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Postmenopausal Vaginoplasty

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Postmenopausal Vaginoplasty

Beyond Anti-aging to Down-aging
Always confident in an aging society!

Dr. Yoon Ho-joo
Somssi TV
You can't have sex after menopause?
You can still have sex after menopause.
  • It's been several years since I had menopause

  • It's been a long time since I stopped having sex

  • My vagina has dried out and shrunk, so intercourse is painful and scary

What should I do to get my sex life back?

  • Diagnosis and Testing

    We will do a vaginal examination and pelvic ultrasound.
    We will examine whether the vaginal mucosa is weakened and atrophied.
    We will give you reassurance that it will be possible if you have a little more mental space.

  • Postmenopausal Vaginoplasty Surgery Methods

    Postmenopausal vaginoplasty surgery is divided into three types. In vaginal expansion surgery, the vaginal
    size to be expanded is customized according to each individual's characteristics.

    01Vaginal size and pelvic muscle examination

    View Details

    Vaginal dilatation surgery

    If the vagina is too small to allow sexual intercourse, a full vaginal dilatation procedure is required.

    Vaginal opening dilatation surgery

    If the vaginal opening is too small to allow the insertion of a male penis, a vaginal dilatation procedure is required.

    Vaginal inner dilatation surgery

    If the vagina is blocked in the middle or inside, causing the male penis to be blocked inside the vagina, a vaginal dilatation procedure is required.

    02If the vaginal opening is small and painful and uncomfortable

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    Vaginal opening expansion surgery

    If the vaginal opening is too small and the male genitalia is difficult to insert, vaginal opening expansion surgery is necessary. The size of the vaginal opening to be expanded is customized according to each individual's characteristics.

    03If the vaginal opening is small and painful, and the inside of the vagina is stretched and feels loose

    View Details

    Vaginal opening expansion surgery

    If the vaginal opening is small, pain during intercourse, wounds, and swelling may occur, so vaginal opening dilatation is necessary.

    Vaginal mucosal peeling

    Minimal vaginal mucosal peeling is performed, delicately peeling the inside of the vagina without cutting it.

    Pelvic muscle restoration surgery

    Muscles are gathered and tied from the loose vaginal area to strengthen vaginal pressure.

    Vaginal reduction surgery only on the inside of the vagina

    Vaginal reduction surgery is performed only on the loose vaginal area.

  • female hormone therapy

    • During menopause, the secretion of the female hormone estrogen decreases, the vaginal wall becomes thinner, and there is pain during intercourse and decreased sexual desire.
    • There is a clear difference in female hormones after menopause between those who take them and those who do not. Menopausal hormone therapy includes estrogen, progesterone, and testosterone.
    • There are advantages and disadvantages to menopausal hormone therapy, so customized female hormone therapy is provided depending on whether you have early menopause or a hysterectomy, or natural menopause.
    • Starting female hormones late, after the late 50s, can be dangerous. The incidence of cardiovascular disease increases, and women who are already taking hormones are not suitable for hormone prescriptions because they can increase the incidence of breast cancer and endometrial cancer due to long-term use.

Sexual function that cannot keep up with the extension of lifespan

Sex Lag

Even after menopause and at the age of 60~
Don't forget that love goes hand in hand with sex life!

The Basics of Preparing for Menopause

  • ⑴ Balanced nutrition and regular aerobic exercise.
    ⑵ Female hormones can be taken in the form of tablets and vaginal creams.

    • Before menopause, the adrenal glands and ovaries each produce sex hormones. Sex hormones: Estrogen, progesterone, testosterone
      Women: Female hormones >> Male hormones Testosterone

    • After menopause, the ovaries stop producing hormones, and 100% of sex hormones are produced by the adrenal glands.
    • women, testosterone has a libido-enhancing effect. It can be used at about 1/10th of the amount used by men.
    • Estrogen-only therapy can be used for up to 7 years, while estrogen and progesterone combination therapy can be used for 3 to 5 years.
  • During pregnancy, childbirth, and as you age, the vagina becomes wider and thinner. Its contractile power also weakens. As the vaginal wall becomes thinner, the nerves and blood vessels inside it disappear as well. Women experience a decrease in sexual sensation and a decrease in the secretion of amniotic fluid.

  • As the vagina becomes wider and looser, the production of beneficial bacteria such as Lactobacillus that grow in healthy vaginal mucosa decreases, which leads to frequent vaginitis due to a decrease in immunity caused by an increase in the pH level inside the vagina.

  • The key to vaginal reduction surgery is to create a vaginal lower wall that is 2-3cm thicker from the vaginal opening to the front of the cervix inside the vagina. Instead, the vagina is made smaller and narrower than the cervix, preventing the uterus from descending and preventing uterine prolapse and uterine prolapse.

  • The vaginal wall, which is 2~3cm thicker than the lower vaginal wall, is composed of the vaginal mucosa, muscle layer, and fibrous connective tissue. In the thickened lower vaginal wall, blood vessels and nerves regenerate after 4~5 months, and contractility, sexual pleasure, and amniotic fluid secretion also increase.

The problem is the sex,

Best-Skilled Obstetrics & Gynecology Clinic Loved by Women

Te Linde`s Surgical Textbook
What is the explanation of female surgery?

  • Summary of textbook contents

    Pregnancy, childbirth, and aging change the size, position, shape, and even direction of a woman's uterus and vagina. As a result, the inside of the vagina stretches and feels loose, and uterine prolapse and uterine prolapse occur, where the uterus descends.
    The purpose of vaginal plastic surgery is to restore the anatomy of the woman before intercourse.
    It restores the normal size of the vagina, the position of the uterus, and the sphincter muscle to the back of the vagina, thereby improving the health of the pelvis and increasing confidence and satisfaction in sexual life.

  • Story telling

    When you get pregnant, the fetus and uterus in your stomach grow, and the uterus descends under your abdomen, pressing down on the inside of your vagina, widening and stretching it. If you give birth naturally, it damages your pelvic muscles and perineum. If you give birth by cesarean section, there is no damage to the vaginal opening and perineum, but during the last stages of pregnancy, the 10kg heavy fetus and uterus descend, pressing down on and widening the inside of your vagina, making it loose. As you age, you start to wonder if there is a way to solve various uncomfortable gynecological symptoms.

Vaginal plastic surgery is like a honeymoon,

the size and length of the vagina return to normal,
the contractile power of the sphincter muscles improves,
and women's health and satisfaction with their sexual life increase,
and sexual confidence increases.

What's the explanation?

Vaginal Relaxations

< Tellinger Surgery Textbook Ⅶ. P 839 > Repair all relaxations, even though they are minor. Minor relaxations (defects in support) will likely become major problems in the future if not repaired.

All vaginal relaxation should be corrected with surgery. Even if the vaginal relaxation is small, it is better to have corrective surgery. If even small vaginal relaxation is not corrected, the contractile force will decrease and it can develop into a big problem in the future.

Summary of textbook contents

Vaginal relaxation refers to the vagina becoming wider and having weaker contractile power. If you have vaginal relaxation, sexual pleasure decreases and vaginal fluid secretion decreases. If vaginal relaxation is not corrected, it can later develop into uterine prolapse or uterine prolapse.

To improve sexual sensation and looseness,
surgery to correct vaginal relaxation is essential!

Storytelling

In the early stages of vaginal relaxation, it can be treated with pelvic muscle exercises (Kegel exercises). However, Kegel exercises are for training the muscles more strongly when the sphincter muscles remain or have some elasticity.

In women with congenital weak pelvic muscles, or when the sphincter muscles have disappeared due to difficult labor, multiple births, or aging, or when they have lost their contractile power due to severe weakness, it is difficult to restore the sphincter muscles through exercise alone.
Vaginal relaxation and uterine prolapse are also common among women who work standing up or women who have strong lower bodies through regular exercise.

A disease where the bottom falls out refers to the uterus, rectum, or bladder protruding out of the vagina from the pelvic organs, which is called uterine prolapse, rectocele, or cystocele.
When the cervix descends 2-3 cm from the inside of the vagina, it is called uterine prolapse, and vaginal relaxation can be considered a precursor symptom of uterine prolapse and uterine prolapse. As vaginal relaxation becomes more severe, the vagina becomes wider and it becomes difficult to prevent the uterus from descending. It is often seen in middle-aged women in their 40s or older.