Who most commonly seeks treatment for vaginal rejuvenation?

There are generally 3 main groups of patients.

Firstly, women of child-bearing age who have had more than one child or a large baby or even undergone forceps delivery. Many women find that a very common result is a physical change of looseness of the vaginal canal and a loss of sensation in this area. In addition to the looser feeling in the vagina, there are frequent problems with not being able to control the need to pass urine. This group of patients find it difficult to carry out normal or high impact exercises due to the fear of having an accident. The weakened muscles in the vaginal canal and surrounding musculature causes less bladder control and therefore a greater chance of leaking urine.

The next group of patients are those who are developing the hormonal changes related to menopause. Vaginal atrophy, when the tissue becomes thinner and reduced levels of secretion, due to reducing oestrogen levels, causes the vagina to become drier and weaker. This can lead to painful intercourse. There can also be the associated effects of SUI and this can lead to an increase in the risk of UTIs.

Athletes are the third group of patients that commonly have these issues. It is the constant pressure on the pelvic floor muscles through running or straining that can result in this weakness. Here the
symptoms are more commonly related to stress urinary incontinence.