vaginal appearance and health can be a source of concern for women of all ages. Changes relating to loss of structural integrity from aging and pregnancy, decreases in sex drive, or genetically determined aesthetic concerns may prompt women to consider a vaginal rejuvenation procedure.

How can someone cosmetically enhance their vagina?

Vaginal rejuvenation procedures can address a myriad of concerns relating to both aesthetic and function. Depending on your unique concern, one procedure may be of more benefit than another.

• For Vaginal Skin Laxity: Procedures to restore tone and structural integrity can improve the vaginal area. Vaginoplasty. Vaginal Rejuvenation with Radiofrequency, Vaginal Rejuvenation with Laser Energy, Perineoplasty, Monsplasty, and Clitoral Hood Reduction are possible options.
• For Hymen Repair: A Hymenoplasty can restore the hymen.
• For Labia Shape & Size: A Labiaplasty such as Labia Augmentation with Hyaluronic Acid Fillers or Labia Augmentation with Fat Transfer can improve appearance.
• For Sexual Wellness: An O-Shot or G-Shot may improve a women’s sexual wellness.

For a comprehensive look at the treatment options outlined above, check out our full guide to Vaginal Rejuvenation Solutions.