Vaginal Laxity

Vaginal laxity—often described as a loose vagina—is the feeling that the vagina or vaginal opening is less tight than it once was. A woman or her partner may notice less friction or a change in sensation during penetration. A woman may also notice vaginal air, difficulty reaching orgasm or simply that sex feels different.

In a study of more than 2,600 women attending a urogynecology clinic, 38% reported vaginal laxity. Women reporting laxity were also more likely to report decreased sensation during sex. [1]

Childbirth is an important cause of vaginal laxity. Vaginal delivery can stretch the vagina, pelvic floor and supporting tissues, and childbirth vaginal tears can contribute to lasting changes. Women who had delivered vaginally were three times more likely to report vaginal laxity than women who had never delivered vaginally or had delivered only by C-section in one study. [2]

The vagina and pelvic floor also have a remarkable ability to recover after childbirth. Much of that natural recovery occurs during the first several months after delivery. However, recovery is not always complete, and some women continue to notice changes in tightness, pelvic floor strength or sensation after they have healed. [4,5]

You do not have to have had a baby to experience vaginal laxity. Aging, menopause, changes in collagen and tissue support, pelvic floor weakness and other anatomical changes can also contribute.

Having frequent sex does not make a woman loose, and neither does having more sexual partners. Vaginal tightness is not a measure of a woman's sexual history.

Vaginal laxity can mean less friction and sensation during penetration, weaker orgasms, difficulty reaching orgasm or simply feeling that sex is not as satisfying as it once was. A partner may notice the change in friction or sensation too.

Sex involves two bodies, and a change in either person can affect physical fit and sensation. A woman may be experiencing vaginal laxity while her male partner may also be losing girth, fullness or firmness. Either change can be noticeable, and when both are occurring, the difference may be even more apparent.

If the male partner has lost girth or wants additional size and fullness, Dr. Bawa can also address that with BawaBig®, her non-surgical penis enlargement procedure.

At Bawa Medical in Boca Raton, Dr. Kanwal Bawa uses the Bawa Method to determine what is contributing to vaginal laxity and which changes need to be addressed. Women from Boca Raton, Palm Beach County and throughout South Florida come to Bawa Medical for non-surgical vaginal tightening and sexual wellness treatment. Many travel to us from across the country and around the world. Dr. Bawa evaluates vaginal tissue, pelvic floor strength, hormones, sexual function, childbirth history and the woman's individual goals.

Treatment focuses on tightening and remodeling vaginal tissue, improving collagen and elastin, strengthening the pelvic floor, improving tissue health and addressing hormonal changes when appropriate. Dr. Bawa can combine treatments when needed because vaginal laxity after childbirth may require a different approach from laxity related to menopause, aging or pelvic floor weakness.

The goal is not simply a tighter vagina. It is better function, sensation and sexual satisfaction.

• BawaRF®
• BawaShot®
• BawaTone®
• CO₂ Laser
• Hormone Replacement Therapy

1. Campbell P, Krychman M, Gray T, et al. Self-Reported Vaginal Laxity—Prevalence, Impact, and Associated Symptoms in Women Attending a Urogynecology Clinic. Journal of Sexual Medicine. 2018;15(11):1515-1517.

2. Mustafa-Mikhail S, Gillor M, Francis YN, Dietz HP. Is Vaginal Laxity Associated with Vaginal Parity and Mode of Delivery? International Urogynecology Journal. 2024;35(12):2323-2328.

3. Pereira GMV, Brito LGO, Ledger N, et al. Associated Factors of Vaginal Laxity and Female Sexual Function: A Cross-Sectional Study. Journal of Sexual Medicine. 2024;21(6):548-555.

4. Shek KL, Chantarasorn V, Langer S, Dietz HP. Postpartum Recovery of Levator Hiatus and Bladder Neck Mobility in Relation to Pregnancy. Obstetrics & Gynecology. 2015.

5. Hilde G, Stær-Jensen J, Siafarikas F, et al. Recovery of Pelvic Floor Muscle Strength and Endurance 6 and 12 Months Postpartum in Primiparous Women—A Prospective Cohort Study. International Urogynecology Journal. 2023.