The interventions around the vagina are now more numerous: they have doubled in 10 years. They are fast, almost painless both during the procedure and during the days that follow. So no excessive modesty, let's talk about it.

Atrophy of the vaginal vulvo mucosa: a dedicated laser

It is caused by the decline or disappearance of estrogen when taking certain medications or at menopause . The mucosa is less well vascularized, the collagen and hyaluronic acid levels collapse. It becomes thinner, loses its elasticity, its lubrication is bad, causing the appearance of many symptoms: dryness, light to moderate urinary leakage , pain during intercourse and sometimes even constant irritation or small bleeding.

The solution: a new specific laser, Gynelase ™. The gynecologist introduces into the vagina (I am in the gynecological position) a fractional CO2 laser that sends micro impacts every half centimeter by turning the beam 360 ° and going up all along the vagina. No pain, hardly a slight tingling. The session lasts about 10 minutes. The manufacture of a new collagen is done in two to three months. The fibroblasts are shortened, the tissues firmed. It is a complete remodeling that will continue over time with a thickened mucosa, more elastic, more toned.

The suites: I avoid hot baths and reports for a dozen days. I feel an improvement from the first session. A second session at one month interval is necessary for a disappearance of nearly 90% of my symptoms.

The price: between 200 and 360 € the session, not supported by the Social Security.

Relaxation of the vagina: two solutions, surgery or laser

This vaginal gap is often associated with menopause but may also follow a distension of the vagina during delivery. This can alter sexual satisfaction, lead to involuntary loss of urine, vaginal gas, or vaginal discharge .

The surgical solution: under light general anesthesia, (neuro analgesia) the practitioner will shrink the diameter of my distended vagina, bringing the muscles together. The intervention lasts about an hour.

The suites: I can enter the day. Medium to severe pain gives way with analgesics. No relationship or sport for four to six weeks.

The price: the intervention is supported by the Social Security.

The laser solution: No need for anesthesia. A specific speculum is introduced into the vagina which delivers laser rays into the mucosa of the tissue. Laser impacts are fractionated leaving healthy tissue spaces for rapid healing. Thanks to a controlled thermal effect, the treatment leads to the production of new collagen and elastin fibers, thus remodeling and shrinking the tissues. Two sessions of 10 minutes to one month apart are necessary. The results will be final from three months and may be supplemented by injections of hyaluronic acid.

The consequences: no pain or bleeding. No sport or sex for ten days.

The price: 200 € to 300 € about the session, and 80 € if need of hyaluronic acid. Not supported by Social Security.

Lipstick reduction: ambulatory surgery

If there is no objective criterion on their "normality" the requests that have tripled in 10 years come from those of us who are embarrassed to play sports, wear very indented jerseys ...

The solution is surgical. Under light general anesthesia, in the operating room the practitioner practices two to four incisions in V throughout the labia minora (a bit like a piece of pie!) To keep their natural edge and sew them with resorbable son by bringing them closer together . The idea is to minimize to keep a closed vagina to protect its flora. The operation lasts 30 to 60 minutes.

The suites: I can go home immediately. Few pains, sometimes a burning sensation that gives under paracetamol. I respect strict hygiene rules, (local disinfection) until the resorption of the threads, (about fifteen days). No reports, no sports, tight clothes or pads for a fortnight.

The price: 2000 to 2500 € not supported unless the request is not aesthetic (for example: young girls with hypertrophy of the labia minora).

Rejuvenation of the labia majora: two solutions, hyaluronic acid or lipofilling

Over time, the volume and shape of the labia majora change. They relax, dehydrate. They can no longer play their role of protecting the vagina, resulting in physical and psychological discomfort.

The solution with hyaluronic acid: under local anesthesia, in the office, the doctor will inject hyaluronic acid specially formulated for this intimate area. The injection is done subcutaneously in the lips, to the cannula, on each side. The intervention lasts about 10 minutes and the result is immediate. One session is enough, to remake every year.

The consequences: no pain, sometimes a small temporary inflammation. No relationship or sport for two days.

The price: 750 € to 1000 € on average. Not reimbursed by Social Security.

The lipofilling solution : it is an autograft, in the operating room under light anesthesia (neuro analgesia). We take fat, usually at my hip. It is then centrifuged to recover the purified fat from its blood or other cells and reinjected with specific cannulas into the labia majora. Two "glue" points are then made on the puncture points. The intervention lasts about an hour.

The consequences: the pain is moderate. Sometimes a slight edema or bruising that subsides in a few days. No reports or sports like riding, biking, motorcycle before two weeks. One session is enough and the result is sustainable.

The price: 2000 € to 2500 €, not reimbursed by the Social Security.

Hymenoplasty: restorative surgery

This intervention is requested in case of rape or for religious reasons, to reconstruct the hymen without visible trace. The operation is done under light general anesthesia. The surgeon retrieves hymen flaps and sutures between them. It lasts 20 to 25 minutes.

The suites: no hospitalization. The threads will be absorbed in a fortnight. Few pains that give way to paracetamol. No reports or sports before 15 days to three weeks. The traces of the operation are quickly invisible.

The price: € 30 to € 40 paid by the social security if it is a situation of distress (psychological, social, family). Otherwise, 2000 to 2500 €.

Painful obstetric scar: lipofilling

It happens that in case of difficult delivery, with tears or even episiotomy the vagina has healed poorly: this can lead to pain, vaginal dryness, vulvar open bite with risk of urinary or vaginal infections .

The solution: the injection of fat in ambulatory surgery, under light anesthesia. The surgeon unbridles my scar by cutting the adhesions and injects under my scar fat (taken from my hip for example). The procedure lasts 20 to 30 minutes.

The suites: I go home during the day. I have no pain, except sometimes small tingling. No reports before three weeks.

The price: 250 € to 300 €. This operation "post traumatic" can be taken in part by the Social Security or some mutual.

Thanks to Dr. Brice Gurriet, Surgeon Gynecologist and Obstetrician.