Cosmetic Gynaecology & Sexual Function

Just like other areas of our body, we are all individuals, and there are slight differences in our external genitalia. Most of these differences are common variations of normal, but sometimes there can be functional and practical reasons for cosmetic procedures to be carried out.

At the Elsa clinic, we perform the following procedures in a nurturing environment to ensure your comfort and health at all times:

We conduct surgery to:

  • Open an unusually tight hymen to allow the use of tampons or to allow for sexual intercourse to be possible
  • Repair tearing or lacerations of the hymen due to disease, injury or other factors.

After giving birth vaginally, you may have remaining vaginal skin tags. We can repair these at the clinic.

The Bartholin’s glands are located on each side of the vaginal opening, and they secrete a fluid that helps lubricate the vagina. Sometimes they can become painful and swell into a Bartholin’s cyst. We can perform procedures to help relieve discomfort and remove these and other cysts at the clinic.

All women have labia minora and labia majora, and for most women, despite the natural variation in size and shape, there are no problems or issues.

Some women, however, have extremely large labia minora which interfere with sexual intercourse, with wearing jeans or in some cases need to be “tucked up inside” to allow normal comfortable daily function.

Other women have one labia minora that is entirely normal yet have a discrepancy where the other side is greatly enlarged.

Surgery for labiaplasty is generally performed in theatre but occasionally may be appropriately performed under local anaesthetic and medication in the consulting rooms. Patients go home the same day, and the sutures are intradermal, hidden and dissolve naturally with time.

Any patient concerned about their labia is advised to see a specialist and get an option as to whether they would be suitable for surgery.

Vaginismus is a condition where the muscles in your vagina involuntarily contract when attempting sexual penetration. It can make having sex near impossible and is often extremely painful.

While being a rare condition that needs to be diagnosed by an examination and discussion of symptoms, it often is revealed in teenage girls when they first attempt to use tampons with difficulty.

Vaginal Botox has delivered excellent results and success in the treatment of vaginismus. The procedure involves several injections of Botox into multiple areas of the bulbospongiosus muscle, which wraps around the entrance to the vagina.

Anal skin tags are usually harmless growths that appear around the outside of the anus. They can occur after pregnancy or remain after the occurrence of haemorrhoids. Although anal skin tags are benign, they can still be a concern and may become uncomfortable or itchy.

The procedure we conduct at our clinic is fast and simple.

As part of the ageing process, after losing weight or after giving birth your labia majora may change shape. It can often feel looser, appear floppy or deflated. These changes can often cause discomfort during sex or you may be displeased by their appearance. The laxity may also lead to increased dryness of the vagina causing irritation and discomfort.