Self-Reported Vaginal Laxity—Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Clinic

Campbell, Patrick; Krychman, Michael; Gray, Thomas; Vickers, Holly; Money-Taylor, John; Li, Weiguang; Radley, Stephen

doi:10.1016/j.jsxm.2018.08.015

Cited by 45 publications

(43 citation statements)

References 7 publications

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“…13 Moreover, VL has been reported by physicians as the foremost complaint made to them by patients in the postpartum setting. 8,9 Healthy sexual functioning is an integral part of women's overall general health, and VL in women often generates dissatisfaction with physical sensation and sexual function. 9,22 The application of energy-based devices for improving VL, and furthermore the subsequent related positive Noteworthy is the prolongation of positive outcomes of both VHI improvement and self-reported GRAS-VL responses, with results being maintained and/or further improved to 4 months after final treatment.…”

Section: Discussionmentioning

confidence: 99%

“…4,6,7 Although underreported, diminished vaginal elasticity and laxity affect 25%-45% of premenopausal women; they have been cited as the most dominant physical changes felt by patients and discussed with physicians following vaginal delivery, with parity being considered a significant risk factor. 2,8,9 Furthermore, VL may worsen with multiparity, application of forceps, delivery of a large fetus, weight fluctuations, and connective tissue changing due to aging. 10,11 Treatments for VL include both surgical and noninvasive options.…”

Section: Introductionmentioning

confidence: 99%

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Nonablative, Noncoagulative Multipolar Radiofrequency and Pulsed Electromagnetic Field Treatment Improves Vaginal Laxity and Sexual Function

Kolodchenko¹

2021

Women's Health Reports

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Objective: This study investigated nonablative/noncoagulative multipolar radiofrequency and pulsed electromagnetic field (RF/PEMF) treatment for vaginal laxity (VL) and its impact on sexual function in parous women. Methods: This prospective, open-label single-center study enrolled 34 female subjects, 23-59 years of age, with ‡1 vaginal delivery and self-reported VL. Three monthly intravaginal treatments with RF/PEMF energy were performed. Treatment and follow-up assessments included the vaginal health index (VHI), vaginal pH, female sexual function index (FSFI), and VL/sexual satisfaction (SS) and subject satisfaction scores. Mean score and percent improvement over baseline were reported. Subject discomfort/pain was assessed after each treatment. Results: Total and each individual domain scores of the VHI improved significantly, while vaginal pH levels decreased from baseline to both 1 and 4 months ( p < 0.01) after the last treatment. FSFI (<0.001), VL (<0.001), and SS (<0.001), including overall satisfaction scores (<0.01), improved post-treatment, with positive effects further sustained until at least 4 months post-treatment. Pain/discomfort post-treatment was reported as none to mild. No noticeable adverse events (AEs) or unanticipated side effects were reported. Conclusions: Nonablative/noncoagulative multipolar RF/PEMF is safe and is associated with significant 1-and 4month post-treatment improvements in symptoms associated with VL and sexual dysfunction, as assessed by the VHI, vaginal pH, FSFI, and VL subject satisfaction score. SS and overall satisfaction scores also improved. The treatment was well tolerated with no or little pain, and no adverse events were reported. Clinical Trial Registration number: NCT04607798.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nonablative, Noncoagulative Multipolar Radiofrequency and Pulsed Electromagnetic Field Treatment Improves Vaginal Laxity and Sexual Function

Kolodchenko¹

2021

Women's Health Reports

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“…The prevalence of vaginal laxity has started to be systematically addressed only recently, with 2 studies showing that 28e40% of surveyed women (patients in urogynecological clinics) suffered from a degree of vaginal laxity that negatively affects their quality of life (QoL). 1,2 In the study by Dietz et al, 2 the women rated the problem a score of 5.7 on a 0-10 Visual Analog Scale (VAS) scale. In the study by Campbell et al, 1 48% of surveyed women reported symptoms of vaginal laxity and almost 90% of these women reported vaginal laxity as a presenting a problem.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 In the study by Dietz et al, 2 the women rated the problem a score of 5.7 on a 0-10 Visual Analog Scale (VAS) scale. In the study by Campbell et al, 1 48% of surveyed women reported symptoms of vaginal laxity and almost 90% of these women reported vaginal laxity as a presenting a problem. Physicians have also started to recognize vaginal laxity as a bothersome symptom in their patientsePauls et al 3 published a survey of urogynecologists' perception of vaginal laxity issues.…”

Section: Introductionmentioning

confidence: 99%

Treating Vaginal Laxity Using Nonablative Er:YAG Laser: A Retrospective Case Series of Patients From 2.5 Years of Clinical Practice

Mitsuyuki¹,

Štok

Hreljac

et al. 2020

Sexual Medicine

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Introduction: Vaginal laxity drastically impairs women's quality of life, suggesting there is a need for effective noninvasive treatments. Aim: The aim was to retrospectively assess the effectiveness and safety of a nonablative Er:YAG IntimaLase laser procedure for vaginal laxity in patients treated in our clinical practice during a 2.5-year period. Methods: Laser treatment for vaginal laxity was performed using an intravaginal nonablative Er:YAG laser. Effectiveness was assessed using a Patient Satisfaction Questionnaire and also by independent evaluation of before and after treatment photographs of the patients' introitus. The safety and tolerability of the procedure was monitored in all patients. Main Outcome Measure: The study showed an improvement of sexual gratification and improvement of vaginal tightness, as assessed by patients. The tightness of the introitus was also improved, as assessed by independent evaluators. Results: As assessed by the Patient Satisfaction Questionnaire, we show that 92.7% of patients experienced improvement of sexual gratification after IntimaLase laser treatment. The results of the visual evaluation of the grade of laxity improvement in the introitus area, when open introitus photos were evaluated, show that 69% (n ¼ 20/29) of patients had an improvement of laxity. Nonablative Er:YAG treatment seems to be an effective and safe treatment for vaginal laxity. As it is a noninvasive procedure, it should be considered before any vaginoplasty surgery. The study included all the patients treated in clinical practice and observed very few adverse effects. The results were comparable with other published data. Because it is a retrospective study, there is a lack of a control group. Conclusion: The results have confirmed that patients suffering from vaginal laxity can be effectively treated using the nonablative Er:YAG IntimaLase procedure without adverse effects.

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“…As aging progresses, reductions in vaginal wall elasticity and lubrication are common. Subsequently, sensation during intercourse is decreased and vaginal dryness or irritation occurs [15,16]. Therefore, vaginal laxity and dryness could be one of the causes of FSD [13,17].…”

Section: Introductionmentioning

confidence: 99%

Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

Kim

Won²,

Kim

2020

J Menopausal Med

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Objectives: We evaluated the efficacy of gold thread implantation (GTI) in the vulva and vagina to improve female sexual dysfunction (FSD) and vaginal laxity. Methods: A retrospective chart review was conducted on 46 women who underwent GTI between 2017 and 2018 at our institution. Physicians interviewed patients using questionnaires at baseline and 1-3 months post-treatment. The questionnaires consisted of eight questions: vaginal laxity, vaginal dryness, pain during intercourse, sexual satisfaction during intercourse, sexual arousal confidence, sexual satisfaction of partner, frequency, and maintaining lubrication. Results: Overall, participants experienced significant improvement after GTI treatment (P < 0.0001). The median score of vaginal laxity was 3 (slightly loose) at baseline and 5 (slightly tight) at post-treatment. Vaginal dryness also improved from 4 (moderate) at baseline to 2 (little) at post-treatment. The degree of pain during intercourse decreased from 3 to 1. The sexual satisfaction score was 3 (moderately dissatisfied) at baseline and 4 (about equally satisfied and dissatisfied) at post-treatment. Sexual confidence of arousal increased from a score of 3 (low confidence) at baseline to 4 (moderate confidence) at post-treatment. They perceived greater partner sexual satisfaction, moving from a score of 2 to 4. Participants reported lubrication was more frequent during sexual activity, which was maintained until completion of sexual activity. Both scores regarding lubrication increased from 3.5 at baseline to 5 at post-treatment. Conclusions: GTI may be an option for FSD and vaginal laxity.

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Self-Reported Vaginal Laxity—Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Clinic

Cited by 45 publications

References 7 publications

Nonablative, Noncoagulative Multipolar Radiofrequency and Pulsed Electromagnetic Field Treatment Improves Vaginal Laxity and Sexual Function

Nonablative, Noncoagulative Multipolar Radiofrequency and Pulsed Electromagnetic Field Treatment Improves Vaginal Laxity and Sexual Function

Treating Vaginal Laxity Using Nonablative Er:YAG Laser: A Retrospective Case Series of Patients From 2.5 Years of Clinical Practice

Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

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