Vaginal Relaxation Syndrome (VRS)

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What is Vaginal Relaxation Syndrome (VRS)?

As women mature, relaxing of the vaginal wall can lead to Vaginal Relaxation Syndrome (VRS). It worsens during childbirth, especially multiple pregnancies and deliveries. Vaginal atrophy is also associated with menopause-related hormonal changes.

VRS can lead to a number of problems, both physical and psychological. A major problem is the lessening of sexual satisfaction for both the female and her partner, often referred to as “loose vagina”.

Urinary incontinence is another problem associated with VRS, either ‘stress’ or ‘urgency’. It can extend from mildly irritating or totally debilitating. The quality of life of affected women can decline dramatically as they are seen to take more sick leave at work and become less social due to the unpredictability and involuntary loss of urinary control.

What can be done to treat Vaginal Relaxation Syndrome?

A variety of VRS treatment options exist spanning the spectrum from noninvasive approaches to surgical procedures. For the noninvasive approaches, behavioral training such as Kegel exercises can tighten up relaxed musculature in the pelvic floor and to a lesser extent in the vaginal wall. Tightening creams, hormonal creams, sprays and other pharmacological approaches are also available. However, although these are noninvasive and innocuous, the effectiveness is somewhat limited and the latency period temporary, requiring continuous application. Surgical procedures, in which vaginal and associated tissues are incised and rearranged, can offer a longer lasting final result.

The Juliet Laser has recently been added to the collection of resources available to a GP. The Juliet Laser is another choice available for VRS because of its precision and the ability to limit damage depth with particular wavelengths having high water absorption. This approach was called ‘laser-assisted vaginoplasty’. Taking the laser and splitting it into multiple microbeams has provided even more control of the depth of the microablative columns which resulting in better efficacy. There is less downtime for the patient, and has become popularised as “vaginal tightening”. Compared with a vaginoplasty (surgical option), the Juliet Laser offers non-reconstructive strategies aimed at restoring the muscle tone of the vagina by tightening the supportive structures of the vulvovaginal complex, in an effort to reduce the effects of ageing and childbirth.

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