Vaginas come in all different shapes and sizes and no two vaginas are the same. They are made to stretch and grow (think childbirth) and also to accommodate other objects (think intercourse and foreplay). So many patients come to me and ask, is their vagina too tight or too loose? The answer is: a lot of factors can play into the laxity of your vagina and there is no “correct” size.

Muscular Support

Your vagina is supported by a hammock of muscles known as the pelvic floor muscles. These muscles include the levator ani, bulbocavernosus, and transverse perineii. Through things like age and childbirth, these muscles can stretch and become weaker over time. It is important to emphasize that intercourse and the number of sexual partners will not cause the muscles of the pelvic floor to weaken or become lax. 

Estrogen Support

Estrogen plays a key role in maintaining healthy vaginal tissue. Decreased estrogen can lead to thinner, drier, less acidic, and less stretchy or elastic vaginal tissue. That’s why women that are perimenopausal or post menopausal may start to notice significant changes in the vaginal tissue, including increasing pain, dryness, and vaginal tightening. 

Genetics

Collagen is an important protein that gives vaginal tissue its elasticity. Some women with connective tissue disorders or anomalies from birth are more prone to having vaginal laxity.

Each vagina has its own unique shape, appearance, and support. With age and childbearing, the vagina adapts with these new shifts within our bodies. If you feel as though your vagina has changed, talk to your doctor about your symptoms. They may recommend pelvic floor physical therapy as a way to strengthen the muscles of the pelvic floor. If you feel symptoms of bulging or pressure within the vagina, you may be experiencing symptoms of pelvic organ prolapse which is a herniation of the pelvic organs to or beyond the walls of the vagina. 

Please comment below with questions you have about vaginal laxity!

With love,

Dr. Shweta Desai