A loose vagina is something that can be helped in a number of ways and you can learn about all your options here.

Women who experience a loose vagina often suffer a lack of sexual confidence which of course in turn may impact on their intimate moments with their partner. Their partner in turn may experience frustration as the moments of intimacy lack the physical stimulation that they need to climax. Incontinence as a result of a loose vagina can, of course cause women severe embarrassment and hamper a woman’s desire to partake in certain activities. This is an issue that many women suffer in silence with due to embarrassment and unwillingness to look for a solution. The good news is that there are practical solutions available to women to treat this so that they can enjoy their lives as normal.

The vagina is basically a tube with rings of elastic tissue which can stretch to enormous proportions to facilitate intercourse and childbirth. The vagina typically reverts back to its original size after being stretched. However, over time the pelvic floor muscles, which are what control the urinary tract, vagina and the anus, can weaken and cause the vagina to seem saggy or loose. This can cause incontinence in some cases as well as reducing the sensation felt during intercourse / masturbation. Some women will compensate for a looser vagina by buying a larger vibrator than they previously used in order to give a full sensation. A saggy vagina will also likely reduce the sensation felt by a male partner during intercourse as the strength with which his shaft is stimulated is reduced thereby making climaxing more difficult.

Loose / Saggy Vagina

What Causes a Loose / Saggy Vagina?

The pelvic floor becomes weakened from aging, the menopause and/or natural childbirth.

Treatments for a Loose / Saggy Vagina

Some of the treatments available to tighten your vagina are:

  • Vaginoplasty (Surgery)
  • Tightening Gels
  • Pelvic Floor Exercise / Kegel Exercise
  • Pelvic Floor Toning Devices

Vaginoplasty

This is a surgical treatment which lasts approximately one hour under anaesthetic. The surgeon shortens the stretched muscles in the vagina and removes any excess tissue to give an immediate decrease in diameter of the vagina and so makes it tighter. After the surgery you will be sore but should be able to walk around comfortably after a few days. Doctors recommend a week off work to allow the wound to heal properly without unnecessary stress and you should be able to feel the effects of your new tightened vagina after 2-3 weeks. After that, you’ll have a post-op check up to see how you are healing and will then be advised when you can resume sexual activity.

In the UK, when performed privately, a vaginoplasty will cost between £3000 - £4500 depending on the surgeon, where it is performed and the steps involved in the surgery. This cost is just for the surgery alone so any consultations and additional care will cost more.

The NHS does allow for vaginoplasty surgeries but it does depend on the reason. If you have problems such as a prolapsed uterus, bladder, intestines or damage during birth which needs reconstruction, the NHS will usually provide you with a vaginoplasty. However every circumstance is different and all instances will need to be examined in order to determine whether or not they are eligible for an NHS funded vaginoplasty.

Tightening Gels

Tightening gels are a temporary solution to a loose vagina as they give the sensation of a tighter vagina without actually tightening it. You feel a tingly sensation when applied which causes your vagina to have heightened sensation which causes the “tight” feeling. The tingly sensation lasts a few minutes and gets working straight away. The tight feeling can last a few hours so you can have a long bedroom session with only a small amount of gel.

Kegel Exercise

Kegel exercise was invented by Dr. Arnold Kegel in 1948 to provide a non invasive treatment for “genital relaxation”. This exercise is effectively a workout for the pelvic floor muscles which support the uterus, bladder, rectum and small intestines. The exercise is just like any other type of workout in a gym in that it takes time for the effects to start to show but it can dramatically change your life over time. Women and men can do Kegel exercise to strengthen their pelvic floor, to curb bladder/bowel incontinence and improve sexual sensations during intercourse. For women, strengthening the pelvic floor allows them to control the “tightness” of their vagina and helps to control their bladder/bowel functions better. Kegel exercise is probably worth trying before resorting to surgery as the results can be substantial and so the need for surgery is avoided.

How to do Kegel Exercise

To start your Kegel exercise, you must first locate your pelvic floor muscles. The easiest way to do this is by stopping mid-stream while urinating. This clenches the pelvic floor to halt the flow of urine and you can feel it become incredibly uncomfortable and hard to keep the pelvic floor clenched. So now you know which muscle you need to be working out, you can now start doing some Kegel exercise!

Step 1: Find a comfortable position.
You may want to sit on a chair or lie down. If you choose to lie down, make sure that your buttock and tummy muscles are relaxed. You should be flat on your back with your arms at your sides and your knees up and together.

Step 2: Squeeze your pelvic floor muscles for five seconds.
If you cannot hold for this long then squeeze for five-three seconds long.

Step 3: Release your muscles for 10 seconds.
This is vital to make sure you don’t over strain your pelvic muscles. Each clench is a repetition. Do 10 repetitions at a time but no more so as not to strain the pelvic floor muscles.

Step 4: Repeat the exercise 10 times.
This is one set of Kegel exercise, don’t do any more than ten times so you don’t over strain your pelvic floor.

Step 5: Perform this set of Kegel exercises at least three-five times a day.
This builds up stamina and strengthens your pelvic floor over time. You could see results from this within four-six weeks but it may take longer. If you have been doing these exercises for over a few months and haven’t seen any change, you should go to your doctor and seek some help in what isn’t helping your pelvic floor to become strengthened.

Step 6: Build toward squeezing your pelvic floor muscles for ten seconds at a time.
This is when you feel like you have done the 5 second squeeze for a while and you can manage to hold the squeeze for longer periods of time. Only increase the amount of time if you can, if not resume the 5 second squeeze for as long as you want.

Step 7: The ultimate discreet exercise!
Once you have gotten used to doing these exercises, you can do them at home while doing household chores, you could do them at work and no one will be the none the wiser!

Kegel Exercise - Loose/Saggy Vagina
Other Helpful Exercises

Another thing to consider when exercising the pelvic floor is that it is connected to larger muscle groups such as the abdomen and the glutes. So you can do certain exercises that can strengthen those muscles which will strengthen the pelvic floor by association.

1. The Leg Pull Up
Once you feel like you can really work out your pelvic floor, try doing a pull up. First you squeeze your pelvic floor while lifting your legs upward and holding for 5 seconds. Bring them down once you are done and rest for 10 seconds. Repeat this ten times and you have completed one set of repetitions of this exercise.

Leg Pull up Exercise - Loose/Saggy Vagina

2. Squats
The pelvic floor muscles are connected and supported by larger muscle groups around the pelvis and back, one of the muscle groups that help support it greatly are the glutes in the buttock area. Squat exercises help define those glutes and help strengthen the pelvic floor by association.

Squats- Loose/Saggy Vagina

3. Leg Lifters
The abdomen muscles also help keep the pelvic floor strengthened, so while in the lying down position, lift one leg into the air and hold for 5 seconds, then slowly bring it down and do the same for the other leg. Repeat this 10 times for each leg, 3-4 times a day.

Leg Lifters - Loose/Saggy Vagina

4. The Bridge
Performing yoga on a regular basis is great for toning vaginal muscles. This particular yoga bridge position strengthens the abs and the glutes together.

The Bridge - Loose/Saggy Vagina
Pelvic Toning Devices

1. Kegel Weights

If you have been consistently practising your pelvic exercises for a number months and you have increased the amount of squeeze time, you should consider buying some kegel weights. These weights have been specifically made to be inserted into the vagina and to give a weight for your pelvic floor to hold onto when you do your exercises - just like at the gym! If you take a look at our own Kegel weights here you can choose from three different weights that have varying shapes that makes more work for your pelvic floor.

There is also the option of an “assisted” exercise tool. This is a pelvic muscle toner called the GBalls2 that can connect with your smartphone and with the use of an app, you get a training coach to help you achieve your goals and to guide you on your way to a tighter vagina. It’s very easy to use, comfortable, and discreet.

Kegel Weight
Kegel Weight

2. The Pelvic Toner

The Pelvic Toner is a plastic device that tones the pelvic floor and has been approved by the NHS. To insert the device, you hold the device and squeeze to push the two open ends together. Once you have inserted the device, you release your hold on it and it springs back into the open position.This open position helps you locate your pelvic floor muscles and you can now begin to squeeze on the device to make it go from the open position to the closed position and back again.

The Pelvic Toner - treatments for Loose/Saggy Vagina
The Pelvic Toner

3. The Kegel8 Ultra Electronic Pelvic Toner

The Kegel8 Ultra Electronic Pelvic Toner is an electronic pelvic toning device that has been certified by the NHS to provide stimulation of the pelvic floor muscles using internal and external stimuli. The device has a controller with 20 different settings, a nickel-free probe which you insert and squeeze on and electrode pads for external pelvic floor stimulation.

The Kegel8 is used to combat four main areas of weakness that are associated with weak pelvic floor muscles.

It aims to help in decreasing bladder incontinence, pelvic pain, prolapse and lack of sexual sensation. This pelvic floor exerciser has three different methods to assist in strengthening up your pelvic muscles.

Ultra Electronic Pelvic Toner- treatments for Loose/Saggy Vagina
probe - Ultra Electronic Pelvic Toner
1. Insert the probe into the vagina; the probe stimulates the pelvic floor muscles to contract.
electrode pad - Ultra Electronic Pelvic Toner
2. Place an electrode pad on the inside of your right ankle - ideal for those who don’t want to or can’t use the internal probe.
electrode pads - Ultra Electronic Pelvic Toner
3. Place the electrode pads on your lower back to stimulate the pelvic floor.

There are five different ways that this device claims to help with various pelvic floor problems:

  • A sensation test which tests your level of sensitivity so you can improve upon sensitivity within your pelvic area.
  • The pelvic floor exercise mode has several levels that progressively get more difficult which helps to keep your pelvic floor in optimum health and strength.
  • It can improve your feelings of sexual excitement by heightening sensations and increasing endurance in the pelvic floor muscles.
  • The incontinence improvement programme tackles several types of incontinence including an overactive bladder, mixed incontinence, stress incontinence, bowel incontinence, prolapse, hysterectomy & postnatal incontinence using functional continence training (with skin electrodes).
  • The skin electrodes can also help with pain relief to ease cramped muscles in the pelvic floor and back.
Don’t use this device if you are pregnant (wait until you have had your 6 week check post birth), have a pacemaker (some forms of pacemaker are able to be used with this device, be sure to check with your doctor if you can use it) or have a form of pelvic cancer unless your GP or doctor has advised you to do so.
Help is Available

Attempting to cope with a loose or saggy vagina can be immensely depressing and frustrating but it is important to remember that actionable help is out there. Many women around the world suffer from this just like you but are simply afraid or embarrassed to admit it or to seek help solving it. Understand that a number of options are available to you that will assist in tightening up your vagina; some you can even do from the comfort of your own home and of course some involving minor surgery. Embarrassment about having a loose vagina is not an emotion you should feel with this problem; take control of the situation, see what solutions suit you in conjunction with your doctor and in a short space of time you will be progressing toward the result that you want.

help - treatments for Loose/Saggy Vagina

To learn more about the pelvic floor, tune in to the Let's Talk Sex Podcast hosted by sex and relationship therapist Courtney Geter, LMFT. Courtney chats with Dr. Shelley DiCecco, PT, PhD, CLT-LANA about the importance of the pelvic floor muscles, how to maintain pelvic floor strength, and how to perform a correct kegel. To find out more about Courtney and more episodes of the podcast, visit www.SexAndRelationshipTherapist.com.