Female Sexual Problems
www.FemaleSexualProblems.com

What are Female Sexual Problems and Female Sexual Dysfunction?

Female Sexual Problems also referred to as "Female Sexual Dysfunction" are comprised of one or more problems that can keep a woman (and her husband/partner) from enjoying sex. These problems may include one or more of the following:

       *   Lack of sexual desire 

       *   Inability to become aroused - i.e. fully erect clitoris erection and sufficient vaginal
            lubrication

       *   Lack of orgasm, or sexual climax 

       *   Painful intercourse 

These problems may have either a physical and/or a psychological causes. 

Physical causes of Female Sexual Dysfunction may include conditions like diabetes, heart disease, nerve disorders or hormone problems. Some drugs can also affect desire and function and provide significant relief from Female Sexual Dysfunction. Psychological causes may include work-related stress and anxiety. They may also include depression or concerns about marriage or relationship problems.

Occasional problems related to Female Sexual Dysfunction are common.

If the husband/ partner of a patient with suspected Female Sexual Dysfunction feels that this is a problem within the relationship, that concern should be sufficient for the individual to seek psychological consultation.

Facts About Female Sexual Dysfunction

       *   43% of all women (and therefore, their husbands/partners as well) are
            suffering from various types of Female Sexual Dysfunction, also
            called "Female Sexual Problems."

       *   50% more women than men, are suffering from Erectile Dysfunction,
            which is referred to as "Female Erectile Dysfunction."

       *   Many people fail to recognize that unless a woman's clitoris is fully
            erect, that she is incapable of reaching an orgasm.

Vaginal Relaxation?

Did you know that over 35 million American women (and their husbands) are suffering loss of joy and intimacy due to "Vaginal Relaxation?" 

Have you or your husband noticed that the thrill of intimacy you and he used to enjoy has been diminished due to the loss of your vagina's tightness? 

For more information on overcoming Vaginal Relaxation, visit the Vaginal Relaxation website:  www.VaginalRelaxation.com

What is Female Sexual Arousal Disorder?

Female Sexual Arousal Disorder or simply "FSAD" occurs when a woman is unable to attain and maintain a full and complete erection of her clitoris along with sufficient vaginal lubrication during intercourse to be able to reach an orgasm.  

Female Sexual Arousal Disorder may also be diagnosed when the woman has no desire for sexual intercourse. 

Female Sexual Arousal Disorder affects up to 43 percent of all women, or an estimated 90 million women. Most women (more than 1/2) with FSAD are postmenopausal. Some women with 

Female Sexual Arousal Disorder describe the condition as being "unable to get turned on," or being continually disinterested in sex. Female Sexual Arousal Disorder has  also been called "frigidity." Other symptoms of Female Sexual Arousal Disorder may include dyspareunia and vaginismus, both of which involve pain during intercourse.

The woman and her husband/partner should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment.  Their doctor will also insure that this  is not the result of another psychological disorder which could be a primary problem. 

If the husband/ partner of a patient with suspected Female Sexual Arousal Disorder feels that this is a problem within the relationship, that concern should be sufficient for the individual to seek psychological consultation.

What is Female Erectile Dysfunction?

Female Erectile Dysfunction occurs when a woman is unable to attain, and maintain a complete erection of her clitoris through orgasm.

If the husband/partner of a patient with suspected Female Erectile Dysfunction feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation. 

What Are Female Sexual Problems?

Female Sexual Problems are also referred to as "Female Sexual Dysfunction."  A woman may have one or more Female Sexual Problems that we are just now learning that may be related to a number of factors.  

Typically, Female Sexual Problems are labeled generically as "Female Sexual Dysfunction" until such time as her doctor or therapist may be able to make a proper diagnosis.  

Female Sexual Problems may be a cause of significant distress to both her and her husband. 

If the husband/partner of a patient with suspected Female Sexual Problems feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation. 

What is Female Orgasmic Disorder?

Female Orgasmic Disorder is defined as a sexual dysfunction that is characterized by a persistent or recurrent delay or absence of orgasm following the excitement phase of the female sexual response cycle, causing significant distress or interpersonal problems, and not being attributable to a drug or a general medical condition. Female Orgasmic Disorder is directly related with the woman's inability to attain and maintain a fully-erect clitoris.  

Without a full erection of the clitoris, a woman cannot reach an orgasm. 

What is Hypoactive Sexual Desire Disorder?

Hypoactive Sexual Desire Disorder or "HSDD" has been defined as a deficiency or absence of sexual fantasies and desire for sexual activity. Hypoactive Sexual Desire Disorder is considered a disorder if it causes distress for the woman or husband.  The woman and her husband should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment.  Their doctor will also insure that this  is not the result of another psychological disorder which could be a primary problem. 

If the husband/partner of a patient with suspected Hypoactive Sexual Desire Disorder feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation.

Are you suffering from "Vaginal Relaxation"?

Did you know that about 35 million to 40 million American women – and their husbands and partners - are suffering from “Vaginal Relaxation.”?  

“Vaginal Relaxation” is often referred to as a “loose vagina” wherein the vagina is not as tight as it once was, whether due to vaginal childbirth, age, or other vaginal trauma. The vagina has become relaxed, or loose, and now it has become a problem for the woman, as well as her husband/partner.

Some women, as another symptom of Vaginal Relaxation, have problems controlling their urine in certain situations or notice changes in their bowel habits. These symptoms of Vaginal Relaxation are typically related to one or more problems that occur as a result of vaginal childbirth, other vaginal trauma, aging or a combination of the above.  

There is hope!  Women, and their husbands/partners, no longer need to suffer from Vaginal Relaxation.  More and more doctors are treating women and couples suffering from Vaginal Relaxation with treatments – sometimes including surgery – that will help them return to a life without the embarrassment, disappointments and heartache of the symptoms and discomforts associated with Vaginal Relaxation.

Feel Feminine Again!
www.FeelFeminineAgain.com

We provide information, resources and patient referrals to physicians that perform Female Genital Surgery procedures such as; Labial Reduction, Labia Minora Reduction, Clitoral Hood Reduction and Clitoral Hood Removal - which is medically known as a "Clitoridotomy" or "Clitoroplasty" as well as Vaginal Tightening Surgery.

These simple and relatively short medical procedures are the fastest growing surgical procedures that women are choosing to provide the "natural female enhancement" they have been longing for, as well as to enhance their sexual pleasure and increase their ability to orgasm.

Did you know that “female genital surgery” is the fastest growing type of plastic surgery today, according to the American Academy of Plastic Surgeons?

Did you know that over 30 million American women (and their husbands or partners) are suffering from “Vaginal Relaxation” and seeking help for this very serious problem?

Are you seeking to grow your practice and increase the number of procedures and patients? 

We can help! You and your practice could be “featured” on this site and you will receive the direct benefit of a leading marketing strategy that will keep your practice growing with new patients and new procedures.  

We can help you get the results you need – more patients, more procedures and more revenues plus the added benefit of “locking-out” your competition, other doctors who also perform these procedures.

We guarantee your practice will see an increase in patients and procedures through our leading healthcare marketing solutions.

Ladies, are you unhappy with the looks of your vulva?  

Are your labia minora lips uneven, or mis-shapen?  

Is one of your labia minora longer than the other?  

Does you labia minora feel "floppy?"   

Do you no longer wear a bikini or your favorite swimsuit because you are afraid that your labia minora may "fall out" of the bikini?  

Do your excessively long labia minora cause pain during intercourse or when wearing tight jeans?  

Does your clitoral hood have excess skin so that it is unsightly or interferes with your sexual pleasure?  

Is there too much skin surrounding your clitoris?

Are you concerned about the looseness of your vagina? 

Does your vagina feel like it is "gaping" open?  

Does intercourse (for you - or for him) no longer feel as good as it once did?  If one or more vaginal childbirths have caused your vagina to become loose, and "not tight", he has probably noticed as well. You can once again, have the "tight vagina" of your youth! 

What you, and he are experiencing, is something called "Vaginal Relaxation" the medical term for having a "loose vagina."

These are just some of the complaints we regularly hear from women who want to improve their vulvar looks - we call it "cosmetic gynecology" and cosmetic gynecology may be what you have been looking for!  Look great, feel great, we can help you have the labia minora, vagina or vulva you always dreamed of!

What is a Vaginal Moisturizer?

Vaginal moisturizers replace the natural vaginal moisture, also called "intimate moisture" that a woman's vagina needs to prevent the pain and discomfort of vaginal dryness - especially after she has reached menopause, when her vagina no longer produces sufficient amounts of vaginal moisture.

Vaginal moisturizers provided by numerous companies, and a variety of brand names, are products designed to relieve the pain and discomfort of vaginal dryness. These products are applied or inserted, into the vagina, one or more times per day, depending on the amount of vaginal dryness she may be experiencing.

A vaginal moisturizer may or may not be a vaginal lubricant - there is a difference!  Vaginal lubricants are normally used as an aid for intercourse and used on a short-term basis to help a woman that is not able to produce enough vaginal moisturizer to permit her to comfortably (and painlessly) engage in intercourse.  

A menstruating woman's vaginal moisture changes from day to day, and varies depending upon her hormones that control the production of vaginal moisture.  A woman can experience vaginal dryness even during times of menstrual bleeding.

What is Vaginal Dryness?

Vaginal dryness is one of the most distressing, and painful problems a woman faces.  Vaginal dryness occurs when the natural vagina secretions decreases within the vagina. The amount of vaginal moisture varies throughout a woman's monthly menstrual cycle. Vaginal dryness is particularly problematical as a woman enters and becomes menopausal.

What is menopause?

Menopause is a normal change in a woman's life when her period stops. That's why some people call menopause "the change of life" or "the change." During menopause a woman's body slowly produces less of the hormones estrogen and progesterone. This often happens between the ages of 45 and 55 years old. A woman has reached menopause when she has not had a period for 12 months in a row.

What is hormone therapy for menopause?

Hormone therapy for menopause has also been called hormone replacement therapy (HRT). Lower hormone levels in menopause may lead to hot flashes, vaginal dryness and thin bones. To help with these problems, women are often given estrogen or estrogen with progestin (another hormone). Like all medicines, hormone therapy has risks and benefits. Talk to your doctor, nurse, or pharmacist about hormones. If you decide to use hormones, use them at the lowest dose that helps. Also use them for the shortest time that you need them.

What are the symptoms of menopause?

Every woman's period will stop at menopause. Some women may not have any other symptoms at all. As you near menopause, you may have:

• Changes in your period--time between periods or flow may be different.

• Hot flashes ("hot flushes")--getting warm in the face, neck and chest.

• Night sweats and sleeping problems that lead to feeling tired, stressed or tense.

• Vaginal changes--the vagina may become dry and thin, and sex may be painful.

• Thinning of your bones, which may lead to loss of height and bone breaks (osteoporosis).

Who needs treatment for symptoms of menopause?

• For some women, many of these changes will go away over time without treatment.

• Some women will choose treatment for their symptoms and to prevent bone loss. If you choose treatment, estrogen alone or estrogen with progestin (for a woman who still has her uterus or womb) can be used.

What are the benefits from using hormones for menopause?

Hormone therapy is the most effective FDA approved medicine for relief of hot flashes, night sweats or vaginal dryness.

Hormones may reduce your chances of getting thin, weak bones (osteoporosis) which break easily.

What are the risks of using hormones?

For some women, hormone therapy may increase their chances of getting blood clots, heart attacks, strokes, breast cancer, and gall bladder disease. For a woman with a uterus, estrogen increases her chance of getting endometrial cancer (cancer of the uterine lining). Adding progestin lowers this risk.

Should I use estrogen just to prevent thin bones?

You can, but there are also other medicines and things you can do to help your bones.

Should I use hormone therapy to protect the heart or prevent strokes?

No, do not use hormone therapy to prevent heart attacks or strokes.

Should I use hormone therapy to prevent memory loss or Alzheimer's disease?

No, do not use hormone therapy to prevent memory loss or Alzheimer's disease.

Do hormones protect against aging and wrinkles or increase my sex drive?

Studies have not shown that hormone therapy prevents aging and wrinkles or increases sex drive.

How long should I use hormones for menopause?

You should talk to your doctor, nurse or pharmacist. Again, hormones should be used at the lowest dose that helps and for the shortest time. (For example, check if you still need them every 3-6 months.)

Does it make a difference what form of hormones I use for menopause?

The risks and benefits may be the same for all hormone products for menopause, such as pills, patches, vaginal creams, gels and rings.

Are herbs and other "natural" products useful in treating symptoms of menopause?

At this time, we do not know if herbs or other "natural" products are helpful or safe. Studies are being done to learn about the benefits and risks.

Our thanks to the FDA that assisted in some of the content on this page.

Facts About Female Sexual Dysfunction

       *   43% of all women (and therefore, their husbands/partners as well) are
            suffering from various types of Female Sexual Dysfunction, also called
            "Female Sexual Problems."

       *   50% more women than men, are suffering from Erectile Dysfunction, which
            is referred to as "Female Erectile Dysfunction."

       *   Many people fail to recognize that unless a woman's clitoris is fully erect,
            that she is incapable of reaching an orgasm.

Vaginal Relaxation?

Ladies, is your loose vagina causing you embarrassment or have you lost the joy of intimacy?  

If one or more vaginal childbirths have caused your vagina to become loose, and "not tight", he has probably noticed as well. You can once again, have the "tight vagina" of your youth! 

What you, and he are experiencing, is something called "Vaginal Relaxation," the medical jargon for "loose vagina."

Vaginal Relaxation?

Did you know that over 35 million American women and their husbands are suffering loss of joy and intimacy due to "Vaginal Relaxation?" 

Have you or your husband noticed that the thrill of intimacy you and he used to enjoy has been diminished due to the loss of your vagina's tightness?

Stop the Suffering! 
Our Board Certified Physicians have 
Extensive Experience in Solving
Intimacy Problems Related to 
Vaginal Relaxation!

Our doctors can treat and cure your (or your wife's) 
"Vaginal Relaxation" Problems!

Did you know that about 35 million to 40 million American women – and their husbands and partners - are suffering from “Vaginal Relaxation.”?  

“Vaginal Relaxation” is often referred to as a “loose vagina” wherein the vagina is not as tight as it once was, whether due to vaginal childbirth, age, or other vaginal trauma. The vagina has become relaxed, or loose, and now it has become a problem for the woman, as well as her husband/partner.

Some women, as another symptom of Vaginal Relaxation, have problems controlling their urine in certain situations or notice changes in their bowel habits. These symptoms of Vaginal Relaxation are typically related to one or more problems that occur as a result of vaginal childbirth, other vaginal trauma, aging or a combination of the above.  

There is hope!  Women, and their husbands/partners, no longer need to suffer from Vaginal Relaxation.  More and more doctors are treating women and couples suffering from Vaginal Relaxation with treatments – sometimes including surgery – that will help them return to a life without the embarrassment, disappointments and heartache of the symptoms and discomforts associated with Vaginal Relaxation.

What is "nerve stimulation" and how does nerve stimulation help patients?

There are various types of nerve stimulation, each with its own protocols for treating various ailments and conditions.

One type of nerve stimulation is for treating people with moderate to severe depression.  Depression can be a very serious and life-threatening condition that may require life-long management and treatment.  Treating depression may sometimes have a lower than hoped for success rate and estimates indicate that more than half of all patients with depression have relapses. Anti-depressant drugs and medication may lessen symptoms but may not relieve all of the symptoms in some patients.

Seizures also do not always respond to treatment. Some patients have tried two or more medications and still have seizures, as well as side effects from the drugs, both of which affect their quality of life.

Vagus nerve stimulators are a small medial device that are implanted under the skin of the chest.  A very small wire runs to the patient's vagus nerve, which is then stimulated by the device, in the same manner a pacemaker works.  In general, patients with depression normally experience an improvement in alertness, energy. memory, their depression improves as a result. better mood. These quality-of-life benefits improve over time. 

Vagus nerve stimulators, in general, have proven to be a safe and effective way to control seizures and lessen the severity of depression.   Because Vagus nerve stimulators are used, drugs are usually not required, and there are no side effects that are associated with anti-depressant or seizure-control medications.

See:  www.DepressionHelp.net  for more information about depression.

Pelvic Organ Prolapse
www.PelvicOrganProlapse.com 
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What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse or Pelvic Prolapse, is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapsee in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Organ Prolapse may also be called; genital prolapse, pelvic relaxation, pelvic prolapse, uterine prolapse, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse or vaginal vault prolapse.

What is Pelvic Prolapse?

Pelvic Prolapse is another term used for "Pelvic Organ Prolapse."  Pelvic Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Prolapse may also be called; genital prolapse, pelvic relaxation, pelvic prolapse, uterine prolapse, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse or vaginal vault prolapse.

What are the symptoms that indicate a woman is suffering from  Pelvic Organ Prolapse?

• Loss of bladder control.

• Loss of bowel control.

• Increasing need and frequency to urinate - and then difficulty in completely emptying your bladder.

• The feelings that your of pelvic or vaginal heaviness, bulging, fullness and/or pain, or a feeling that something is "dropping."

• Recurrent bladder infections.

• Excessive vaginal discharge.

• Pain or lack of sensation during sex

But Pelvic Organ Prolapse is a real, common and treatable problem. Consider this:

About half of all women over age 50 suffer from some degree of Pelvic Organ Prolapse.

One in 10 women undergo surgery for Pelvic Organ Prolapse by age 80.

What is Pelvic Reconstruction?

Pelvic Reconstruction is a surgical procedure performed by gynecologists or uro-gynecologies to repair pelvic organ prolapse and vaginal vault prolapse, among types of prolapse, and to correct the problem(s) and relieve the symptoms. 

Typically, Pelvic Reconstruction is performed vaginally and uses an implant to reinforce the strength of the weakened pelvic tissues. 

What is a Prolapsed Uterus?

A Prolapsed Uterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis. 

A Prolapsed Uterus may be one of three types, depending on the severity:

• First-degree prolapse occurs when the uterus sags downward into the upper
vagina.

• Second-degree prolapse occurs when the cervix is at or near the outside of the
vagina.

• Third-degree prolapse (sometimes referred to as total prolapse) occurs when the entire uterus extends outside the vagina.

What is Gynecologic Urology?

Gynecologic Urology, also referred to as Uro-gynecology, is a subspecialty within the field of Obstetrics and Gynecology. Uro-gynecology's specialty is female pelvic disorders such as pelvic organ prolapse (bulges that extend from the uterus into the vagina or extend out of the vagina), urinary incontinence, fecal incontinence and constipation. 

Doctors that complete their residency in Obstetrics and Gynecology, then go onto complete fellowship training in Uro-gynecology, where they spend several years focusing only on Uro-gynecology and female pelvic disorders.

What is Colpopexy?

Colpopexy is the surgical suturing of the prolapsed vagina to a surrounding structure - such as the abdominal wall or the sacrum, which is then called Sacral Colpopexy or Sacrocolpopexy 

What Is Sacral Colpopexy (Sacrocolpopexy)?

Sacral Colpopexy, also referred to as also referred to as also referred to as also referred to as Sacrocolpopexy, is the preferred surgical procedure for treating and correcting Vaginal Vault Prolapse with excellent results. Sacral Colpopexy (Sacrocolpopexy) has a very high rate of success  and the surgical procedure involves suturing a synthetic mesh that connects and supports the vagina to the sacrum, or tailbone. The Sacrocolpopexy operation is performed from the abdomen to support the vagina to the ligament on the spine (after previous or present surgery to remove the uterus) by using a synthetic mesh.

Why Is Sacrocolpopexy Performed? 

Sacrocolpopexy is performed to treat severe protrusion or bulge(s) of the vagina after removal of the uterus.

A woman's vagina that has one or more of these vaginal protrusion(s) may experience one or more of the following:

• The vaginal lump/bulge or protrusion feels uncomfortable or causes pain.  
• Difficulty with urination (e.g. unable to completely empty the bladder) 
• Bowel difficulties (e.g. constipation, incomplete emptying of bowels) 
• Pain 
• Infection 
• Bleeding 

The objective of the Sacrocolpopexy operation is to relieve the woman's symptoms and to restore her vagina and her vaginal anatomy (as much as possible) and recover her sexual function.

Are there any risks associated with Sacrocolpopexy surgery? 

Sacrocolpopexy surgery is a very common and relatively safe operation with excellent prognosis and outcomes.  However, like any surgical procedure, there are complications which may occur. Possible complications from Sacrocolpopexy surgery may include:

• Bleeding 
• Infection 
• Injury to surrounding tissues (e.g. nerve or blood vessels, ureter, intestines) 
• Formation of blood clot(s) in the legs or lungs 
• Recurrence of problem
• Slow return of bowel or bladder function 
• Erosion of synthetic material through vaginal mucosa 

What Happens Before Sacrocolpopexy Surgery? 

1. Blood tests, electrocardiography (ECG) and chest X-ray may be done to ensure that you are in optimal health for Sacrocolpopexy surgery. 

2. Your doctor may prescribe oral or vaginal estrogen (hormone) if you are already menopausal. It is important to comply with this medication as it ensures that your vaginal tissues are optimal for surgery and healing. 

3. You will be admitted to the hospital one day before Sacrocolpopexy surgery. 

4. You will be given preparations to clear your bowels.

5.  Your pubic hair surrounding your vulva will be shaved. 

6. You will not be allowed to eat or drink after midnight on the day before the surgery. 

7. All your medical and surgical conditions, if any, must be made known to the doctor and must be optimally controlled. 

8. If you are on aspirin, please keep your doctor informed. You must stop taking aspirin at least one week before Sacrocolpopexy surgery. 

What happens during the Sacrocolpopexy surgery? 

The surgery is done under general or regional anesthesia. The anesthesiologist will discuss with you the advantages and disadvantages of both methods.

An abdominal incision is made. The synthetic mesh is stitched to the posterior surface of the vagina and to the ligaments in front of the spine.

A tube / drain may be inserted into the abdomen to monitor the bleeding.

Another tube will be inserted into the urethra as there may be difficulty in urination after the Sacrocolpopexy procedure.

Painkillers, laxatives and antibiotics would generally be prescribed after the procedure.

What happens after Sacrocolpopexy surgery? 

1. Immediately after the operation, you may experience one or more of the following:

• Tiredness - You should rest and gradually increase your mobilization until you feel fit to return to your normal activities. 

• Discomfort - In the lower part of the abdomen, over the incision. This is to be expected and painkillers should help to relieve the discomfort. 

• Vaginal bleeding - Mild to moderate amount of reddish watery discharge after surgery is quite normal. You will need to wear a menstrual pad during the recovery period, but you will not be permitted to use tampons for obvious reasons.

2. One day after surgery, you will usually be allowed to drink and eat. You will be encouraged to move around. Blood chemistries and normal follow-up visits will be performed. 

3. The catheter that was placed in your urethra is usually removed the day after surgery. The drain is usually removed two days after the operation.

4. You may be discharged on the third or fourth day after surgery if the doctor is pleased with your progress and the outcome of the Sacrocolpopexy procedure. 

5. You should refrain from:

• Strenuous exercise for 2 months. You may return to normal activity after that, or upon clearance by your doctor. 

• Using tampons, douching, sexual intercourse and driving for 4 weeks. 

• Carrying heavy weights (> 10 pounds) for 6-8 weeks after Sacrocolpopexy surgery.

6. You should (immediately) return to the hospital or notify your doctor if you notic any of the following:

• Heavy vaginal bleeding 
• Foul smelling vaginal discharge 
• Severe abdominal distension and / or pain not relieved by painkillers 
• High fever 
• Pain associated with passing urine 
• Difficulty in passing urine 
• Constipation 

Follow-up doctor visits after Sacrocolpopexy surgery 

You will be examined by your doctor (at your doctor's office) at approximately; 2 weeks, 4 weeks, six months and and one year after Sacrocolpopexy surgery. 

It is important to keep your follow-up appointments to ensure the best possible results.

What is "Colposuspension" surgery?

Age and vaginal childbirth takes it toll on women's pelvic organs.  

"Female Urinary Incontinence" is one of the problems most (over 50%) women who have delivered babies vaginally have to contend with.  Women with Female Urinary Incontinence "leak" urine when they strain,  cough, laugh or run. This condition is also called "stress urinary incontinence" meaning the stress of physical activity, not emotional stress is causing her to "leak" urine.  

The problems associated with female urinary incontinence are corrected in the the "floor" of the woman's pelvis by several methods or types of surgeries - one of which is called Colposuspension. 

A woman's pelvic floor is a sheet of special muscles and ligaments that stretch across the inside of the female pelvis. Women can feel it "tighten" when they try to hold back the flow of urine - or when they strain,  cough, laugh or run. The uterus and bladder are located above the pelvic floor. The vagina and the opening of the bladder (the urethra) pass through the pelvic floor. If the pelvic floor weakens, the uterus and bladder "drop" down. The control of the urine is thereby weakened. 

Colposuspension surgery strengthens the pelvic floor to lift, or "suspend" the uterus and bladder back up to their correct position within the woman's pelvis

Colposuspension comes from the Greek word for vagina - "colpos."

What is "Urethropexy"?

Urethropexy is a surgical procedure where the support of a woman's urethra is re-supported through sutures that surround the urethra's pelvic floor  and vaginal tissues to her pubic bone.

What is the Vaginal Vault and Where is the Vaginal Vault Located?

As previously stated, Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons. Vaginal Vault Suspension is the surgical procedure that corrects and repairs Vaginal Vault Prolapse.

What is a Vaginal Vault Prolapse?

The vaginal vault is the area at the top of the vagina, next to and adjacent to the cervix. It can only “fall” or descend downwards toward the introitus, or the entrance of the vagina, after a woman's womb has been removed (hysterectomy). 

Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons.

Vaginal Vault Suspension is a surgical procedure that may be selected to correct/repair Vaginal Vault Prolapse.

What is Vaginal Vault Suspension?

Vaginal Vault Suspension is the surgical procedure that repairs Vaginal Vault Prolapse and also provides support for the apex or "vaginal vault" of the vagina to pelvic structures.

What is a Trachelectomy?

A trachelectomy, also referred to as a cervicectomy, is the surgical removal of the cervix. 

In this surgery, the uterus itself is saved or preserved, and therefore this type of surgery preserves a woman's chance of becoming pregnant and having children.  The trachelectomy surgical alternative - as opposed to the more radical hysterectomy which removes the uterus in addition to the cervix - is typically elected by younger women with early stage cervical cancer.

What Everyone Needs to Know About Reconstructive Pelvic Surgery.

Reconstructive pelvic surgery is an area of surgery dealing with a woman's pelvis, and includes gynecology and uro-gynecology.  Pelvic reconstructive surgery is many times very complex surgery that may require not just the removal of certain organs or tissues in a woman's pelvis, but may also include the resection of areas and putting her organs and tissues back together in a way that makes her more functional, with less/no pain and feels better. 

What is Pelvic Inflammatory Disease?

Pelvic inflammatory disease, or "PID" is an infection of a woman's pelvic organs which include the uterus, fallopian tubes, and ovaries. 

Bacteria causes pelvic inflammatory disease. Bacteria can move upward, from a woman's vagina or cervix - which is the opening to the uterus, or womb - into her fallopian tubes, ovaries and uterus, which then cause an infection. Many types of bacteria can cause pelvic inflammatory disease. But bacteria found in two common sexually transmitted diseases - chlamydia and gonorrhea - are the most frequent causes of pelvic inflammatory disease. 

After a woman becomes infected, it can take from a few days to a few months to develop pelvic inflammatory disease. 

The major symptoms of pelvic inflammatory disease are lower abdominal pain and abnormal vaginal discharge. 

Other symptoms of pelvic inflammatory disease may include one or more of the following; fever, pain in the right upper abdomen, pain during vaginal intercourse, and irregular menstrual bleeding.  

Pelvic inflammatory disease, particularly when caused by chlamydia, may produce only minor symptoms or no symptoms at all, even though it can seriously damage the reproductive organs. 

Untreated, pelvic inflammatory disease causes scarring and can lead to infertility, tubal pregnancy, chronic pelvic pain, and other serious problems. 

Pelvic inflammatory disease is more common and more aggressive in HIV+ women than in uninfected women. Pelvic inflammatory disease may become a chronic and relapsing condition as a woman's immune system deteriorates. 

Women can play an active role in protecting themselves from pelvic inflammatory disease disease by following these steps and precautions: 

*  Call your doctor if you have discharge with odor or bleeding between cycles. 

*  Use either male or female condoms during sex. 


What is Pelvic Floor Dysfunction?

Pelvic floor dysfunction, which is also referred to as outlet obstruction or outlet delay, refers to a condition in which the pelvic floor muscles of a woman's lower pelvis - that surround the rectum, do not function normally. It is not known why these muscles fail to work properly in some women, but they can make the passage of stools difficult even when everything else seemingly is normal.

What Causes Pelvic Floor Dysfunction?

Women with pelvic floor dysfunction find that muscle pain occurs when muscles are tense, strained, traumatized and/or otherwise inflamed. Their pelvic muscles are no exception. Causes of pelvic floor dysfunction can include:

*  Chronic faulty posture with weak core musculature 
*  Trauma (fall on tailbone, old tailbone fracture, auto accident)
*  Inflammation or infection
*  Pelvic organ disease (endometriosis, irritable bowel syndrome, interstitial cystitis) 
*  Repetitive motion injuries such as those from gymnastics, volleyball, soccer, ballet or ice
    skating
*  Abdominal muscle wall weakness or hernias 
*  Chronic constipation
*  Pregnancy or complicated vaginal delivery 
*  Abdominal or pelvic surgery such as a hysterectomy 

Do I have Pelvic Floor Dysfunction?

Women with pelvic floor dysfunction often have changes in their spine and/or pelvis.  Symptoms or conditional might include; scoliosis, short leg, swayback or a "torsioned" sacrum. The most common symptoms of pelvic floor dysfunction include one or more of the following:

*  Vaginal pain 
*  Pain with urination 
*  Urinary urgency and frequency 
*  Rectal pain 
*  Pain during vaginal intercourse 
*  Pain with sitting, standing, walking 
*  Pain and/or difficulty getting up from a seated or lying down position
*  Hip pain often with loss of range of motion in hips 
*  Deep pain in lower back radiating to legs, thighs, groin, hips 
*  Abdominal and lower abdominal/intestinal pain
*  Pelvic pressure or a feeling like your vagina or uterus are "falling out."
*  Involuntary loss of urine or stool 

What are Pelvic Adhesions?

Pelvic adhesions are the cause of many gynecological problems including significant pain, infertility and conception. Pelvic adhesions are irritations of a woman's pelvic organs as a result of a "pelvic inflammatory event" or from trauma to the area such as in the case of pelvic or gynecological surgery.

Examples of a pelvic inflammatory event include; fallopian tube infections that might occur from endometriosis, removal of an ovarian cyst, sexually transmitted diseases such as gonorrhea, post surgery infections, and even appendicitis and appendectomies.

As a woman's body's pelvic area recovers from an inflammation, trauma or surgery, it begins the healing process and starts to repair itself.  The woman's body and its' healing process may cause some tissues and structures in the pelvis to become unintentionally "stuck" to another tissue or structure. In a normal woman's healthy pelvis, this space is lined with a tissue called the peritoneum, which also covers the outside of organs located in the abdomen and pelvis. In the pelvis of a non-injured/non-irritated woman, the peritoneum can be very "slippery" with the the organs and structures lying immediately next to each other that "slip" off each other and do not become bonded together. With a woman who has had a pelvic inflammation, trauma or injury, her body's healing process starts a sequence of events that may result in some of the pelvic tissues becoming "stuck" to or "adhering" to tissues or organs next to the inflamed, or injured tissue, and when this occurs, the outcome may be pelvic adhesions.

What is Menorrhagia?

Menorrhagia is the medical term for women (and young girls first starting their menstrual cycles) that excessive menstrual bleeding. Excessive menstrual bleeding is defined as having a period that lasts 7 or more days each menstrual cycle (period) or is so heavy that you saturate your menstrual pad and/or tampon and need to change your feminine hygiene product(s) every one to two hours.  It is very important to inform your doctor if you have excessive menstrual bleeding! 

Women that are suffering from Menorrhagia may experience; anemia, fatigue,  embarrassing menstrual accidents, and feel that you have to restrict your life and social activities to such an extent that you "miss out on life."  Many women prefer to stay close to home so as to avoid embarrassment due to their need to go to the restroom so often so that they can change their feminine hygiene products before they become too saturated and cause even more embarrassment.

How many women have Menorrhagia?

Approximately 1 in 5 women have Menorrhagia.

Are there any treatments or therapies for Menorrhagia?

Yes, there's hope and help for women with Menorrhagia!

Here are a few of the options and therapies you will want to discuss with your doctor.

Hormone therapy - also known as "both control pills," and/or other medications may be prescribed to treat hormone imbalance. Hormone therapy is effective about 50% of the time, and may be required for a long period of time. 

Uterine Balloon Therapy - Also known as Thermal Balloon Ablation) (see below for more information)

Dilation and curettage - also referred to as a "D & C" - is a surgical procedure whereby the doctor scrape the inside of the woman's uterus to remove the lining. For most women with Menorrhagia, a D&C is temporary and reduces excessive bleeding for only a few periods.

Endometrial Ablation is another possible therapy but only if you and your husband don't plan to have children in the future. Typical Endometrial Ablation removes the lining of the uterus with an electrosurgical tool or laser. Like any surgical procedure, there are risks, which include perforation of the uterus, bleeding, infection, or even heart failure due to fluids used to open up or distend the uterus.

Hysterectomy is the surgical removal of the uterus.  As a hysterectomy involves the removal of the woman's uterus, Menorrhagia will no longer be a problem. Hysterectomy is also a surgical procedure and also involves risks. The recovery period after hysterectomy is 3 to 6 weeks.

What is Perineoplasty?

Perineoplasty, also known as "Perineorrhaphy,"is one of the fastest growing elective medical procedures and is the reparative or plastic surgery of the perineum which helps women with problems with vaginal opening laxity or looseness - medically referred to as "Vaginal Relaxation."  Many also incorrectly call this procedure "vaginoplasty" or "vaginaplasty."

Perineorrhaphy is the reconstruction of the muscles and tissues at the opening of the vagina and has successfully decreased the "introitus" or size of the vaginal opening. Perineorrhaphy does NOT reduce sexual sensation, in fact, properly performed, Perineorrhaphy INCREASES sensation for the woman as well as her husband/partner.

What is Colporrhaphy? 

Colporrhaphy is the surgical repair of the vaginal wall. This includes repairing many types of vaginal surgery, including the repairs of the vagina in a "Pelvic Organ Prolapse," "vaginal prolapse," "Vaginal Vault Prolapse," or the repair of a "cystocele" in the vaginal wall(s) or vaginal vault or a rectocele. A cystocele occurs when the bladder protrudes into the vagina, and a rectocele when the rectum protrudes into the vagina.

In the Colporrhaphy procudeure, a uro-gynecologist, or gynecological surgeon, places a vaginal speculum inside the vagina, which spreads/keeps the vagina open, for the doctor to inspect and repair the vagina. The vaginal wall is cut opened to reveal an opening in the supporting structures, or fascia and the defect is closed and then the vagina is repaired by suture and closed, and the speculum removed. 


Who performs the Colporrhaphy and where is it performed?

Colporrhaphy is usually performed in a nearby hospital operating room by a uro-gynecologist, urologist or gynecological surgeon.


What is a Pelvic Prolapse?

Pelvic Prolapse is another term used for "Pelvic Organ Prolapse."  Pelvic Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Organ Prolapse may also be called; genital prolapse, pelvic relaxation, prolapsed uterus, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse, vaginal relaxation, or vaginal vault prolapse.

What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse is a very common condition, particularly among older women. It's estimated that half of women who have children will experience some form of Pelvic Organ Prolapse in later life. Many women, particularly because they may no longer be sexually active, and fail to continue receiving their annual pelvic exams, don't seek help from their doctor. Therefore, the actual number of women affected by Pelvic Organ Prolapse is unknown. 

Pelvic Organ Prolapse may also be called; genital prolapse, pelvic relaxation, prolapsed uterus, uterovaginal prolapse, pelvic floor dysfunction, urogenital prolapse, vaginal relaxation, or vaginal vault prolapse.

What is a Prolapsed Uterus?

A Prolapsed Uterus refers to a collapsed uterus, or descended uterus, or other change in the position of the uterus in relation to the surrounding structures within the pelvis. The pelvis contains many soft tissue structures vital to normal body functions, supported primarily by the diaphragms, layers of muscles, fibrous coverings called fasciae, and various ligaments and tendons. These soft tissues of the pelvis derive their ultimate support from the bony pelvis. 

A Prolapsed Uterus may be one of three types, depending on the severity:

• First-degree prolapse occurs when the uterus sags downward into the upper
vagina.

• Second-degree prolapse occurs when the cervix is at or near the outside of the
vagina.

• Third-degree prolapse (sometimes referred to as total prolapse) occurs when the entire uterus extends outside the vagina.

What is a Vaginal Vault Prolapse?

The vaginal vault is the area at the top of the vagina, next to and adjacent to the cervix. It can only “fall” or descend downwards toward the introitus, or the entrance of the vagina, after a woman's womb has been removed (hysterectomy). Vaginal Vault Prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons.

What is the Vaginal Vault?

What is Vaginal Vault Suspension?

Vaginal Vault Suspension is a surgical procedure that provides support for the apex/vault of the vagina to various pelvic structures.

What is Female Sexual Arousal Disorder?

Female Sexual Arousal Disorder or simply "FSAD" occurs when a woman is unable to attain and maintain a full and complete erection of her clitoris along with sufficient vaginal lubrication during intercourse to be able to reach an orgasm.  

Female Sexual Arousal Disorder may also be diagnosed when the woman has no desire for sexual intercourse. 

Female Sexual Arousal Disorder affects up to 43 percent of all women, or an estimated 90 million women. Most women (more than 1/2) with FSAD are postmenopausal. Some women with Female Sexual Arousal Disorder describe the condition as being "unable to get turned on," or being continually disinterested in sex. Female Sexual Arousal Disorder has  also been called "frigidity." Other symptoms of Female Sexual Arousal Disorder may include dyspareunia and vaginismus, both of which involve pain during intercourse.

The woman and her husband/partner should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment.  Their doctor will also insure that this  is not the result of another psychological disorder which could be a primary problem. 

If the husband/ partner of a patient with suspected Female Sexual Arousal Disorder feels that this is a problem within the relationship, that concern should be sufficient for the individual to seek psychological consultation.

What is Female Erectile Dysfunction?

Female Erectile Dysfunction occurs when a woman is unable to attain, and maintain a complete erection of her clitoris through orgasm.

If the husband/partner of a patient with suspected Female Erectile Dysfunction feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation. 

What Are Female Sexual Problems?

Female Sexual Problems are also referred to as "Female Sexual Dysfunction."  A woman may have one or more Female Sexual Problems that we are just now learning that may be related to a number of factors.  

Typically, Female Sexual Problems are labeled generically as "Female Sexual Dysfunction" until such time as her doctor or therapist may be able to make a proper diagnosis.  

Female Sexual Problems may be a cause of significant distress to both her and her husband. 

If the husband/partner of a patient with suspected Female Sexual Problems feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation. 

What is Female Orgasmic Disorder?

Female Orgasmic Disorder is defined as a sexual dysfunction that is characterized by a persistent or recurrent delay or absence of orgasm following the excitement phase of the female sexual response cycle, causing significant distress or interpersonal problems, and not being attributable to a drug or a general medical condition. 

Female Orgasmic Disorder is directly related with the woman's inability to attain and maintain a fully-erect clitoris.  

Without a full erection of the clitoris, a woman cannot reach an orgasm. 

What is Hypoactive Sexual Desire Disorder?

Hypoactive Sexual Desire Disorder or "HSDD" has been defined as a deficiency or absence of sexual fantasies and desire for sexual activity. Hypoactive Sexual Desire Disorder is considered a disorder if it causes distress for the woman or husband.  The woman and her husband should both be seen as this is a "couple's problem" that is typically best resolved with both partners in treatment.  Their doctor will also insure that this  is not the result of another psychological disorder which could be a primary problem. 

If the husband/partner of a patient with suspected Hypoactive Sexual Desire Disorder feels that this is a problem within the relationship, his concern should be sufficient for the individual to seek psychological consultation.

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What is a "Clitoridotomy"?

Clitoridotomy is the removal or reduction of the prepuce or foreskin - more commonly referred to as the "clitoral hood" of a woman's clitoris. 

Clitoridotomy is one of the fastest-growing medical procedures which takes less than 45 minutes, and performed on an out-patient basis, at a doctor's office.  

There are two types of clitoridotomy - 1. the complete removal of the clitoral hood - also known as Clitoral Hood Removal and 2. the reduction of the foreskin or prepuce of the clitoral hood, known as Clitoral Hood Reduction.

There are many reasons why women are choosing to have a clitoridotomy - or removal or reduction of the clitoral hood.  Chief among these reasons are that women do not like the appearance of the extra loose skin surrounding the clitoris.  Other leading reasons for a clitoridotomy also include the ability to increase sexual pleasure as the removal or reduction of the excess skin surrounding the clitoris will greatly enhance clitoral sensation.

For Clitoral Hood Removal, this short medical procedure, also takes place in a doctor's office on an outpatient basis.  This results with the woman's clitoral glans (the tip of the clitoris) permanently exposed. That's why this very popular procedure is commonly referred to as a "hoodectomy."  This may be cause too much clitoral stimulation for some women, with significantly greater periods of "clitoral erection," from just walking around and other non-sexual activities.  For this reason, some women prefer the "Clitoral Hood Reduction."

For Clitoral Hood Reduction, this very safe, simple and very effective procedure also takes place in a doctor's office on an outpatient basis.  The results from this procedure leaves the woman's clitoral glans (the tip of the clitoris) covered, with the "excess" clitoral hood removed. The correct medical term for this procedure is a "Clitoridotomy."

What is "Clitoropexy"?

Clitoropexy repositions your clitoris when it protrudes beyond its normal anatomical location - which may cause pain, or embarrassment, or both.

Where is the Clitoris?

     The clitoris is located where the the labia minora (inner vulvar lips) meet. 

     The pea-shaped clitoris that you can see on the outside of the vulva, or under the clitoral "hood," is actually the end or tip of a long shaft that goes deep into the woman's body, and separates into two shafts that surround the vagina. 

     The pea-shaped head of the clitoris is called the "clitoral glans," which is rounded and pea-shaped that comes in different sizes.  

     The clitoris' longer part, that you cannot see, is the clitoral shaft.  The entire length of the clitoris contains cavernous bodies that can engorge with blood, when a woman becomes sexually excited.  This causes the woman's clitoris to become erect. The tissue of the labia minora (inner lips) at the top of the vulva form a hood which normally covers the shaft of the clitoris.  Again, the only visible part of the clitoris that you can see, is the clitoral glans, which looks like a small pea.  The size and shape of a woman's clitoris can vary considerably from woman to woman. To see more of the clitoris, all you need to do is pull back or retract the clitoral hood - moving it toward the belly-button. 

Clitoral Adhesions

What are "Clitoral Adhesions?"

Clitoral adhesions are similar to labial adhesions, except clitoral adhesions are located on and around a girl's/woman's clitoris or under her clitoral hood, which covers the clitoris most of the time. Clitoral adhesions limits and/or prevents the clitoral hood to freely slide across the clitoral glans of the clitoris.  You will know if you or your daughter has clitoral adhesions when you pull or retract on the clitoral hood, the clitoral glans moves with the clitoral hood instead of the clitoral hood retracting by itself, i.e., the glans of the clitoris moves with your pulling the clitoral hood. This can be very painful. If you are checking your young daughter for clitoral adhesions, be very gentle, as this is a very sensitive area and retracting her clitoral hood can be very painful if there are clitoral adhesions. 

You may not be able to pull the clitoral hood back far enough to expose the entire clitoral glans if you or your daughter has clitoral adhesions.  This could make cleaning the clitoral area difficult if not impossible.

Minor clitoral adhesions may be remedied by without the need for a doctor's intervention. The clitoral adhesions may be released through pressure on the clitoral hood. Things like bathing, masturbation, bicycle riding, and horseback riding.  If you do not properly wash your vulva in a manner that places traction on her hood, or masturbate in a manner that causes you to pull back the clitoral hood, you may not separate any clitoral adhesions that form, or prevent the formation of adhesions in the future.

If you believe you have clitoral adhesions or labial adhesions, you may be able to eliminate them by repeatedly pulling on your clitoral hood, in 360 degree directions (up, down, left, right, rotating in circles as well), or by taking a hot bath.

Clitoral adhesions will not disappear immediately as it took some time for the clitoral adhesions to form.

Women who experience pain can ask their partner or doctor to examine their vulva, and separating the labia, attempt to locate the source of the pain or by using a mirror and seeking the source of the pain themselves.  If you experience clitoral adhesions, either you or your partner can moisten a q-tip with baby oil or vitamin E to clean and loosen the secretions. Remember, the clitoral hood needs to "glide" easily over the clitoris. To lubricate the clitoral hood and loosen the secretions underneath, you or your partner may want to massage the area with a topical cream or baby oil.  This may require you and/or your partner to do this for several days or for several weeks.  Due to the sensitive nature of the clitoris and clitoral glans, it may be painful during the cleaning or massage due to the adhesions.

In the event you are unable to treat the symptoms of clitoral adhesions, and you or your partner cannot determine the reason for the pain, a doctor may need to be consulted. If your clitoral hood extends well past the clitoral glans, or if your clitoral hood is thick or closed, the adhesions may be totally concealed, with no visible indications. You should be very explicit in your office visit with the physician regarding your pain and show him the exact location of the any pain, even retracting your clitoral hood, if necessary for his viewing. 

The clitoral adhesions caused by the accumulated smegma is caused by the two tissues surfaces growing together, due to failure to wash away these accumulations. As a result, the body tries to heal and eliminate the source of the irritation, thus causing the tissues to fuse as adhesions. These clitoral adhesions, or labial adhesions in the event the labia minora fuse together, may also form as a result of the hood laying in constant contact with the clitoral glans.

Additionally, either you or your partner may want to massage baby oil, vitamin E, or a petroleum based lubricant or antibacterial ointment up under your clitoral hood and on the clitoral glans.  

What are labial adhesions?

Young girls and adult women may get “labial adhesions.” Labial adhesions are similar to clitoral adhesions except the smegma adheres to the labia minora (sometimes the labia majora) or the “lips” of the vulva surrounding the vagina — that has caused the labia minora to fuse or become stuck together. This happens to about 5% to 10% percent of all young girls.  Young girls and women with labia that are stuck or fused together should immediately be seen by a pediatrician or gynecologist as the urine flow (and menstrual flow in adult women) can become blocked and a serious infection or infections are very likely to occur if she is not seen by a doctor. 

What causes labial adhesions?

This probably happened because your daughter has little to no estrogen. Baby girls get a large dose of estrogen while they're still in the uterus.  About one to two months after her birth, the maternal estrogen level drops off, and this hormonal change can affect many parts of a baby's body, including the lining of a girl's labia. Her labia may even stick together. This "adhesion" of her labia can continue or come and go throughout childhood, according to many pediatricians.

What can be done to treat labial adhesions?

First of all, parents should NOT try to pull or separate your daughter's labia apart, since that might hurt. Unless the adhesion is causing any problems, it's best to leave it alone. The idea of your daughter having labial adhesion probably worries you more than it bothers her.  However, if the adhesion extends to cover the opening of the urethra and is trapping urine in the genital area, then you'll definitely want to see your child's doctor about treatment. Trapped urine can cause irritation and possibly infection. You'll know if your daughter's labial adhesions are covering the urethral opening if you find less urine in her diaper (for a young child) or she's having trouble peeing, or if her genital area looks irritated, she's irritable and crying, and she has a fever (due to infection).

Normally doctors prescribe a topical estrogen cream to treat the problem. Your doctor will tell you to apply this cream directly to the affected tissue, and in about two weeks it should unseal the labia. You'll probably start by applying the cream two or three times a day, then two times a day, then just once a day. It's important to reduce the amount of estrogen cream you use gradually. If you just stop the treatment suddenly, the labia will close up again.

More about Clitoral Stimulators and Clitoral Stimulation

We will soon be offering the leading clitoral stimulators at "the" leading website for Clitoral Stimulators.  More information coming soon.

For now, if female sexual pleasure is not pleasurable, you may want to consider a Clitoridotomy, or "Clitoral Hood Reduction."

For more information on Clitoral Stimulation, see:  www.ClitoralStimulation.net

More Information about the Simple Medical Procedure called "Clitoridotomy."

Clitoridotomy, or "Clitoral Hood Reduction" and/or "Clitoral Hood Removal" is the medical procedure that may also be known as "Clitoroplasty," as the doctor performing this simple, relatively painless procedure, is working around the area of the clitoris - which is why it is also referred to as "Clitoroplasty."  This safe and simple surgical procedure is also referred to as a "hoodectomy." 

This very simple, highly effective, short (under 45 minutes, on average) and very safe medical procedure is one of the fastest growing surgical procedures that women are choosing to enhance their sexual pleasure and increase their ability to orgasm. 

See one of the following sites for more information on this proven procedure that is helping a lot of women increase their pleasure:  

www.ClitoralHoodReduction.com 

www.ClitoralHoodRemoval.com

www.Clitoridotomy.com

www.Clitoroplasty.com

www.Clitoropexy.com

www.YourClitoris.com

www.LabialReduction.com

www.LabiaMinoraReduction.com

For Clitoral Hood Removal, this short medical procedure, also takes place in a doctor's office on an outpatient basis.  This results with the woman's clitoral glans (the tip of the clitoris) permanently exposed. That's why this very popular procedure is commonly referred to as a "hoodectomy."  This may be cause too much clitoral stimulation for some women, with significantly greater periods of "clitoral erection," from just walking around and other non-sexual activities.  For this reason, some women prefer the "Clitoral Hood Reduction."

For Clitoral Hood Reduction, this very safe, simple and very effective procedure also takes place in a doctor's office on an outpatient basis.  The results from this procedure leaves the woman's clitoral glans (the tip of the clitoris) covered, with the "excess" clitoral hood removed. The correct medical term for this procedure is a "Clitoridotomy."

Clitoropexy is another simple procedure that is sometimes necessary.  Clitoropexy repositions your clitoris when it protrudes beyond its normal anatomical location - which may cause pain, or embarrassment, or both. 

Female Orgasm Problems?

Did you know that TWICE as many women, than men, suffer from Erectile Dysfunction! 

That's right, a woman that cannot achieve and maintain a CLITORAL erection CANNOT achieve orgasm!  It's called, "Female Erectile Dysfunction," and over 43% of all women are suffering. A woman's clitoris must be fully erect ("clitoral erection") for her to be able to orgasm.

There's hope and treatments for Female Erectile Dysfunction! 

There are multiple "female genital surgery" procedures available to help women with their sexual desires.  

In addition to Vaginal Tightening Surgery, more and more women are seeking procedures such as Labial Reduction, Labia Minora Reduction, Clitoral Hood Reduction and Clitoral Hood Removal - which is medically known as a "Clitoridotomy" or "Clitoroplasty" as well as Vaginal Tightening Surgery.   

These simple and relatively short medical procedures are the fastest growing surgical procedures that women are choosing to provide the "natural female enhancement" they have been longing for, as well as to enhance their sexual pleasure and increase their ability to orgasm.

Doctors - Did you know that “female genital surgery” is the fastest growing type of plastic surgery today, according to the American Academy of Plastic Surgeons? 

Did you know that over 30 million American women (and their husbands or partners) are suffering from “Vaginal Relaxation” and seeking help for this very serious problem?

Doctors, are you seeking to grow your practice and increase the number of procedures and patients? We can help!

We provide information, resources and patient referrals to physicians that perform Labial Reduction, Labia Minora Reduction, Clitoral Hood Reduction and Clitoral Hood Removal - which is medically known as a "Clitoridotomy" or "Clitoroplasty" as well as Vaginal Tightening Surgery 

These simple and relatively short medical procedures are the fastest growing surgical procedures that women are choosing to provide the "natural female enhancement" they have been longing for, as well as to enhance their sexual pleasure and increase their ability to orgasm.

We can help you get the results you need – more patients, more procedures and more revenues plus the added benefit of “locking-out” your competition, other doctors who also perform these procedures. 

We guarantee your practice will see an increase in patients and procedures through our leading healthcare marketing solutions.

See:  www.FemaleGenitalSurgery.com  or  www.VaginalTighteningSurgery.com for more information and doctors that specialize in these procedures.

Did you know that over 30 million American women (and their husbands or partners) are suffering from “Vaginal Relaxation” and seeking help for this very serious problem?

See:  www.VaginalRelaxation.com  for more information for more information and doctors that specialize in these procedures.

Also, one of the fastest growing cosmetic procedure is "labia sculpting" or "labia contouring."  A lot of women are either embarrassed or experience great discomfort and pain by their uneven labia minora, and particularly their long, "floppy" labia minora. Many women complain they can no longer wear bikinis for fear of their long, labia minora, falling out of their bikini.  A lot of women experience pain with intercourse as their long labia minoras are pulled in and out of their vagina.  

These simple medical procedures can make a woman feel more secure, and take away the pain and embarrassment of long, uneven labia minora.

See:  www.LabialReduction.com  or  www.LabiaMinoraReduction.com for more information and doctors that specialize in these procedures.

Doctors, are you seeking to grow your practice and increase 
the number of procedures and patients? 

We can help! You and your practice could be “featured” on this or one of our other premium sites. Your patients are NOT looking for you or your website, they ARE looking for information according to the "generic" website address of the medical procedures they are seeking.  Just like the Yellow Pages for finding a cosmetic surgeon, you have to first go to the section of the Yellow Pages, under Physicians, then the sub-heading "Cosmetic Surgery" and it is there that the physicians are identified and listed.  Similarly, the "generic" search for the procedure that your patients are wanting to have done, is what get results.  i.e.  for doctors performing Vaginal Relaxation surgery, wouldn't they be best listed at the website:  www.VaginalRelaxation.com ?  

We can help you get the results you need – more patients, more procedures and more revenues plus the added benefit of “locking-out” your competition, other doctors who also perform these procedures. 

We guarantee your practice will see an increase in patients and procedures through our leading healthcare marketing solutions.

Some of the information on this website is about surgical reduction or removal of the clitoral hood (the prepuce or foreskin) of a woman's clitoris.  For most women, this significantly increases their sexual pleasure and ability to orgasm.  After the short medical procedure, which takes place in a doctor's office on an outpatient basis,  the results leave the woman's clitoral glans (the tip of the clitoris) permanently exposed (on a complete clitoral hood removal), making the clitoris much more sensitive to clitoral stimulation. This safe and simple surgical procedure is sometimes referred to as a "hoodectomy." The correct medical term for this procedure is a "clitorodotomy."

NONE of the procedures offered by our physicians are to be confused with clitoridectomy, excision, infibulation (also known as "pharaonic circumcision") or any other form of Female Genital Mutilation (FGM).  These procedures are illegal in most countries and we are entirely opposed to this barbaric, cruel and heartless form of "female circumcision."  This brutal procedure is usually performed on non-consenting girls before their first menstruation, and as early as girls under the age of one.  These procedures are intended to minimize or eliminate altogether the enjoyment of female sexual pleasure and prevent female sexual orgasm.  We support the international efforts to eliminate these forms of female circumcision.

Links of Interest:

Labia Minora Reduction
www.LabiaMinoraReduction.com

What is Labial Reduction?

More and more women are seeking "female genital surgery" to correct problems relating to their vulvas whether they are unhappy with the looks of their vulva or if their elongated labia minora are causing them pain or embarrassment - female genital surgery can correct these problems.

Some of the more common reasons given by women to seek female genital surgery include;  

• labia minora (smaller lips of the vulva) are uneven, mis-shapen or elongated

• one of the labia minora lips is longer than the other

• labia minora feel "floppy"   

• no longer able to wear a bikini or favorite swimsuit because you are afraid that your labia minora may "fall out" of the bikini

• long labia minora cause pain during intercourse or when wearing tight jeans.

• clitoral hood has excess skin which is either unsightly or interferes with sexual pleasure

• too much skin surrounding your clitoris

• after childbirth, my vagina seems too loose, and intercourse doesn't feel the same

• your vagina feels like it is "gaping" open  

• intercourse is no longer pleasurable, for you - or for him and doesn't feel as good as it once did 

What you, and he, are experiencing, is something called "Vaginal Relaxation" the medical term for having a "loose vagina."

These are just some of the complaints we regularly hear from women who want to improve their vulva and how it looks (and feels) - and what we call "cosmetic gynecology." 

Cosmetic gynecology may be what you have been looking for!  Look great, feel great, we can help you have the labia minora, vagina or vulva you always dreamed of!

Vaginal Dryness
www.VaginalDryness.net

What is Vaginal Dryness?

Vaginal dryness is one of the most distressing, and painful problems a woman faces.  Vaginal dryness occurs when the natural vagina secretions decreases within the vagina. The amount of vaginal moisture varies throughout a woman's monthly menstrual cycle. Vaginal dryness is particularly problematical as a woman enters and becomes menopausal.

What is a "Vaginal Moisturizer"?

Vaginal moisturizers, provided by numerous companies, and a variety of brand names, are products designed to relieve the pain and discomfort of vaginal dryness. These products are applied or inserted, into the vagina, one or more times per day, depending on the amount of vaginal dryness she may be experiencing.

A vaginal moisturizer may or may not be a vaginal lubricant.  Vaginal lubricants are normally used as an aid for intercourse and used on a short-term basis to help a woman that is not able to produce enough vaginal moisture to permit her to comfortably (and painlessly) engage in intercourse.  

A menstruating woman's vaginal moisture changes from day to day, and varies depending upon her hormones that control the production of vaginal moisture.  A woman can experience vaginal dryness even during times of menstrual bleeding.

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Vaginal Odor
www.VaginalOdor.net 

I have a Vaginal Odor ( VO) problem, what do I do? 

All menstruating women's vaginas go through monthly changes wherein their vagina's smell or scent changes from one day to the next, and throughout her monthly menstrual cycle. The amount of vaginal secretions, cervical mucous and vaginal moisture, changes from one day to the next, and throughout the monthly menstrual cycle.  This is due to the flow of hormones that produce these changes throughout her cycle and also the reason for her monthly menstruation, if she has not conceived. 

Vaginal odor problems can be related to many things related to her menstrual hygiene, vaginal hygiene, and/or feminine hygiene, but may also be an indication of a medical condition that may need immediate treatment.  

Here are some of the signs and symptoms related and possible causes of V.O. (vaginal odor):

Vaginal odor may be the result of an inflammation of her vagina.  The vaginal inflammation is often a result of infection in or around the vagina or vulva, called the vulvovaginal area. Sometimes this condition is referred to as vulvovaginitis.

Causes of Vaginal Odor

Bacterial Vaginosis 
Chlamydia  
Genital Herpes  
Gonorrhea 
Lymphogranuloma Venereum ("LGV") 
Pelvic Inflammatory Disease ("PID")
Sexually Transmitted Infection(s)
Syphilis 
Trichomonas
Vaginal Yeast Infection (candida)
Vulvovaginitis 


Bacterial Vaginosis leads to vaginal odor, what causes it?

Bacterial Vaginosis (BV) is a type of vulvovaginitis. Bacterial Vaginosis occurs due to an overgrowth of one or more organisms that are normally present in your/your wife's vagina. 

Many times, when a woman begins taking antibiotics, these antibiotics kill off the natural organisms in her vagina.  This may cause some organisms in her vagina to multiply, and these organisms produce chemicals that cause a fish-like odor characteristic of BV. Vaginal odor may be more acute, and stronger after sexual intercourse. 

Many times, while a woman may believe that vaginal douching prevents or helps prevent vaginal odor, especially after menstruation, douching actually disrupts the normal flora, or naturally occurring organisms that normally live in the vagina.  Vaginal douching, therefore,  may actually increase the risk of vaginal infection.

Signs and symptoms of Bacterial Vaginosis include(s): 

*  Grayish-white vaginal discharge
*  Vaginal itching or irritation
*  Vulva/labial redness, irritation, swelling and redness

Treating Bacterial Vaginosis is normally started after a visit to the ob-gyn who may  prescribe medication(s) - usually antibiotics.

Other causes of vaginal odor include the following:

Poor vaginal, menstrual or feminine hygiene methods.

Not changing tampons, or menstrual pads frequently enough.

"Losing" or forgetting a tampon in the vagina, which may lead to a vaginal infection. 

Rarely, an advanced tumor of the cervix or vagina will cause a vaginal odor problem.

Vaginal Hygiene is an area that focuses its studies, resources, and recommended products on proper Vaginal Hygiene, and overcoming Vaginal Hygiene problems. Whether you are concerned about menstruation, whether you should consider douching, vaginal odors, vaginal dryness, menstrual odors during menstruation, or general feminine hygiene information, this site is for you.

What is Gardnerella or Gardnerella Vaginalis?

Gardnerella or Gardnerella Vaginalis is an infection in the vagina caused by bacteria of the Gardnerella Vaginalis strain, often in combination with various anaerobic bacteria. This bacterial strain, "Gardnerella Vaginalis" is also the cause of "bacterial vaginosis" or "BV." 

A vaginal infection caused by Gardnerella often produces a gray or yellow discharge with a "fishy" vaginal odor that increases after washing the vulvovaginal area with alkaline soaps. 

Gardnerella Vaginalis is one of the most common causes of bacterial vaginitis - also called bacterial vaginosis, or "BV." 

Typically, the woman will see her family physician or gynecologist with complaints of a strong vaginal odor that is "fishy" smelling, along with a vaginal discharge which is gray to white in color.  The vaginal odor or fishy smell may be released on application of 10 percent potassium hydroxide to the vaginal secretion on a glass slide during a vaginal exam by the physician.

The normal vaginal pH is 3.7 - 4.5.  Women with Gardnerella typically have a vaginal pH above 4.5 

Gardnerella Vaginalis symptoms include:

• Vaginal Discharge that is white or gray in color. 

• Vaginal odor that smells like fish and is especially noticeable after sex.

• Vaginal pH above 4.5
  

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Here on the Leading Sites for Clitoral Hood Reduction (Clitoridotomy),
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www.Clitoridotomy.com

www.LabialReduction.com

www.LabiaMinoraReduction.com

www.Perineorrhaphy.com

www.Perineoplasty.net

www.VaginalRelaxation.com

www.VaginalTuck.com

info@FemaleSexualProblems.com