Size Vagina

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Reviewed by Laura J. Martin, MD on July 20, 2011
The age-old question of whether or not size matters is typically directed at men, but this is a somewhat hidden concern for women as well.
Though 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 and because there are so many variables at play in women’s sexuality it is difficult to tell if vagina size and sexual pleasure are linked.
“Our ability to understand size as it relates to sexual function is poorly understood,” Christopher Tarnay, MD, director of the division of female pelvic medicine and reconstructive surgery at the UCLA Medical Center, tells WebMD. “But in the last 10 to 15 years, there has been a lot more attention paid to the field of sexual medicine.”
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 is small enough to hold a tampon in place, but can expand enough to pass a child through. This is because the walls of the vagina are similar to those of the stomach, 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 he sees women have is discomfort during sex. This typically occurs if the vagina is too short or tight or they have a prolapse, where the uterus, bladder, or other organs fall out of place, typically after childbirth.
“It 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. The complaints he hears from his patients are typically after childbirth.
“Women will come in describing a change in sexual function and say it feels loose and they feel less satisfied,” he says. “But just having a baby changes the sexual experience, so it may not have to do with the changes in the vaginal opening.”
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, Tarnay says, and they may generally improve sex.
A study published in the Australian & New Zealand Journal of Obstetrics and Gynaecology in 2008 found that women who regularly performed Kegel exercises reported greater sexual satisfaction than women who didn’t do Kegels.
The problem with Kegels is that many women don’t know how to do them properly.
“When I ask someone to do a bicep curl, they can do it,” he says. “But a pretty significant subset of the women who say they do Kegels, when I ask them to show me what they are doing, aren’t doing [the exercise] properly or can’t connect between the brain and those muscles.”
To find the muscles you use to do Kegels, 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 exercising, be sure to 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. Others just don’t use the proper technique. Tarnay says there are even physical therapists who specialize in helping women perform Kegels properly.
Worrying about size and whether or not it changes over time is the wrong concern, O’Connor says. Factors like sufficient lubrication and arousal and a good relationship with a 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 were not linked to vagina size. Instead, the best predictors of sexual inactivity were advanced age, higher BMI, and not being in a committed relationship.
“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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They found that the average length of a vagina is 9.6 centimeters (about the length of a tube of lip gloss), while the range is between 6.5 and 12.5 centimeters. As for the width, the most recent research is from a 1995 (yes, seriously!) paper in Obstetrics & Gynecology called “ Vaginal anatomy and sexual function .”.
www.womenshealthmag.com/health/a199092…
What is the average size of a vagina?
What is the average size of a vagina?
widths: 4.8 to 6.3 cm (1.9 to 2.5 in); introital diameters: 2.4 to 6.5 cm (0.94 to 2.56 in) A second study by the same group showed significant variations in size and shape between the vaginas of women of different ethnic groups. Both studies showed a wide range of vaginal shapes,...
en.m.wikipedia.org/wiki/Human_vaginal_si…
at the proximal vagina: 3.3 cm (1.3 in); at the pelvic diaphragm: 2.7 cm (1.1 in); at the introitus: 2.6 cm (1.0 in)
en.m.wikipedia.org/wiki/Human_vaginal_si…
At rest, the vaginal canal measures 3.7 inches long, on average. But when you're sexually aroused, it elongates, lubricates, and expands—so even sex with an XL guy is slippery and comfy. But as it turns out, sometimes a penis can be too big to fit inside a vagina.
www.health.com/sex/penis-too-big-for-va…
When does your vagina go back to its normal size?
When does your vagina go back to its normal size?
On average it takes around six months for a woman’s vagina to tighten up to its original size. “Right after giving birth to an 8-pound baby, it’s natural for the vagina to stretch out, but it will go back to its normal size no matter the age of the woman,” says Dr. Cadell.
www.thealternativedaily.com/sex-vagina-s…
https://en.m.wikipedia.org/wiki/Human_vaginal_size
Ориентировочное время чтения: 4 мин
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:
• lengths (measured using rods): 6.9 to 14.8 cm (2.7 to 5.8 in);
• widths: 4.8 to 6.3 cm (1.9 to 2.5 in);
• introital diameters: 2.4 to 6.5 cm (0.94 to 2.56 in)

A second study by the same group showed signifi…
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:
• lengths (measured using rods): 6.9 to 14.8 cm (2.7 to 5.8 in);
• widths: 4.8 to 6.3 cm (1.9 to 2.5 in);
• introital diameters: 2.4 to 6.5 cm (0.94 to 2.56 in)

A second study by the same group showed significant variations in size and shape between the vaginas of women of different ethnic groups. Both studies showed a wide range of vaginal shapes, described by the researchers as "Parallel sided, conical, heart, [...] slug" and "pumpkin seed" 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. 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 (10.2 to 16.6 sq in) with a mean of 87 cm (13.5 sq in) and a standard deviation of 7.8 cm (1.21 sq in)

Research published in 2006 by Barnhart et al., gave the following mean dimensions, based on MRI scans of 28 women:
• Mean length from cervix to introitus: 6.3 cm (2.5 in).
• Mean width:

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.

Medical devices used in the vagina
Given the large range in vaginal dimensions noted in studies such as the above, many fitted vaginal devices, for example pessaries, do not adhere to a "one-size-fits-all" mentality.
https://www.webmd.com/women/features/vagina-size
Перевести · 20.07.2011 · They looked at 100 women who had never been pregnant and found that vagina lengths, unstimulated, range from 2.75 …
https://en.m.wikipedia.org/wiki/Vagina
Artery: superior part to uterine artery, middle and …
Vein: uterovaginal venous plexus, vaginal vein
Latin: Vagina
Nerve: Sympathetic: lumbar splanchnic plexus, Parasympathetic: pelvic splanchnic plexus
Gross anatomy
The human vagina is an elastic, muscular canal that extends from the vulva to the cervix. The opening of the vagina lies in the urogenital triangle. The urogenital triangle is the front triangle of the perineumand also consists of the urethral opening and associated parts of the external genitalia. The vaginal canal travels upwards and backwards, between the urethra at the front, and the rectum at the back. Near the upper vagina, the cervix protrud…
Gross anatomy
The human vagina is an elastic, muscular canal that extends from the vulva to the cervix. The opening of the vagina lies in the urogenital triangle. The urogenital triangle is the front triangle of the perineum and also consists of the urethral opening and associated parts of the external genitalia. The vaginal canal travels upwards and backwards, between the urethra at the front, and the rectum at the back. Near the upper vagina, the cervix protrudes into the vagina on its front surface at approximately a 90 degree angle. The vaginal and urethral openings are protected by the labia.

When not sexually aroused, the vagina is a collapsed tube, with the front and back walls placed together. The lateral walls, especially their middle area, are relatively more rigid. Because of this, the collapsed vagina has an H-shaped cross section. Behind, the inner vagina is separated from the rectum by the recto-uterine pouch, the middle vagina by loose connective tissue, and the lower vagina by the perineal body. Where the vaginal lumen surrounds the cervix of the uterus, it is divided into four continuous regions (vaginal fornices); these are the anterior, posterior, right lateral, and left lateral fornices. The posterior fornix is deeper than the anterior fornix.

Supporting the vagina are its upper, middle, and lower third muscles and ligaments. The upper third are the levator ani muscles, and the transcervical, pubocervical, and sacrocervical ligaments. It is supported by the upper portions of the cardinal ligaments and the parametrium. The middle third of the vagina involves the urogenital diaphragm. It is supported by the levator ani muscles and the lower portion of the cardinal ligaments. The lower third is supported by the perineal body, or the urogenital and pelvic diaphragms. The lower third may also be described as being supported by the perineal body and the pubovaginal part of the levator ani muscle.

Vaginal opening and hymen
The vaginal opening is at the posterior end of the vulval vestibule, behind the urethral opening. The opening to the vagina is normally obscured by the labia minora (vaginal lips), but may be exposed after vaginal delivery.

The hymen is a membrane of tissue that surrounds or partially covers the vaginal opening. The effects of intercourse and childbirth on the hymen are variable. Where it is broken, it may completely disappear or remnants known as carunculae myrtiformes may persist. Otherwise, being very elastic, it may return to its normal position. Additionally, the hymen may be lacerated by disease, injury, medical examination, masturbation or physical exercise. For these reasons, virginity cannot be definitively determined by examining the hymen.

Variations and size
The length of the vagina varies among women of child-bearing age. Because of the presence of the cervix in the front wall of the vagina, there is a difference in length between the front wall, approximately 7.5 cm (2.5 to 3 in) long, and the back wall, approximately 9 cm (3.5 in) long. During sexual arousal, the vagina expands both in length and width. If a woman stands upright, the vaginal canal points in an upward-backward direction and forms an angle of approximately 45 degrees with the uterus. The vaginal opening and hymen also vary in size; in children, although the hymen commonly appears crescent-shaped, many shapes are possible.

Development
The vaginal plate is the precursor to the vagina. During development, the vaginal plate begins to grow where the fused ends of the paramesonephric ducts (Müllerian ducts) enter the back wall of the urogenital sinus as the sinus tubercle. As the plate grows, it significantly separates the cervix and the urogenital sinus; eventually, the central cells of the plate break down to form the vaginal lumen. This usually occurs by the twenty to twenty-fourth week of development. If the lumen does not form, or is incomplete, membranes known as vaginal septae can form across or around the tract, causing obstruction of the outflow tract later in life.

During sexual differentiation, without testosterone, the urogenital sinus persists as the vestibule of the vagina. The two urogenital folds of the genital tubercle form the labia minora, and the labioscrotal swellings enlarge to form the labia majora.

There are conflicting views on the embryologic origin of the vagina. The majority view is Koff's 1933 description, which posits that the upper two-thirds of the vagina originate from the caudal part of the Müllerian duct, while the lower part of the vagina develops from the urogenital sinus. Other views are Bulmer's 1957's description that the vaginal epithelium derives solely from the urogenital sinus epithelium, and Witschi's 1970 research, which reexamined Koff's description and concluded that the sinovaginal bulbs are the same as the lower portions of the Wolffian ducts. Witschi's view is supported by research by Acién et al., Bok and Drews. Robboy et al. reviewed Koff and Bulmer's theories, and support Bulmer's description in light of their own research. The debates stem from the complexity of the interrelated tissues and the absence of an animal model that matches human vaginal development. Because of this, study of human vaginal development is ongoing and may help resolve the conflicting data.

Microanatomy
The vaginal wall from the lumen outwards consists firstly of a mucosa of stratified squamous epithelium that is not keratinized, with a lamina propria (a thin layer of connective tissue) underneath it. Secondly, there is a layer of smooth muscle with bundles of circular fibers internal to longitudinal fibers (those that run lengthwise). Lastly, is an outer layer of connective tissue called the adventitia. Some texts list four layers by counting the two sublayers of the mucosa (epithelium and lamina propria) separately.

The smooth muscular layer within the vagina has a weak contractive force that can create some pressure in the lumen of the vagina; much stronger contractive force, such as during childbirth, comes from muscles in the pelvic floor that are attached to the adventitia around the vagina.

The lamina propria is rich in blood vessels and lymphatic channels. The muscular layer is composed of smooth muscle fibers, with an outer layer of longitudinal muscle, an inner layer of circular muscle, and oblique muscle fibers between. The outer layer, the adventitia, is a thin dense layer of connective tissue and it blends with loose connective tissue containing blood vessels, lymphatic vessels and nerve fibers that are between pelvic organs. The vaginal mucosa is absent of glands. It forms folds (transverse ridges or rugae), which are more prominent in the outer third of the vagina; their function is to provide the vagina with increased surface area for extension and stretching.

The epithelium of the ectocervix (the portion the uterine cervix extending into the vagina) is an extension of, and shares a border with, the vaginal epithelium. The vaginal epithelium is made up of layers of cells, including the basal cells, the parabasal cells, the superficial squamous flat cells, and the intermediate cells. The basal layer of the epithelium is the most mitotically active and reproduces new cells. The superficial cells shed continuously and ba
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