Global InformationVaginal introital laxity information
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| Vaginal introital laxity | |
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| Vaginal introital laxity in a woman, with visible loosened external opening. | |
| Symptoms | Sensation of looseness at vaginal introitus |
| Causes | Pelvic organ prolapse, vaginal delivery, menopause |
| Diagnostic method | Physical examination (pelvic examination), questionnaires |
| Treatment | Energy-based devices, vaginoplasty repairs, dynamic quadripolar satisfaction questionnaires, surgical introital reduction procedures |
Vaginal introital laxity is a symptom of pelvic floor dysfunction characterised by a sensation of looseness at vaginal external opening, also known as the vaginal introitus.[1] Possible causes include pelvic organ prolapse (POP), post-pregnancy and vaginal delivery and menopause.[2] Consequences may include experiencing sexual dysfunction, ranging from dyspareunia (i.e. painful intercourse), increased vaginal “wind” to overactive bladder (OAB). These consequences may lead to adverse significant impacts on women’s sexual health, body image and quality of life.[3] Vaginal laxity is often underreported, with approximately 80% of women not seeking treatment or discussing their concerns.[3]
Diagnosis is based on physical examination, including pelvic examination, as well as validated questionnaires such as vaginal laxity questionnaire (VLQ) and sexual satisfaction questionnaire (SSQ).[4] Possible treatments include nonsurgical treatment with energy-based devices,[2] vaginoplasty repairs[2] and dynamic quadripolar radiofrequency treatment.[4] More severe cases may require surgical introital reduction procedures after the failure of conservative measures.[3] Outcomes following these treatments are generally positive, with reported significant and sustainable long-term effectiveness and improved sexual life quality.[4]
- ^ Dietz, Hans Peter; Stankiewicz, Martyna; Atan, Ixora Kamisan; Ferreira, Caroline Wanderley; Socha, Maciej (2017-07-31). "Vaginal laxity: what does this symptom mean?". International Urogynecology Journal. 29 (5): 723–728. doi:10.1007/s00192-017-3426-0. ISSN 0937-3462. PMID 28762179.
- ^ a b c Polland, Allison; Duong, Vi; Furuya, Rachel; Fitzgerald, Jocelyn J.; Wang, Haijun; Iwamoto, Aya; Bradley, Sarah; Iglesia, Cheryl B. (2021-10-08). "Description of Vaginal Laxity and Prolapse and Correlation With Sexual Function (DeVeLoPS)". Sexual Medicine. 9 (6): 100443. doi:10.1016/j.esxm.2021.100443. ISSN 2050-1161. PMC 8766263. PMID 34629323.
- ^ a b c Al Salehi, Asma; Zemmache, Mohammed Zakarya; Allegre, Lucie; Fatton, Brigitte; de Tayrac, Renaud (2023-07-01). "Functional and sexual outcomes following surgical vaginal introital reduction". Progrès en Urologie. 33 (7): 370–376. doi:10.1016/j.purol.2023.05.003. ISSN 1166-7087. PMID 37263901.
- ^ a b c Vicariotto, Franco; DE Seta, Francesco; Faoro, Valentina; Raichi, Mauro (2017). "Dynamic quadripolar radiofrequency treatment of vaginal laxity/menopausal vulvo-vaginal atrophy: 12-month efficacy and safety". Minerva Ginecologica. 69 (4): 342–349. doi:10.23736/S0026-4784.17.04072-2. ISSN 1827-1650. PMID 28608667.