Vaginal laxity: what does this symptom mean?

Dietz, Hans Peter; Stankiewicz, Martyna; Atan, Ixora Kamisan; Ferreira, Caroline Wanderley Souto; Socha, Maciej W.

doi:10.1007/s00192-017-3426-0

Cited by 56 publications

(55 citation statements)

References 24 publications

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“…We found no correlation between vaginal measurements, including GH, and the symptom of VL. This is also in contrast to the findings of Dietz et al . where VL was correlated with larger GH.…”

Section: Discussioncontrasting

confidence: 99%

“…While bulge, usually a symptom of POP, was associated with VL in our study, the presence of clinically significant POP was not a significant predisposing factor. This contrasts with the findings of Dietz et al . who concluded in a large retrospective study that VL is associated with objective prolapse on POP‐Q examination and imaging.…”

Section: Discussioncontrasting

confidence: 99%

“…who reported that VL, captured by a survey of community women, was more common in the younger age group: 8% in women aged 18–44 years compared with 2.9% in women aged over 44 years. It is also consistent with the results of Dietz et al . who found a higher incidence of VL among younger women presenting to a tertiary urogynecology unit.…”

Section: Discussionsupporting

confidence: 93%

“…Indeed, most of the literature addressing the symptom of VL has focused on treatment modalities, nonsurgical and surgical, rather than on the clinical characteristics and coexisting conditions . The prevalence of VL has not been consistent across studies, ranging from 2% to 48% . It was found to be more common in younger women .…”

Section: Introductionmentioning

confidence: 99%

“…It was found to be more common in younger women . In the only study where objective exam findings and imaging results were recorded, the presence of pelvic organ prolapse (POP) was found to be significantly associated with VL …”

Section: Introductionmentioning

confidence: 99%

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Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

Talab

Al‐Badr

Alkusayer

et al. 2019

Intl J Gynecology & Obste

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Objective To evaluate the prevalence of vaginal laxity (VL) and its correlates in a cohort of women attending a urogynecology clinic in a tertiary referral center in Saudi Arabia. Methods In this retrospective study, demographic information, clinical characteristics, and POP‐Q system measurements for women attending the King Fahad Medical City Urogynecology Clinic (January 2013 to April 2015) were analyzed. Women with and without VL were compared across these variables. Results Out of 376 women attending the clinic for various reasons, 135 (35.9%) reported VL. VL was more common in younger women (P<0.001). Parity, menopausal status, and diabetes were not associated with this symptom. A history of cesarean delivery was protective (aOR 0.39; 95% CI, 0.17–0.90). A bulge symptom and “vaginal wind” were predictors (aOR 3.25; 95% CI, 1.46–7.23 and aOR 15.48; 95% CI, 6.93–34.56, respectively). There was no correlation between VL and POP‐Q measurements. VL was not associated with the presence of clinically significant prolapse (stage 2–4), compared with nonsignificant prolapse (stage 0–1) (P=0.869, P=0.152, and P=0.783 for anterior, posterior, and central vaginal compartment, respectively). Conclusions In this cohort, VL was common, more prevalent in younger women, and had poorly defined clinical correlates.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

Talab

Al‐Badr

Alkusayer

et al. 2019

Intl J Gynecology & Obste

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The Efficacy and Safety of CO₂ Laser Treatment for Sexual Function and Vaginal Laxity Improvement in Pre‐Menopausal Women

et al. 2020

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Background and Objectives Vaginal laxity lacks standardized diagnosis and severity criteria. It is considered as a subjective complaint that reflects decreased sexual satisfaction due to vaginal loosening. Treatment modalities have included physiotherapy and plastic surgery. Recently, laser treatments have also gained popularity as a means of relieving gynecological complaints such as pelvic organ prolapse, stress urinary incontinence, and genitourinary syndrome of menopause. The aim of the current study was to evaluate the efficacy of CO2 laser treatment in women for whom a decrease in sexual sensation during intercourse and vaginal loosening were their primary complaints. Study Design/Materials and Methods For this prospective study, women with reported vaginal laxity and decreased sensation during intercourse were recruited from the Sexual Dysfunction Clinic in our health care campus. Each participant received three outpatient treatments with laser therapy, according to the same protocol. Treatment efficacy was assessed by changes in the Vaginal Health Index (VHI) and Female Sexual Function Index (FSFI). Results Overall, 84 pre‐menopause women, with a mean age of 47.7 years, were included in the study. Mean VHI and FSFI were increased significantly at 3 months post‐treatment and decreased again at 6 months post‐treatment: 11.8 ± 1.6, 13.5 ± 1.1, and 11.8 ± 1.2, respectively, P = 0.013; and 21.3 ± 1.7, 29.9 ± 1.6, and 22.5 ± 1.8, respectively, P = 0.022. The rate of sexual intercourse doubled during the period of maximal treatment effect (P < 0.0001). Conclusions CO2 laser treatment has both a statistically and clinically significant effect on participants’ complaints and sex‐life, which wanes by 6 months post‐treatment. Laser therapy seems to be safe in the short term, with no serious adverse events reported in the current study. Further studies are warranted to determine the long‐term safety and the efficacy of maintenance laser treatments. Lasers Surg. Med. © 2020 Wiley Periodicals LLC

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Effect of knack technique on vaginal laxity in multiparous women: A randomized controlled trial

Hady,

Kassem,

Abdalla

2023

Physiotherapy Res Intl

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BackgroundVaginal laxity defined according to the International Urogynecological Association/International Continence society is excessive vaginal looseness; it is one of the most common symptoms of pelvic floor dysfunction, which refers to medical/functional disorders that can have a significant impact on a woman's sexual self‐esteem and sexual life.AimThis study aimed to determine the impact of the Knack Technique on Pelvic floor muscle (PFM) and sexual function in women with vaginal laxity.MethodsThirty females complaining of vaginal laxity were randomly chosen from the outpatient clinic at Deraya University. Their ages varied from 35 to 45 years, their body mass index was 25–30 kg/m2, and a number of parities ≤ three normal vaginal deliveries and at least two years from the last delivery complaining about vaginal laxity, water entrapment, and loss of friction during sexual intercourse. They were randomized into two equal groups at random (A, B). Group A (15 females) received (PSTES) and group B (15 females) received (PSTES) and Knack Technique. Both the groups received three sessions per week for 2 months.EvaluationThe outcome measures were evaluated through pre‐ and post‐interventions by using ultrasonography imaging to assess PFM function, Sexual Satisfaction Index, and Vaginal Laxity Questionnaires (VLQ) to assess sexual function.ResultsAnalysis indicated a significant improvement in vaginal laxity in the two groups. Comparison between groups pre‐ and posttreatment showed that there was no statistically significant difference between the groups B and A in SSI and VLQ, while there were significant differences between the groups A and B in PFM force.ConclusionCombining Parasacral transcutaneous electrical stimulation (PSTES) and Knack Technique is more effective than PSTES alone in reducing vaginal laxity as well as improving PFM and sexual function in women with vaginal laxity.

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Vaginal laxity: what does this symptom mean?

Cited by 56 publications

References 24 publications

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

The Efficacy and Safety of CO₂ Laser Treatment for Sexual Function and Vaginal Laxity Improvement in Pre‐Menopausal Women

Effect of knack technique on vaginal laxity in multiparous women: A randomized controlled trial

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Vaginal laxity: what does this symptom mean?

Cited by 56 publications

References 24 publications

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

The Efficacy and Safety of CO2 Laser Treatment for Sexual Function and Vaginal Laxity Improvement in Pre‐Menopausal Women

Effect of knack technique on vaginal laxity in multiparous women: A randomized controlled trial

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Product

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The Efficacy and Safety of CO₂ Laser Treatment for Sexual Function and Vaginal Laxity Improvement in Pre‐Menopausal Women