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Vaginismus is a common condition involving a recurrent or persistence involuntary spasm of the muscle of outer third of vagina.
It can make it painful, difficult, or impossible to have sexual intercourse, to undergo a gynecological exam, and to insert a tampon.
Vaginal Botox injections for the treatment of vaginismus is an effective non-surgical procedure done by trained Cosmetic Gynecologist along with use of vaginal dilators.
Botox Treatment for Vaginismus is reliable, easy, effective, long-lasting, and life changing relief in painful sex.
When Botox is used along with vaginal dilators, the result of the Vaginismus treatment is even more overwhelming.
Imperforate hymen is also known as nonporous hymen. The incidence of imperforate hymen is about 0.015 %. Imperforate hymen mainly obstructs the discharge of vaginal secretions. It may be asymptomatic at childhood due to minimal vaginal secretions, but at puberty, as both the vaginal and cervical secretions gradually increase, they accumulate in the vagina and lead to a sense of heaviness in the lower abdomen. After menarche, as the menstrual blood cannot drain out, it accumulates in the vagina forming a vaginal hematoma after several menstruations. Subsequently, it may lead to uterine and tubal hematomas, and eventually retrograde flow will enter into the pelvic cavity forming pelvic hematomas. Clinical symptoms are obvious with a cyclical lower abdominal pain, which progressively increases in intensity.
On gynecological examination, a bulging hymen can be seen, with a purple blue surface; on rectal examination, a vaginal mass bulging into the rectum is felt as a palpable pelvic mass. With a finger pressing on the vaginal mass, the bulging hymen can be made more obvious. Ultrasound scan may show accumulated fluid in the vagina and even in the uterine cavity.
Hymenectomy is a surgical procedure for removing part of hymen, which is performed in females with imperforate or septate hymen, hymenal hypertrophy and sometimes in vaginismus.
Labial adhesion is defined as complete or partial fusion of the labia minora in the midline through flimsy or dense adhesions. It may be congenital or acquired. Acquired cases are mainly seen in oestrogen deficiency states in prepubertal girls and postmenopausal women. Aggravating factors include chronic inflammation due to poor hygiene, eczema, lichen planus or sclerosus, seborrhic dermatitis, eczema, local trauma and recurrent urinary tract infections. Patients may be asymptomatic or present with urinary or vulval symptoms. Management in mild cases includes the application of topical oestrogen with or without topical steroids. If there is no response to topical therapy, surgical separation under anaesthesia should be performed.
Labial Adhesions also known by the name of Labial Fusion is a medical condition in which the inner lips of the vagina get joined together and is covered with a fleshy membrane. This is most commonly seen in small babies and young girls and also in post-menopausal women and is quite a common and harmless condition. The fleshy membrane completely seals off the vaginal opening with just as an extremely small gap left with which the urine passes through.
Surgery is usually recommended in the following cases:
Surgery to correct Labial Fusion or Labial Adhesion is fairly easy to do and is performed under local anesthesia as it may be somewhat painful for the patient. In order to expedite wound healing and to prevent further occurrences of this condition the patient is advised to apply emollients for some weeks post-surgery. There is high percentage of chance that Labial Fusion or Labial Adhesion may recur even with surgery hence it is important to follow the doctor’s advice post-surgery.