Vagina 15

Vagina 15

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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It’s a painful condition that can leave you itching, even burning down there — and no, it’s not a sexually transmitted infection!
Just when you thought you had enough to worry about after realizing having a “depressed” vagina is a thing , women are also at risk of vaginal atrophy.
Vaginal atrophy is a common but treatable condition that causes the vaginal wall to thin.
And while it can be a problem for women of any age, it’s more likely to affect women who are going through, or have been through, menopause .
This is because the body produces less estrogen than normal, which has an effect on how the vaginal wall behaves.
Vaginal atrophy can also occur in women who have been treated for cancer, especially in those who have had hormone treatment for breast cancer , according to the Mayo Clinic.
Common symptoms include discharge, burning, itching, difficulty peeing and pain during sex.
This might seem like enough to put you off having sex for good, but regular orgasms — from your partner or a bit of self-love — can actually ward off the nasty symptoms.
And the key is the increased blood flow to your nether regions when you climax — it works almost like a “workout” down there.
Louise Mazanti, a London-based sex therapist , said: “It is very important that we have a healthy sex life with a partner or with ourselves.”
“People very often say, ‘I don’t have a sex life because I don’t have a partner.'”
“But forget about that and have a sexual relationship with yourself.”
“It’s about using massage and touching the tissue so that it becomes alive, the blood flows and the tissue becomes elastic.”
“It is really about exercising the tissue.”
Increasing blood flow increases oxygen supply to the vagina, which means it is less likely to become inflamed, thin or dry.
According to Mazanti, if cells are not getting enough oxygen, they cannot eliminate waste from the tissue, which can cause inflammation that leads to problems such as vaginal atrophy.
A buildup of toxins can also stop vital nutrients from getting to the cells, which can leave the tissue slightly weaker and thinner.
Mazanti also said losing the ability to have sex is not just a physical problem, it can have some serious side effects on a person’s mental health.
She added: “When your ability to have sex and your desire to have sex decreases, it is a massive change in identity.”
“You start to question ‘who am I now if I am not the sexual woman I used to be?’”
“It can cause depression and an identity crisis and deep consideration of an existential nature.”
Depending on how severe the condition is, you may experience a variety of symptoms, including:
Vaginal atrophy is generally caused by a decrease in the production of the female sex hormone estrogen.
Estrogen is the main hormone that regulates a woman’s menstrual cycle and controls ovulation.
It is also responsible for thickening the vaginal wall and causes it to release mucous once a girl hits puberty.
So if you stop producing estrogen, the walls of your vagina can become thin and dry.
Vaginal atrophy is most common in women who have gone through the menopause, but certain cancer treatments and hormone treatments can also cause it.
Women who are smokers, who have never had a vaginal birth or do not have sex or pleasure themselves are also more at risk.
Smoking affects your blood circulation, resulting in the vagina and other tissues not getting enough oxygen.
It also reduces the effects of estrogen.
Vaginal moisturizers and lubricants can be used to treat dryness and help improve your sex life.
You may have to apply moisturizer every two to three days but the effects usually last longer than lube.
A lubricant is used mainly to make sex easier and more enjoyable.
If symptoms don’t improve, over-the-counter estrogen therapy may be recommended.
Creams can be inserted into the vagina daily to restore the tissue.
Estrogen tablets may also be recommended to help restore the body’s natural levels.
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