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Millions of women suffer from looseness, or decreased sensation with sex, due to childbirth, age, and a variety of other reasons that diminish their confidence and self-esteem. It is a common complaint in many sexually active women that regularly impacts personal relationships. Embarrassed, frustrated, and sad, women are often too uncomfortable to speak up.

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Vaginoplasty is surgical procedure used to create a vagina. The surgery may be performed after a woman has had a vaginectomy for vaginal cancer. It may also be used to create a vagina for a woman born without one because of vaginal agenesis.

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Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervixovariesfallopian tubes and other surrounding structures. Usually performed by a gynecologista hysterectomy may be total removing the body, fundus, and cervix of the uterus; often called "complete" or partial removal of the uterine body while leaving the cervix intact; also called "supracervical".

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Board certified plastic surgeon Dr. Emile Brown offers a variety of labiaplasty options to patients in Baltimore, Washington, D. Labia come in all shapes and sizes, but for some, overly long or asymmetrical labia can be bothersome.

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Federico Gonzalez thinks pop culture has given plastic surgery a bad rap. The phenomenon of women cosmetically altering their genitalia has become the subject of debate particularly on blogs devoted to female readers since the American Congress of Obstetricians and Gynecologists published a position statement warning women against cosmetic surgery of the vagina. Gonzalez is one of the rare plastic surgeons in the area to specialize in female genital plastic surgery.

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Episiotomyalso known as perineotomyis a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician. Episiotomy is usually performed during second stage of labor to quickly enlarge the opening for the baby to pass through. The incision, which can be done at a 90 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva medio-lateral episiotomyis performed under local anesthetic pudendal anesthesiaand is sutured after delivery.

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Melanie Berliet, young, single and without children, arrived at a New York City medical clinic seeking a "complimentary consultation" for the latest in cosmetic surgery -- vaginal rejuvenation. The year-old writer posed as a patient in search of fodder for a story, and got an education in how doctors can tighten flabby tissue in a vaginoplasty, cut back the inner and outer lips of the labia and sometimes open the clitoral hood. Berliet wrote about her experience in an article called "Designer Parts," for the Atlantic magazine.

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Many women, especially after natural childbirth, suffer from urinary incontinence from simply sneezing, laughing, or while exercising. Other women will also develop uncomfortably stretched labia and vaginal laxity caused by the pressure from childbirth. As women mature and lose estrogen, they can experience reduced sexual pleasure due to vaginal dryness and reduced tone in the vaginal wall. In the past, the only options to correct these problems were invasive surgical procedures such as vaginoplasty or trying hormone-based medications which can have side effects.

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Vaginal rejuvenation or vaginoplasty is a procedure to tighten the vaginal opening and improve both the appearance of the vagina as potentially enhancing sexual satisfaction. Karen Boyle is a leading expert in genital reconstructive surgery, for both men and women. She is a specialist in sexual health and has advanced training in microsurgery and reconstructive surgery.

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The Atlanta surgeon, who has performed gynecological surgery for nearly 20 years, cites cases of patients who say their sexual response improved after vaginoplasty, a procedure to surgically tighten a vagina stretched by childbirth or aging. Female genital cosmetic surgery is a small segment of the U. That growth comes despite a warning from the American College of Obstetricians and Gynecologists ACOGin a notice to member physicians, that strongly questioned the medical validity and safety of female genital cosmetic surgery.

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