Vaginal relaxation is the loss of the optimum structural architect of the vagina. In the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, strength, control and support.
- The internal and external vaginal diameters can greatly increase. The muscles of the perineum (the group of supporting muscles right outside the vaginal opening at the bottom) thin and separate in the midline producing a weakened, poorly supportive, thinned out perennial body.
- Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state. In short, the sensual side of female sexual gratification is diminished. Thus, vaginal relaxation has a detrimental effect on sexual gratification because of the reduction of sexual feelings or pleasure.
- Thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence.Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging or a combination of both. Grouped together these problems are referred to as vaginal relaxation or pelvic relaxation.
- Many women suffer unnecessarily from conditions involving vaginal relaxation or pelvic relaxation. If you have any of these symptoms described in this section, please contact us.
The pelvic organs include the vagina, uterus, bladder, and rectum. These organs are held in position by three types of supports:
- 1) muscles
- 3) sheets of tissue called fascia
When these supports become damaged for various reasons, one or more of the pelvic organs may sag and, occasionally, even protrude outside the vagina. These are called pelvic support defects.
During childbirth, as the baby passes through the birth canal, the muscles, fascia, and ligaments separate and may be weakened. This weakening gradually worsens and, in later years, may cause the pelvic organs to drop from their normal positions.
Occasionally, the weakening of the muscles and tissue of the vaginal wall may occur in women who have never had children.In these women, the cause may be:
- Unusual strain placed on the supporting tissues by a chronic cough.
- Inherited weakness of the supporting tissues.
- Unusual increases in abdominal pressure.
The general symptoms associated with pelvic relaxation depend on which organs are affected. Often there is a feeling of heaviness or fullness. Small or moderate amounts of urine(Urinary Stress Incontinence) may be lost with normal physical activities such as laughing, coughing, walking, or running.
In more advanced and rare cases a mass may actually protrude from the vaginal opening (severe Pelvic Organ Prolapse POP-Q grade 3-4).
Based on the organ or organs involved, pelvic support defects can be defined more specifically as:
- Uterine prolapse
A cystocele occurs when the bladder falls or descends from its normal position. The most common symptom associated with cystocele is difficulty in completely emptying the bladder.This can be associated with bladder infections. Large cystoceles can cause the bladder to overfill and allow small amounts of urine to leak. Leakage is most common during activity such as walking or bouts of coughing.
A urethrocele usually occurs in conjunction with a cystocele. Both of these conditions result in, among other things, involuntary loss of urine, particularly when there is increased pressure in the abdomen, caused by walking, jumping, coughing, sneezing, laughing, or sudden movements.
Rectoceles happen when the rectum bulges into or out of the vagina.Rectoceles usually occur as a result of injuries sustained during childbirth. With a weakened or bulging rectum, bowel movements become more difficult.
An enterocele is the bulging of small intestines into the back wall of the vagina.
Uterine prolapse occurs when the uterus falls or is displaced from its normal position. There are varying degrees of severity depending on the descent. This produces a general felling of heaviness and fullness, or a sense that the uterus is falling out.
Appropriate diagnosis and treatment will often restore patients to a life free of the aggravations and discomforts associated with vaginal relaxation or pelvic relaxation.The goal is to acquaint you with the various forms of vaginal relaxation or pelvic relaxation as well as their causes, symptoms, and treatment.
- History and physical examination, includes a “Q-tip” test.
- Urodynamic studies (a painless 40 to 60 minutes computerized bladder and urethra functional studies).
- Urethrocystoscopy (instrument used to evaluate the inside of the bladder and urethra).
- Ultrasound of the genital and urinary system.