Older Girl Vagina

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Older Girl Vagina
Medically Reviewed by Carol DerSarkissian, MD on March 06, 2022
The age-old question of whether or not size matters is typically directed at men. But although they might not talk about it, some women may worry about the size of their vagina and how it affects sexual pleasure, particularly after having a baby .
Not a lot of research has been done in this area. Because so many things affect women’s sexuality, it's hard for researchers to know if vagina size and sexual pleasure are linked.
“Our ability to understand size as it relates to sexual function is poorly understood,” says Christopher Tarnay, MD, director of the division of female pelvic medicine and reconstructive surgery at the UCLA Medical Center.
The vagina is a very “elastic” organ, says Christine O’Connor, MD, director of adolescent gynecology and well women care at Mercy Medical Center in Baltimore.
It's small enough to hold a tampon in place, but can expand enough to pass a baby through. This is because the walls of the vagina are similar to those of the stomach in that they have rugae, meaning they fold together to collapse when unused, then expand when necessary.
“It doesn’t stay one particular size,” O’Connor says. “It changes to accommodate whatever is going on at that time.”
The most commonly used measurements regarding the size of vaginas come from Masters and Johnson’s work from the 1960s. They looked at 100 women who had never been pregnant and found that vagina lengths, unstimulated, range from 2.75 inches to about 3¼ inches. When a woman is aroused, it increased to 4.25 inches to 4.75 inches. Regardless of how long the vagina is, the area that is thought to be important for most women’s sexual response is the outer one-third.
So how does length relate to sexual satisfaction? No one seems to know for sure.
Tarnay says the main issues women report is discomfort during sex. This typically happens if the vagina is too short or tight or if they have a prolapse. In prolapse, the uterus, bladder , or other organs fall out of place, typically after childbirth.
But in general, vaginal length "probably doesn’t matter,” Tarnay says. “There is such a wide range of normal. One can be completely assured that in the absence of prolapse, length has no impact on sexual satisfaction.”
What may make a difference, Tarnay says, is what he calls the genital hiatus -- the vaginal opening. If there's a problem, it typically happens after childbirth.
The vaginal opening likely changes only slightly after birth, Tarnay says. In 1996, doctors began using a measurement called the pelvic organ prolapse quantification system as a way of helping them see how well they were doing repairing that area after childbirth.
This was the first time there was a true before-and-after measurement, Tarnay says. Doctors have used the system to look at populations of women and found that there is a slight increase in the size of the opening after vaginal deliveries. The issue may be more related to muscular weakness or injury in that area, Tarnay says.
“Women who are able to contract the pelvic floor muscles can increase or decrease the size of the hiatus,” he says. “Increasing pelvic floor muscle tone can reduce looseness.”
Kegel exercises can be very effective at strengthening these muscles, Tamay says may generally improve sex .
A study published in the Australian & New Zealand Journal of Obstetrics and Gynaecology in 2008 found that women who regularly did Kegel exercises reported greater sexual satisfaction than women who didn’t do Kegels.
To find the muscles you use to do Kegels, you can either insert a finger into the vagina and squeeze the surrounding muscles or stop the flow when urinating. After you’ve found the muscles, practice contracting them for five to 10 seconds, and then relax. If you can’t hold for that long, work your way up. Repeat the process 10 to 20 times, three times a day. While doing these exercises, breathe normally and try not to use the muscles in your legs, stomach, or bottom.
Some women sustain nerve injury during birth and can’t feel these muscles. Tarnay says there arephysical therapists who specialize in helping women learn how to do Kegels.
Worrying about vagina size and whether or not it changes over time is the wrong concern, O’Connor says. She notes that other things -- like lubrication, arousal, and having and a good relationship with your partner -- have a much greater impact on sexual enjoyment for women.
A 2010 study published in the International Urogynecology Journal bears out her opinion. Researchers used medical records, an exam, and questionnaire of 500 gynecological patients aged 40 and older to see if there was a correlation between vaginal length and opening size and sexual satisfaction.
The researchers found that desire, arousal, orgasm, pain, and sexual satisfaction weren't linked to vagina size. 
“It is not an exact physical fit you are looking for in terms of sexual function,” O’Connor says. “It is more about the communication between the two partners and making sure both are getting what they need out of the experience and are comfortable.”
Christopher Tarnay, MD, associate professor of obstetrics and gynecology; director, division of female pelvic medicine and reconstructive surgery, UCLA Medical Center.
Christine O’Connor, MD, director of adolescent gynecology and well women care, Mercy Medical Center, Baltimore.
Schimpf, M. “Does vaginal size impact sexual activity and function?” International Urogynecology Journal , April 2010.
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At a time when men's concerns around their aging penises get constant print and media attention, women are woefully ignorant about the changes that are taking place with their genitals.
Writer on women's issues, human rights, environment and culture
Mar 14, 2011, 06:01 PM EDT | Updated May 25, 2011
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At a time when men's concerns around their aging penises get constant print and media attention, women are woefully ignorant about the changes that are taking place with their genitals. They may see a diagram up on the wall in their gynecologist's office illustrating a graying, slumped over woman with sagging skin and drooping breasts (where is the image of a 57 year old Christie Brinkley when you need it?) -- but that often serves as the extent of available insight and somewhat specious visibility.
Dr. Barbara DePree began focusing her practice on mid-life women eight years ago when she noticed that her intake questionnaire pointed to the need for a resource dealing with women who were having trouble with their sexual health. An OB-GYN doctor with a 20-year track record, DePree is the Director of the Women's Midlife Services at Holland Hospital . "Providers aren't always up to date," she told me in a telephone conversation. She added, "They also may not feel comfortable dialoguing."
The topic in question? The medical term is "vaginal atrophy." As DePree explained, "As a woman gets older, the vagina gets shorter and more narrow. The walls become thinner and more fragile -- as well as less elastic. The color becomes a pale pink, which reflects a lack of blood supply." Another way of referencing the situation is to say that a woman is "losing patency." The biological definition of patency is "the state or quality of being open, expanded, or unblocked."
It doesn't have to be that way. DePree called up the adage, "Use it or lose it." That advice was for women in relationships who were finding intercourse uncomfortable, as well as for single women who wanted to maintain optimum vaginal health so that their vaginas would be functional for future sexual activity.
Her four-point program and goals are simple. To increase a significant blood supply to the genital area in order to maintain vaginal health. She suggested:
•Vaginal moisturizers and lubricants to prevent dryness, keeping vaginal tissues moist and strong.
•Vaginal dilators to develop or restore the vaginal opening, and help keep vaginal tissues elastic and comfortable.
•Regular clitoral stimulation to maintain blood flow and keep the clitoris strong and responsive.
•Kegel exercises, which not only help women maintain strong orgasms, but help them retain urinary continence.
DePree supports the use of "localized estrogen," because she maintains that it is "well tolerated" and "very effective in bringing more bloody supply to the area" -- so that not only are tissues healthier but "it adds to arousal." She did acknowledge that not all women were interested in using estrogen, and that there were other options to keeping the vagina "supple and moist."
Michele Carelse, who heads up the Native Remedies ' Expert team, takes the naturopathic perspective -- which is to look at the larger picture. Carelse believes in going beyond just the symptoms to see a broader context. Noting that a woman's "hormonal balance is constantly changing," she said, "Our point of view is to help the body to achieve hormonal balance. Look at the underlying imbalances, not just the symptoms." Making clear that she was not in opposition to traditional medications, Carelse said that she encourages women to speak with their doctors and discuss the Native Remedies that they are using. She did, however, express a concern with "menopause being viewed as an illness" and "medicalizing a normal process and part of a woman's life."
A change in the vaginal cell walls, coming from an imbalance, can lead to inflammation, contractions, and a predisposition to urinary tract infections. Carelse elucidated that when pH levels have changed and there is dryness of the vaginal walls, it makes it easier for bacteria to enter those walls. Rather than turn to estrogen, Native Remedies offers a "natural vaginal lubricant" (no parabens, sodium laurel sulphate, or petrochemicals) that features the ingredients of wild yam, essential oils, and aloe. Dr. Michael Wald , Director of Nutritional Services at Integrated Medicine, suggested via e-mail a series of alternatives for those women who are concerned about using synthetic estrogens and progestins. They included:
•Various herbal combinations such as Red Raspberry leaf, which is a uterine tonic that helps increase blood flow to the uterus and vaginal tissues.
•Vitamin A rich foods and Vitamin A supplements, which can help vaginal atrophy. Vitamin A is required for the production of the specialized cells that line the vagina. No more than 15,000 IUs of vitamin A should be taken in the form of vitamin A supplements. Foods rich in vitamin A can be consumed liberally and include liver, potatoes, carrots, mangos, spinach, cantaloupe, dried apricots, milk, egg yolks, and mozzarella cheese.
•Zinc is absolutely essential for helping to reverse vaginal atrophy or to slow it down. Zinc is a mineral that helps to rejuvenate many different types of cells throughout the body, including the specialized cells that line the vagina. Zinc in the form of nutritional supplements should not exceed 75 mg per day. Zinc rich foods include: oysters, wheat germ, veal liver, sesame flour and Tahini (Sesame butter), low fat roast beef, roasted pumpkin and squash seeds, dried watermelon seeds, cocoa powder and chocolate, lamb and peanuts.
•Indole 3 carbinol -- A nutritional compound found in cruciferous vegetables (broccoli, cabbage, bok choy, cauliflower, eggplant) that helps hormone regulation.
•EPA/DHA fish oil, which helps improve tissue integrity throughout the body. 1-2 grams per day.
•Lactobacillus acidophilus in the form of a vaginal suppository, which is available at health food stores. It is also available in a dairy free form for those with dairy sensitivity.
•Gingko biloba -- Improves blood flow to the vagina. The dosage should be the recommended dosage on the bottle or as directed by your healthcare practitioner.
•Arginine -- Improves blood flow to the vagina. The dosage should be the recommended dosage on the bottle or as directed by your healthcare practitioner.
•Vitamin D -- Helps cellular regeneration throughout the body. The dosage should be the recommended dosage on the bottle or as directed by your healthcare practitioner.
In following up on DePree's recommendation for vaginal dilators, I connected with Mark Carter, who has been a force in bringing resources and information about the medical condition of vaginismus to a population that he characterized as being "poorly served." He discussed how the dilator set (five pieces which are graduated in size) can "gently stretch out the vaginal canal" which has lost its elasticity. He described the dilators as being made from the highest-grade medical plastic in a United Kingdom factory that is ISO-9000 compliant . In response to my questions, Carter confirmed that the dilators were PCB -free and without phthalates . The construction is seamless with a mirrored finish, and they are tapered at the front with a rounded tip.
Fighting back against the aging woman stereotype is not always easy. In the 21st century, women demanding information about their changing bodies shouldn't have to encounter obstacles. As DePree wrote in a follow up e-mail, "As we grow older our vaginas change. It's a natural part of the aging process, not something to be embarrassed about or intimidated by. The important thing is to be proactive. Using your vagina will help keep it elastic and comfortable for sex. We work hard after 40 to maintain our skin, hair, body, brain, and heart. Why not our vulvovaginal tissues too?"
For all those single ladies out there, her final sentence was, "Strong vaginas aren't just for couples!"
This article originally appeared on the women's health site Empowher .
Writer on women's issues, human rights, environment and culture

From Wikipedia, the free encyclopedia
Dimensions and shape of the human vagina


^ Jump up to: a b c d e f Barnhart, K. T.; Izquierdo, A.; Pretorius, E. S.; Shera, D. M.; Shabbout, M.; Shaunik, A. (2006). "Baseline dimensions of the human vagina". Human Reproduction . 21 (6): 1618–1622. CiteSeerX 10.1.1.485.8802 . doi : 10.1093/humrep/del022 . PMID 16478763 .

^ Jump up to: a b Anne A. Lawrence. "Notes on Genital Dimensions" . Archived from the original on March 24, 2006 . Retrieved 2012-05-13 .

^ Jump up to: a b Pendergrass, P. B.; Reeves, C. A.; Belovicz, M. W.; Molter, D. J.; White, J. H. (1996). "The shape and dimensions of the human vagina as seen in three-dimensional vinyl polysiloxane casts". Gynecologic and Obstetric Investigation . 42 (3): 178–182. doi : 10.1159/000291946 . PMID 8938470 .

^ Jump up to: a b Pendergrass, P. B.; Reeves, C. A.; Belovicz, M. W.; Molter, D. J.; White, J. H. (2000). "Comparison of vaginal shapes in Afro-American, Caucasian and Hispanic women as seen with vinyl polysiloxane casting". Gynecologic and Obstetric Investigation . 50 (1): 54–59. doi : 10.1159/000010281 . PMID 10895030 . S2CID 37395321 .

^ "The Social - How much do you know about vaginas?" . TheSocial.ca . Archived from the original on December 14, 2017 . Retrieved 1 January 2018 .

^ . Pendergrass, P. B.; Belovicz, M. W.; Reeves, C. A. (2003). "Surface area of the human vagina as measured from vinyl polysiloxane casts". Gynecologic and Obstetric Investigation . 55 (2): 110–113. doi : 10.1159/000070184 . PMID 12771458 . S2CID 27781106 .

^ Barnhart, Kurt T.; Izquierdo, Adriana; Pretorius, E. Scott; Shera, David M.; Shabbout, Mayadah; Shaunik, Alka (2006). "Baseline dimensions of the human vagina" . Human Reproduction . 21 (6): 1618–1622. doi : 10.1093/humrep/del022 . PMID 16478763 . Retrieved 27 January 2020 .

^ Ding, Jing; Song, Xiao-Chen; Deng, Mou; Zhu, Lan (3 June 2016). "Which factors should be considered in choosing pessary type and size for pelvic organ prolapse patients in a fitting trial?". International Urogynecology Journal . 27 (12): 1867–1871. doi : 10.1007/s00192-016-3051-3 . PMID 27260324 . S2CID 1593002 .


The dimensions and shape of human vagina are of great importance in medicine and surgery ; there appears to be no one way, however, to characterize the vagina 's size and shape. [1] In addition to variations from individual to individual, the size and shape of a single person's vagina can vary substantially during sexual arousal and intercourse . [2] Carrying a baby to term, or parity , is associated with a significant increase in the length of the vaginal fornix . [1] The potential effect of parity may be the result of a stretching and elongation of the birth canal at the time of vaginal birth . [1]

There are a number of studies that have been done into the dimensions of the human vagina, but it has not been as intensively researched as penis size . [1]

A 1996 study by Pendergrass et al. using vinyl polysiloxane castings taken from the vaginas of 39 Caucasian women, found the following ranges of dimensions: [3]

A second study by the same group showed significant variations in size and shape between the vaginas of women of different ethnic groups. [4] Both studies showed a wide range of vaginal shapes, described by the researchers as "Parallel sided, conical, heart, [...] slug" [3] and "pumpkin seed" [4] shapes. Barnhart et al., however, weren't able to find any correlation amongst the race and the size of vagina. They were also unable to characterize the vaginal shape as a "heart, slug, pumpkin seed or parallel sides" as suggested by the previous studies. [1] [5] A 2003 study by the group of Pendergrass et al. also using castings as a measurement method, measured vaginal surface areas ranging from 66 to 107 cm 2 (10.2 to 16.6 sq in) with a mean of 87 cm 2 (13.5 sq in) and a standard deviation of 7.8 cm 2 (1.21 sq in) [6]

Research published in 2006 by Barnhart et al., gave the following mean dimensions, based on MRI scans of 28 women: [1]

A 2006 U.S. study of vagina sizes using Magnetic Resonance Imaging (MRI) on 28 volunteers between 18 and 39 years old, with heights ranging from 1.5 to 1.7 metres, and weights between 49.9 and 95.3 kilograms, revealed a greater than 100 percent variation between the shortest (40.8 millimetres) and the longest (95.0 millimetres) vagina length. [7]

Given the large range in vaginal dimen
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