Why Does My Vaginal Walls Open Like A Tent

Question: Why Does My Vaginal Walls Open Like A Tent

A bump near the base of the vaginal opening. a feeling of weight or pressure in the lower abdomen or pelvic Pain in your lower back that feels like you’re “sitting on a ball” and improves when you lie down

What does vaginal prolapse look like?

a bump at the base of the vaginal aperture a feeling of heaviness or pressure in the lower abdomen or lower back a sensation of being “sitting on a ball” achy ache in your lower back that is relieved by lying down

What does a Rectocele feel like to touch?

Rectal pressure or fullness is felt in the lower abdomen. After having a bowel movement, you may get the impression that your rectum has not totally empty. Concerns about your sexual health, such as feeling humiliated or seeing looseness in the tone of your vaginal tissue.

Why is my skin darker down there?

This is typical since the color of our skin is not linear, meaning that there may be changes in tone based on the portion of the body that is being discussed. This is a fully natural process that may be triggered by a variety of circumstances such as excessive melanin, shaving, exposure to the sun and hereditary factors among others.

What is a Stage 3 prolapse?

Uterine prolapse can be classified into four categories: First stage of pregnancy: the uterus is located in the upper portion of the vaginal canal. During Stage II, the uterus has fallen almost to the level of the entrance of the vagina. At the third stage, the uterus protrudes from the vaginal opening.

How do I know which organ has prolapsed?

Symptoms of pelvic organ prolapse include the following: a sensation of heaviness in your lower belly and genitals the sensation of a dragging ache within your vagina It may seem like you’re sitting on a little ball if you have the sensation that something is coming down into your vagina. You may be experiencing or noticing a bulge or lump in or coming out of your vaginal area.

How do you tell if something is wrong down there?

What are some of the indications and symptoms of vaginal issues? An alteration in the color, odor, or volume of vaginal discharge is indicated. Itching or redness in the vaginal area. Vaginal bleeding between periods, after intercourse, or after menopause is a condition that affects women. A lump or protrusion in the vaginal area. Experiencing discomfort during sexual contact.

Is it bad to pull poop out?

Using your fingers to dig the stool out of the hole However, avoid inserting your finger into the rectum. Anal rips and bleeding may occur as a consequence of digging out the feces, which can cause soft tissue at the opening of your anus to be damaged. Manual removal of excrement from the rectum should only be performed by a doctor.

Why is prolapse worse some days?

When the uterus has been removed during a hysterectomy, the top of the vagina (also known as the vault) may bulge downwards, causing discomfort. Prolapse symptoms are frequently stronger towards the end of the day, after extended standing, or during periods of elevated intra-abdominal pressure, such as while moving heavy objects, coughing, or straining to go to the bathroom, among other things.

What do long skinny poops mean?

Dr.

Michael F. Picco provides an answer. Narrow stools that occur only seldom are most likely not harmful. Nonetheless, narrow stools — especially those that are pencil thin — may be an indication of colon cancer-related constriction or occlusion of the colon in some circumstances.

Why do I come when I poop?

In order to assist in pushing stool out of your colon, your abdominal muscles must contract and contract, putting pressure on the organs and tissues around them. It is possible that this pressure, together with your normal breathing, will put strain on the nerves and blood vessels that line the abdomen, causing tears to form.

What does Rectocele pain feel like?

The symptoms of rectocele can be felt in the vaginal area, the rectal area, or both. They include: a feeling of pressure in the pelvic. Within the pelvis, the sensation that something is falling down or falling out is experienced. Standing up makes the symptoms worse, whereas sitting down makes them better.

Is it OK to remove poop with finger?

Manual evacuation (also called as rectal clear) is used to relieve constipation in those who have a non-responsive colon. Emptying the bowels is accomplished by gently putting a finger into the rectum and pulling it out. This technique is often performed on a daily or every other day basis. The length of time and frequency of visits will be determined by the individual’s requirements.

Can toilet paper get stuck in your vag?

Small quantities of fiber material from garments and carpets, or, more frequently, toilet paper, are the most common foreign bodies found in the vaginal passages of young children. In addition, during a period of self-exploration, they may insert things in their vagina. During a sexual activity, adults may insert foreign items into the vagina as part of their sexual experience.

Can Kegels fix Rectocele?

If your posterior vaginal prolapse is accompanied by little or no symptoms, basic self-care procedures, such as completing Kegel exercises to strengthen your pelvic muscles, may be sufficient to alleviate your discomfort.

What should you not do with a prolapse?

If you have pelvic organ prolapse, stay away from activities that might aggravate the condition. That implies you shouldn’t lift, strain, or pull anything. If at all possible, avoid being on your feet for lengthy periods of time during the day. Some women report that they feel increased pressure while they are on their feet for long periods of time.

Why does my girlfriend feel loose sometimes?

When a woman is not sexually stimulated, her vaginal elasticity decreases significantly. They become more elastic — “looser” — as a result of the increased level of sexual stimulation. When a woman is less aroused, less comfortable, and experiencing less pleasure than her partner, she may see herself as “tighter” to him.

Can I push my prolapse back up?

Depending on the circumstances, prolapse can be treated at home. Follow the instructions provided by your service provider on how to accomplish this. It is necessary to physically push the rectum back into the body. The mass is gently pressed back through the anal entrance with a soft, warm, moist cloth, which is used to apply mild pressure on it.

Will my partner notice my prolapse?

Many women report enjoying excellent sex despite having a prolapse, and because it is exceedingly difficult for non-medical experts to diagnose a prolapse, your partner is likely to be completely unaware that it is present. Certain sexual postures, on the other hand, might be uncomfortable for women who have POP.

Can you feel a prolapsed uterus with your finger?

The anterior (front) vaginal wall prolapse can be detected by inserting 1 or 2 fingers and placing them over the front vaginal wall (facing the bladder) to feel for any bulging beneath your fingertips, first with forceful coughing and then with persistent pressing down on the bladder.

A distinct bulging of the vaginal wall under your fingertips implies a prolapse of the front vaginal wall.

What happens if prolapse is left untreated?

It is possible for any or all of the organs to begin to slide downhill into the vagina if the muscles or connective tissue that supports them are weak, injured, or overstretched. If left untreated, the organs can occasionally protrude outside of the vaginal or body cavity, causing discomfort.

VAGINAL TENTING: IT’S WHY PENETRATION FEELS GOOD, BABY!

Full-Spectrum Doula Do you want to be penetrated? This is due to your vaginal capacity to tent, which you should be grateful for. Arousal during sexual activity causes an increase in blood flow to the genitals, which results in swelling. In addition, while a penis may salute rather rapidly, and a vagina can feel moist in a short period of time as well, the pleasure of penetration is mostly dependent on an invisible phenomenon known as, you got it, vaginal tenting. Make a pitch for it! The term “tenting” alludes to the vagina’s amazing ability to transform into various forms.

  • You’ve probably also had the sensation that your vagina was like Mary Poppins’ carpet bag, with an endless amount of space.
  • During stimulation, the clitoris and surrounding tissue swell, exactly as the penis does during excitement.
  • These contractions drive the cervical and uterine structures to pull up and back, creating a gap that was not before present.
  • Without tenting, sex would be more like a series of bumper cars than a smooth journey.
  • AROUSAL is the most important thing.
  • Clitoris and her long, gorgeous legs, known as the Vestibular Bulbs, are the most prominent anatomical features, followed by our swellers, the Urethral Sponge and the Perineal Sponge, respectively.
  • And they can be enticed to do something pleasurable!

the introitus, swell and produce a seductive, puffy space for the partner to enter.

There’s also an emotional component to consider.

We all respond to touch in a somewhat different way depending on our biological and emotional characteristics.

However, due of the way your neural system operates, the readiness of your body to open may be influenced by your emotional state.

This is because your nervous system registers anxiety primarily through your breath, not through your thoughts.

In the absence of a sense of safety or being noticed, your body may not respond in order to communicate the fact that you require something else.

The absence of appropriate stimulation – which frequently involves, or is preceded by, the feelings of excitement and trust – will result in the absence of engorgement (no boner), the absence of tenting (which feels like bumper cars inside), and the absence of orgasm, among other things (womp womp.)

I’ve Heard Your Vag Stretches out Post-Birth. Does this mean I don’t have to tent?

You’re still in your tent. While the vagina does extend to allow the child to pass through, the vagina is not a tube whose width increases indefinitely as the pregnancy progresses. The vaginal walls are truly in contact with one another! A “tight pussy” has absolutely nothing to do with natural tension or youth, and has everything to do with engorgement! That is to say, if you’re not turned on, it will be uncomfortable for everyone, so speak out! When in doubt, spend some time with your gorgeous bits and experiment to figure out what you really want.

There is no intention for the Content to serve as a substitute for professional medical advice, diagnosis, or treatment.

Prolapse Part 1: What is Prolapse? — Ladner Village Physiotherapy

In every initial intake interview with a client who has come in with concerns about their pelvic floor, I inquire as to whether or not the individual has prolapse. When I inquire as to whether or not individuals are concerned about prolapse, the most common response I receive is “what the hell is prolapse?” Let me explain you what I mean. It is possible to have a variety of organs in your abdominal cavity, with the lowest of them being your bladder, your uterus, and your rectum. Unlike a marionette that is held upright by strings, they are all strapped into place and maintained in the exact posture using connective tissue.

  • Consequently, instead of having lovely upright puppets, you now have puppets with excessively long strings, resulting in drooping puppets.
  • Your vagina is represented as a tent (yep, like a camping tent), and then a huge old bear (representing one of your organs, such as your bladder) appears and sits on the edge of your tent, making you feel uncomfortable.
  • As a result, the vaginal canal may appear to be “baggier” or “sagging,” which is referred to as prolapse!
  • The prolapse is often made more noticeable and painful by actions like as coughing and sneezing, holding a large object, or standing for long periods of time.
  • This is true for prolapses of all sizes, including small, moderate, and big.

The prolapse will be given a name based on the structure that is causing the problem. I’ve included a list of some of the more commonly used words below:

  • All of these terms are used to refer to prolapse of the anterior vaginal wall that occurs when the bladder is the source of the problem. Your bladder droops when it decides to do so, and it collapses into the empty area in your vaginal canal. Arectoceleis, also known as aposterior vaginal wall prolapse, is a condition in which the vaginal wall prolapses posteriorly, causing incomplete bladder emptying. When the rear wall of your vagina (the wall that separates your vagina from your rectum) is forced forward as a result of external pressure from the rectum, this is known as prolapse. Note that a rectocele is not the same as a rectal prolapse, which is a different condition. Anus bulges outward when tissue within the rectum becomes loose, resulting in extra tissue protruding out of the anus. Rectocele can result in difficulties commencing a bowel movement, among other things
  • Uterine prolapse, on the other hand, is rather straightforward. A more accurate description would be that your uterus is collapsing from above. As a result, it has the potential to “pull” the front and rear walls of the vaginal wall with it, and it appears to be the most obvious kind of prolapse.
See also:  How To Remove Tent Rack On Jeep Wrangler

With a quick self-examination, you can typically detect which structural component has failed. This condition is diagnosed when you insert your finger inside your vagina and it feels soft and mushy at the front. A rectocele is a squishy lump at the rear of the thigh. If the additional tissue feels hard, like the tip of your nose, you are touching your cervix, and this indicates that your uterus is the structure that has fallen in the process of conception. The severity of a prolapse will be determined by the amount of “droop” present.

The bagginess is classified as grade 2 if it is located in the bottom part of the vaginal canal.

Treatment choices for prolapse are numerous, and the best approach for you will be determined by a number of factors, including A) which structure is prolapsed?

And, finally, C) how much does it annoy you?

Vaginal Prolapse: Symptoms, Treatment, Causes, and More

Overview When the muscles that support the organs in a woman’s pelvic become weak, this condition is known as vaginal prolapse. The uterus, urethra, bladder, or rectum might droop into the vaginal opening as a result of this weakened state. These organs can even protrude out of the vaginal opening if the pelvic floor muscles become too weak to support them. Prolapse can manifest itself in a variety of ways, including:

  • Anterior vaginal prolapse (also known as cystocele or urethrocele) occurs when the bladder prolapses into the vaginal opening. A rectocele (posterior vaginal prolapse) occurs when the wall that separates the rectum from the vagina becomes too thin. Because of this, the rectum can protrude into the vaginal opening. Uterine prolapse is a condition in which the uterus droops into the vagina. Apical prolapse (also known as vaginal vault prolapse) is a condition in which the cervix or top section of the vagina descends into the vagina.

Anterior vaginal prolapse (also known as cystocele or urethrocele) occurs when the bladder prolapses into the vaginal cavity. A rectocele (posterior vaginal prolapse) occurs when the wall that separates the rectum and the vagina becomes weak. Because of this, the rectus might bulge into the vaginal opening. Infertility occurs when the uterus droops into the vaginal opening. In Apical prolapse (also known as vaginal vault prolapse), the cervix or top section of the vagina collapses and falls into the vagina.

  • A sense of fullness in the vagina
  • A lump at the entrance of the vagina
  • A sensation of heaviness or pressure in the pelvis
  • A sensation of “sitting on a ball”
  • And other symptoms. As you lie down, you receive relief from achy lower back ache increased frequency of urination above and above normal difficulties emptying your bladder completely or having a full bowel movement bladder infections on a regular basis
  • Abnormal bleeding from the vaginal area
  • Spilling of urine when you cough, sneeze, laugh, have sex, or exercise
  • Discomfort when having sex

The pelvic floor muscles, which form a hammock around your pelvic organs, provide support for them. Childbirth can cause these muscles to become stretched and weak, especially if you have a difficult delivery. The effects of aging and the loss of estrogen after menopause can exacerbate the weakness of these muscles, enabling the pelvic organs to droop down into the vagina. Other factors that contribute to vaginal prolapse are as follows:

  • Coughing due to chronic lung illness
  • Pressure from extra weight
  • Chronic constipation
  • Carrying heavy things
  • And other symptoms

Vaginal prolapse is more likely to occur if you do any of the following:

  • A woman who has had a vaginal delivery, particularly a problematic one, has also experienced menopause, smoked, gained weight, coughed a lot as a result of lung illness, is persistently constipated, and has to struggle to pass stool
  • And a woman who has had menopause. had a prolapsed member of their family, such as a mother or sister
  • Lifting big objects on a regular basis
  • Having fibroids

A pelvic exam can be used to determine whether or not you have vaginal prolapse. During the examination, your doctor may instruct you to bear down as if you were attempting to push out a bowel movement. It’s possible that your doctor will ask you to tense and relax the muscles that you would use to stop and start the flow of pee.

In this exam, the muscles that support your vaginal, uterine, and other pelvic organs are evaluated for their strength. If you are having difficulty peeing, you may be subjected to tests to determine the function of your bladder. Urodynamic testing is the term used to describe this procedure.

  • Uroflowmetry is a technique that monitors the volume and intensity of urine flowing through your body. It is determined by a cystometrogram just how full your bladder has to be before you experience the desire to go to the toilet.

In addition, your doctor may do one or more of the following imaging tests to check for abnormalities with your pelvic organs:

  • Ultrasound of the pelvis. The bladder and other organs are checked using sound waves in this examination. MRI of the pelvic floor. Strong magnets and radio waves are used in conjunction with this procedure to create images of your pelvic organs. A CT scan of your abdominal and pelvis is recommended. This test employs an X-ray to obtain detailed images of your pelvic organs
  • The results are then analyzed.

ultrasonography of the genital area The bladder and other organs are checked using sound waves in this examination. Transvaginal magnetic resonance imaging (MRI) of the pelvic floor This examination takes photos of your pelvic organs using powerful magnets and radio waves. An abdominal and pelvic CT scan will be performed. When you have this test, an X-ray will be taken to obtain detailed images of your pelvic organs.

Conservative treatment options

Pelvic floor exercises, often known as Kegels, are exercises that help to strengthen the muscles that support your vaginal, bladder, and other pelvic organs, as well as your lower back. To carry them out, follow these steps:

  • Take a few deep breaths and squeeze the muscles that would normally be used to hold in and release pee. Take a few seconds to hold the contraction, and then let it go Perform 8 to 10 repetitions of these exercises three times a day.

When you need to urinate, stop urinating in the middle of it and then start again and stop. This will assist you discover where your pelvic floor muscles are located. This approach should only be used to understand where the muscles are; it is not intended to be used as a continuous exercise. In the future, you may choose to do this at times other than while you are urinating. If you are having difficulty locating the correct muscles, a physical therapist might utilize biofeedback to assist you in locating them.

It is possible that losing extra weight can relieve some of the pressure on your bladder and other pelvic organs.

A pessary is another option to consider.

It’s simple to learn how to implant a pessary, and it can help you avoid having to have surgery.

Surgery

When you need to urinate, stop urinating in the middle of it and then start again and stop. This will assist you discover where your pelvic floor muscles are. Please note that the purpose of this approach is to understand where the muscles are located, not for ongoing training. You can do this at other times in the future if you want to avoid urinating while doing it now. It is possible to utilize biofeedback to discover the correct muscles if you are unable to do it on your own. It is possible that losing weight will be beneficial.

Determine how much weight you need to reduce by speaking with your doctor about your options.

This device, which is made of plastic or rubber, is placed within your vagina and keeps the protruding tissues in place until they shrink back down.

  • If the uterus or cervix bulges through, it can cause sores in the vagina
  • An increased risk of urinary tract infections
  • Difficulty peeing or passing stools
  • And difficulties having sex.

Visit your gynecologist for an examination if you are experiencing any signs or symptoms of vaginal prolapse, including a sense of fullness in your lower tummy or a protrusion in your vagina. Although this ailment is not life threatening, it can have a detrimental impact on your overall quality of life. Vaginal prolapse is a condition that can be treated.

Simple noninvasive therapies like as Kegel exercises and weight reduction can help patients with milder symptoms recover. Surgery may be necessary in the event of more severe instances. Vaginal prolapse, on the other hand, can sometimes recur following a surgical procedure.

Posterior vaginal prolapse (rectocele) – Symptoms and causes

In women, a posterior vaginal prolapse develops when the thin wall of tissue that separates the rectum from the vagina becomes weak, enabling the vaginal wall to expand outward. A rectocele is a term used to describe posterior vaginal prolapse (REK-toe-seel). Posterior vaginal prolapse can occur as a result of childbirth or other events that put strain on the pelvic tissues. A minor prolapse may not manifest itself with any indications or symptoms. The presence of a substantial posterior vaginal prolapse may result in an outward protrusion of tissue through the vaginal orifice, which may be apparent.

Self-care strategies and other nonsurgical approaches are frequently beneficial when surgical intervention is required.

Symptoms

There may be no indications or symptoms associated with a modest posterior vaginal prolapse (rectocele). If you do not, you may observe the following:

  • There may be no indications or symptoms associated with a minor posterior vaginal prolapse (rectocele). Other than that, you may observe anything like this.

Several additional pelvic organs, such as the bladder, uterus, or — in the case of women who have had their uterus removed (hysterectomy), the top of the vagina, prolapse in conjunction with posterior vaginal prolapse in many women.

When to see a doctor

Posterior vaginal prolapse is widespread in women of all ages, even those who have never had children. In fact, it’s possible that you’re unaware that you have posterior vaginal prolapse. However, moderate or severe posterior vaginal prolapses can be both irritating and painful at times, depending on their severity. Consult your doctor if you experience any of the following symptoms:

  • Even in women who have never had children, posterior vaginal prolapse is prevalent. Even if you have posterior vaginal prolapse, it is possible that you be completely unaware of the condition. Modest to severe posterior vaginal prolapses, on the other hand, can be annoying and painful at times. if you have any of the following symptoms, consult with your doctor

Causes

Pressure on the pelvic floor causes posterior vaginal prolapse, which is a complication of pregnancy. Increased pelvic floor pressure can be caused by a variety of factors, including:

  • Constipation or straining with bowel motions on a chronic basis
  • Chronic coughing or bronchitis
  • Hard lifting on a regular basis
  • Having a body mass index of 30 or above

Pregnancy and childbirth

During pregnancy, labor, and delivery, the muscles, ligaments, and connective tissue that support your vaginal wall are stretched and weakened, causing discomfort. If you have more than one pregnancy, your chances of getting posterior vaginal prolapse increase. Women who have only had cesarean births are less prone to have posterior vaginal prolapse, although they might still acquire the condition.

Risk factors

The following are some of the factors that may raise your risk of posterior vaginal prolapse:

  • Genetics. Some women are born with weaker connective tissues in the pelvic region, rendering them more susceptible to developing posterior vaginal prolapse during pregnancy and childbirth than other women. If you have had many children by vaginal delivery, you are at a higher risk of developing posterior vaginal prolapse. You may also be at increased risk if you’ve had perineal tears (tears in the tissue between the vaginal entrance and the anus) or episiotomies (incisions that expand the opening of the vagina) during delivery. Aging. Weight gain and loss are normal consequences of growing older
  • As a result of this loss of muscular mass, flexibility, and nerve function, muscles stretch and weaken
  • Obesity. Extra body weight puts strain on the pelvic floor muscles and ligaments.

Prevention

To lower your chances of experiencing worsening posterior vaginal prolapse, do the following:

  • Kegel exercises should be done on a regular basis. These exercises can help you to strengthen your pelvic floor muscles, which is especially essential after having a baby. They can also help you to treat and avoid constipation. Drink plenty of fluids and consume meals high in fiber, such as fruits, vegetables, beans, and whole-grain cereals
  • This will help you lose weight. Heavy lifting should be avoided, and lifting should be done appropriately. Lifting from your legs rather than your waist or back is recommended. Coughing should be kept under control. Take care of a persistent cough or bronchitis as soon as possible, and avoid smoking
  • Keep your weight increase to a minimum. Seek guidance from your doctor to identify your optimal weight and, if necessary, to implement weight-loss programs

The Mayo Clinic provides treatment for posterior vaginal prolapse (rectocele). Tuesday, September 2, 2020

  1. Constipation, according to Feldman et al. Presented in Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, and Management (Sleisenger & Fordtran, 2009). Saunders Elsevier, Philadelphia, Pennsylvania, 2016
  2. 10th ed. On the 12th of April, 2017, Rogers RG and colleagues Epidemiology, risk factors, clinical symptoms, and therapy of female pelvic organ prolapse. On the 12th of April, 2017, Lobo RA and colleagues Diagnostic and therapeutic approaches for anatomic anomalies of the abdominal wall and pelvic floor, including abdominal hernias, inguinal hernias, and pelvic organ prolapse. 7th edition of Comprehensive Gynecology published by Elsevier in Philadelphia, Pennsylvania. AskMayoExpert.com was accessed on April 12, 2017. Pelvic organ prolapse is a medical term that refers to the prolapse of the pelvic organs (adult). In Townsend CM Jr, et al., eds., Mayo Clinic, 2019. The colon and the rectum. Published in: Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice by Sabiston Publishing Company. Elsevier, Philadelphia, Pennsylvania
  3. 2017. 20th ed. On April 12, 2017, Hale DS and colleagues published The posterior vaginal wall: a consistently inconsistent structure. Park AJ, et al., American Journal of Obstetrics and Gynecology, 2016
  4. 214:314
  5. American Journal of Obstetrics and Gynecology, 2016
  6. 214:314. Posterior vaginal abnormalities are treated surgically in most cases. Lobo RA, et al., accessed on August 27, 2020
  7. Functional and pathological aspects of the lower urinary tract include physiology and micturition, voiding dysfunction, incontinence, urinary tract infections, and painful bladder syndrome. 7th edition of Comprehensive Gynecology published by Elsevier in Philadelphia, Pennsylvania. The date was April 13, 2017. Mayo Clinic, Rochester, Minn., August 27, 2020
  8. Warner, K. Allscripts EPSi. Mayo Clinic, Rochester, Minn., August 27, 2020
  9. Warner, K. Allscripts EPSi.
See also:  How Many Paper Lanterns Do You Need For A 20X40 Tent

26.5E: Vagina

The vaginal canal is the female reproductive tract, and it serves two basic functions: sexual intercourse and giving birth to children.

LEARNING OBJECTIVES

Describe the vagina and the functions it performs.

Key Points

  • This structure is located between the cervix of the uterus and the external genitalia, namely the vulva
  • It is also known as the vaginal canal. A woman of child-bearing age’s unaroused vagina is roughly 6 to 7.5 cm (2.5 to 3 in) across the anterior wall (front) and 9 cm (3.5 in) across the posterior wall (rear), despite substantial anatomical variance. The vagina swells in both length and width when a woman is sexually stimulated. The vaginal rugae are a series of ridges formed by the folding of the vaginal wall in the outer part of the vaginal canal. The Bartholin’s glands, which are located near the vaginal entrance and the cervix, offer lubrication for the vaginal opening. This is a membrane of tissue that surrounds or partially covers the external vaginal entrance
  • It is also known as the vaginal opening membrane.

Key Terms

  • The vulva is the vaginal opening to the uterus
  • The clitoris is a small, sensitive, and elongated erectile organ located at the anterior part of the vulva in female mammals, which is homologous to the penis
  • The cervix is a small, sensitive, and elongated erectile organ located at the anterior part of the cervix in male mammals
  • Skene’s glands are a group of glands that are positioned on the anterior wall of the vagina, around the lower end of the urethra, and near the urethral opening. They drain into the urethra and are responsible for the production of urine. These may be in close proximity to or a part of the G-spot
  • The vaginal tract is a fibromuscular tubular system that serves as the female sex organ and is responsible for two primary functions: sexual intercourse and birthing.

Known as the female sex organ, the vaginal canal is a fibromuscular tubular tube that performs two primary functions: sexual interaction and birthing.

In humans, the vaginal tract extends from the opening of the vulva to the uterus, but it terminates at the cervix, where the uterus begins.

Anatomy of the Vagina

The vaginal canal is the most proximal internal female reproductive organ. It is located in the vaginal canal. In addition, the ovaries, uterus, and cervix are depicted in this diagram. The aperture to the vaginal canal is significantly greater than the opening to the urethral canal. Arousal causes the vaginal mucus to become wet, which allows the penis to pass more easily through. During sexual contact, the inner roughness of the vagina causes friction between the penis and the vaginal wall.

  1. The rectouterine pouch is a pouch that separates the top portion of the vaginal wall from the rectum.
  2. In females, the term “vaginal rugae” is used to describe a sequence of ridges formed by folding of the wall of the outer part of the vagina.
  3. The Bartholin’s glands, which are located near the vaginal entrance and the cervix, offer lubrication for the vaginal opening.
  4. It is believed that the cervix’s mucus glands generate different types of mucus before and during ovulation, which creates an alkaline environment in the vaginal canal that is conducive for the survival of sperm.
  5. It is possible that the tissue will be ruptured as a result of vaginal penetration.
  6. It is possible that the lack of a hymen does not imply previous sexual activity.

Function of the Vagina

The principal functions of the vaginal region include sexual stimulation and intercourse, as well as delivery.

Sexual Arousal and Intercourse

When the bottom third of a woman’s vagina is stimulated, the concentration of nerve endings near to the entrance of her vagina (the lower third) can provide a pleasant sensation during sexual activity. Approximately 90% of the vaginal nerve endings are concentrated in this region. The vaginal wall, on the other hand, contains inadequate nerve endings for sexual stimulation and orgasm; this deficiency in nerve endings makes delivery substantially less painful. According to research, clitoral tissue reaches a significant distance into the vulva and vaginal canal.

The vagina lengthens fast during arousal, reaching an average length of around 4 in.

When a woman is completely aroused, the vagina tents (expands in length and width), while the cervix retracts (contracts).

The G-Spot (also known as the Gräfenberg Spot) is an erogenous zone that is found at the anterior wall of the vagina, around five cm in from the entrance, and is usually referred to as such.

Several physicians and researchers have speculated that a G-Location orgasm may be responsible for female ejaculation, leading some to conclude that G-Spot pleasure is derived from the Skene’s glands, which are a female homologue of the prostate, rather than from a specific spot on the vaginal wall.

There is no direct evidence for the participation of the Skene’s glands, according to them, because they do not appear to have receptors for touch activation.

As of this writing, the G-existence Spot’s as a unique structure is still up in the air, as its placement varies from woman to woman and is occasionally nonexistent altogether.

The Vagina and Childbirth

The vaginal canal serves as a conduit for the delivery of the baby from the uterus to its independent life outside the mother’s body after conception. Due to the flexibility of the vagina, it is capable of stretching several times its typical width during childbirth. In the context of pregnancy and delivery, the vaginal canal is referred to as the birth canal rather frequently.

Recurrent fissuring of posterior fourchette (vaginal splitting or tearing)

Dr Amanda Oakley is a dermatologist in Hamilton, New Zealand, who published this article in 2011. Gynaecologist Dr Jennifer Bradford from Sydney, Australia, provided the review.

What isfissuringof theposteriorfourchette?

The posterior fourchette is a small, fork-shaped fold of skin that is meant to stretch at the bottom of the vaginal opening to allow for better flow of blood. It does, however, fail to expand correctly on occasion, and the material instead splits. This is a contributing factor to recurring vulval discomfort. A paper cut or a knife-like sensation is frequently characterized as the pain associated with fissuring. Previously, vulval orvulvargranulomafissuratum (recurrent fissuring) was the term used to describe the condition.

What causes fissuring of the posterior fourchette?

The splitting happens when the vulva expands, which occurs most frequently during sexual contact. This might be due to the skin being tight, irritated, or brittle, or it could be due to an unexplained reason. Secondary to an infection or inflammatory skin illness, posterior fourchette fissuring can occur as a result of a primary skin disease, in which case no underlying skin disease has been identified. The following are examples of common causes:

  • Atrophicvulvovaginitis
  • Contactdermatitis due toirritants or, less frequently, allergies
  • Seborrheicdermatitis
  • Atopicdermatitis
  • Lichen simplex
  • Aphthous ulceration
  • Lichen sclerosus
  • Delayed healing of a tear or episiotomy wound following childbirth
  • Pelvic floor muscle tension resulting in vaginismus
  • Herpes simplex infection (genitalherpes)
  • Herpes

It is also possible to sustain a laceration of the posterior fourchette as a result of straddle injury, assault, or rape, however in these cases bruises and other injuries are likely to be present. Vulvodynia and Vestibulodynia are terms used to describe similar symptoms that occur in the absence of fissuring or other obvious evidence of a problem.

What are the clinical features of posterior fourchettefissures?

The majority of women who report with posterior fourchette fissures are sexually active, and the symptoms usually appear after a sexual encounter. The severity of the symptoms might range from mild to moderate to severe, and they normally subside within a few days.

  • The sensation of pain on vaginal penetration during an intimate encounter (dyspareunia)
  • The sensation of pain on insertion of a sanitary pad
  • The sensation of pain during vaginal examination The sense of tears
  • Itching, burning, and bleeding are all symptoms of rosacea. When in touch with sperm, urine, or water, the skin stings.

Women who are affected may be premenopausal or postmenopausal in age. It is possible for women who have had children or who have never had children to experience fissuring at the time of their first sexual encounter or several years afterwards. They may also have additional symptoms, such as fissures in the skin folds or fissures in the vulva elsewhere in the body. There is frequently a small split or linearerosionat the midlineof the base of the vaginal skin on the perineal skin, which may be seen under a microscope with thorough clinical examination.

The posterior fourchette can be formed into a tight band or a tent-like structure (membranoushypertrophy).

  • Scarring is accompanied by considerable soreness as well as deep, extensive ulceration, redness of the surrounding tissue, swelling or lumps, and scarring.

It is possible that the vulva will seem completely normal if the test takes place after the fissure has healed completely.

Although it is rare, a new fissure might emerge when the vulva is gently stretched.

How is posterior fourchette fissuring diagnosed?

When the history and look are typical, it is not always required to do specific testing. Swabs may be taken to check for vaginalinfections such as bacterialvaginosis andCandida albicans, as well as for sexually transmitted diseases and the herpes virus, among other things. A biopsy may reveal the usual signs of the underlying skin condition that is being investigated. It is common for primary fissuring to be associated with nonspecific submucosal chronic inflammation, and the doctor may dismiss this finding as nondiagnostic in nature.

It is possible to have scar tissue present.

What is the treatment for fissuring of the posterior fourchette?

In the event that an underlying infection or skin disease is discovered, particular therapy is typically quite beneficial. Examples include the following:

  • Topicalsteroids for dermatitis or lichenoid disorders
  • Antifungal creams or antifungal tablets for candidiasis
  • Antivirals such as aciclovir, famciclovir, or valaciclovir for genital herpes
  • Intravaginaloestrogencream for hormone deficiency states during menopause or lactation
  • Antivirals such as aci

Women who have modest symptoms as a result of primary fissuring of the posterior fourchette may benefit from the following treatments:

  • The following recommendations are made: avoidance of irritants such as soap, spermicide cream, irritating lubricants, or rough panty liners
  • Application of vaginal moisturisers and blandemollients such as petroleum jelly
  • Warm Sitz baths with bath oil
  • Non-soapcleansers
  • Liberal lubrication with oil during sexual activity (a water-based lubricant should be used with condoms because oils may cause these to disintegrate)
  • Topic

Perineoplasty

Women who are experiencing significant symptoms as a result of primary fissuring of the posterior fourchette may want to explore vulval surgical intervention. Perineoplasty is a surgical treatment that is generally performed under general anesthesia. It is performed on the female reproductive organs. Vaginalpithelium that has been undermined then advanced to fill the defect without tension replaces the fissured skin. It is sewn together from the front to the rear. However, perineoplasty is not always effective in allowing women with posterior fourchette fissuring to continue normal and painless sexual activity after the procedure.

References:

  • Vulvar fissures: their etiology and treatment, Edwards L. Derm Ther 2004
  • 17(1):111-16
  • Doi:10.1111/j.1396-0296.2004.04011.x. Kennedy CM, Dewdney S, Galask RP. PubMed
  • Kennedy CM, Dewdney S, Galask RP. Anatomical description and healing of vulvar granuloma fissuratum (fissuring of the posterior fourchette) in the vulvar granuloma. The Journal of Obstetrics and Gynecology, volume 105, part 1, pages 1018-1023, doi:10.1097/01.AOG.0000158863.70819.53 Journal of the American Medical Association
  • Kennedy CM, Manion E, Galask RP, Benda J. The histopathology of a recurring mechanical fissure of the fourchette was investigated. International Journal of Gynecology and Obstetrics, 2009
  • 104(3):246-7. doi:10.1016/j.ijgo.2008.10.017 PubMed Central is a searchable database of medical literature.

On DermNet NZ:

  • Painful sex (dyspareunia), menopause, lichen sclerosus, vulvodynia, vestibulodynia, and dysaesthetic vulvodynia are among conditions that can affect the genital area.

Other websites:

  • An algorithm for basic adult diagnosis and treatment of vulvovaginal disorders — International Society for Vulvovaginal Disorders (ISSVD)
See also:  How To Set Up Half Dome 2 Plus Tent

Books about skin diseases:

Visit theDermNet NZ bookshop for more information.

Vaginal Prolapse: Symptoms, Causes, Treatments

It is a medical disease in which the vagina falls out of its normal position. Women who have had several vaginal deliveries during delivery, who have gone through menopause, who smoke, or who are overweight are more likely to have this condition. As you become older, your chances of suffering a prolapse rise as well.

  • A brief overview is followed by sections on symptoms and causes, diagnostic tests, management and treatment, prevention, and the future.

Prolapse of the Vaginal Canal

  • An overview
  • Symptoms and causes
  • Diagnosis and tests
  • Management and treatment
  • And prevention are all discussed. Back to the top of the page
  • Outlook / Prognosis

Overview

Assisted Vaginal Tape Procedures for the Treatment of Pelvic Organ Prolapse Using Laparoscopic Techniques

What is a vaginal prolapse?

Having your vagina prolapse means that your vagina has dropped from its natural position in your body. The vagina, also known as the birth canal, is the tube that links a woman’s uterus to the outside of her body during pregnancy and childbirth. The vaginal portion of your body is home to a number of organs, one of which is your vaginal organ. Muscles and other connective tissue help to keep these organs in place. A support framework is formed when all of these muscles work together. As you progress through life, this support network may begin to deteriorate.

It is referred to as a prolapse when your internal organs sag or droop beyond their usual position.

An incomplete prolapse is a term used to describe a modest prolapse.

Greater prolapse (sometimes known as a full prolapse) occurs when the organ has moved far out of its usual position and is no longer in place. It is possible for an organ to prolapse completely, resulting in a portion of it poking out of the body. This is a serious prolapse of the cervix.

Are there different types of prolapse?

Prolapse can manifest itself in a number of various ways. A prolapse is a condition in which one or more of the organs in your pelvic region slide out of position and cause discomfort. Pelvic organ prolapse can manifest itself in a variety of ways, including:

  • Vault prolapse is a condition in which the top of the vagina (also known as the “vaginal vault”) droops downward into the vaginal canal. The majority of the time, this happens to women who have undergone a hysterectomy (removal of the uterus). Pregnancy is complicated by prolapse of the uterus into the vaginal opening, which can progress to the point where it protrudes through the entrance. Cystocele is a condition in which the bladder leaks into the vaginal canal. Urethrocele is a condition in which the urethra (the tube that transports urine away from the bladder) bulges into the vaginal opening. In many cases, a cystocele and urethrocele can be detected combined. Rectocele is a condition in which the rectum bulges into or out of the vaginal opening. Enterocele is a condition in which the small intestine bulges against the rear wall of the vaginal opening. An enterocele and a prolapse of the vaginal vault are two conditions that frequently occur simultaneously.

How common is vaginal prolapse?

Vaginal prolapse is a somewhat common occurrence. More than one-third of women in the United States will experience some kind of pelvic region prolapse at some point in their lives. The likelihood of developing a vaginal prolapse increases as you age, and this is particularly true if you’ve had numerous pregnancies and given birth vaginally.

Symptoms and Causes

Your vagina is maintained in place within your pelvis by a combination of muscles and other tissue, which acts as a type of support framework for your reproductive organs. This structure helps to keep the organs in your pelvis in their proper positions. This structure has the potential to deteriorate over time. When this occurs, the vaginal wall may slip down and out of position, resulting in a prolapse. There are several frequent reasons of vaginal prolapse, the most prevalent of which are as follows:

  • Pregnancy: Vaginal delivery increases the risk of prolapse by a greater margin than a cesarean section (when the baby is delivered through a surgical opening in the wall of the abdomen). A woman’s risk of prolapse is expected to increase with the number of children she has, as well as with the delivery of a big baby (weighing more than 9 pounds). Procedures such as hysterectomy or radiation therapy in the pelvic region, for example, might produce a prolapse. Menopause is defined as the cessation of hormone production by the ovaries, which results in the cessation of your monthly menstrual cycle (period). In particular, the hormone estrogen is vital because it helps to maintain the strength of your pelvic muscles. The pelvic muscles might become weak and prolapse can occur when your body does not produce as much estrogen as it used to. The effects of aging: As you become older, your chances of developing a prolapse increase. Extreme physical exertion or the carrying of large things are prohibited. Additionally, the strain of physical exercise might weaken your pelvic muscles, allowing your organs to droop out of position. Genetic or inherited factors: It is possible that your pelvic support system is inherently weaker than the average. This is something that may be handed on through your family.

Prolapse can also occur as a result of activities or situations that impose more strain on your abdominal region. These can include the following:

  • Having a lot of weight on one’s frame Constantly straining to pass a bowel movement
  • Having a persistent cough (such as that experienced by smokers or persons suffering from asthma)

What are the symptoms of vaginal prolapse?

In many circumstances, you will not experience any symptoms as a result of a prolapse. During an examination at your healthcare provider’s office, you may discover that you have a vaginal prolapse. If you do encounter symptoms, they may include any of the following:

  • Feelings of fullness, heaviness, or discomfort in the pelvic region are common. This sensation is frequently worsened as the day progresses or after exertion such as standing, lifting, or coughing. Back discomfort in the lower back a bulging of the vaginal wall
  • Organs that are sliding out of the vaginal opening
  • Urinary incontinence (leakage of urine)
  • Bladder infections (infection of the bladder)
  • Difficulty making a bowel movement
  • Problems during sexual encounters
  • Difficulties putting tampons

Diagnosis and Tests

A vaginal prolapse is frequently discovered at the office of your healthcare provider during a routine checkup. If you are experiencing symptoms of fullness in your pelvic area or urine incontinence, your provider will do a physical exam and speak with you about your concerns (leakage). In addition, you may be questioned about your family history and whether or not you have had any prior pregnancies. Occasionally, you may not have any symptoms, and the prolapse may only be discovered during a regular examination with your healthcare physician.

Management and Treatment

It is important to note that the treatment for vaginal prolapse may differ based on the severity of your prolapse. In certain circumstances, your healthcare professional may just want to keep an eye on it to make sure it doesn’t develop any worse in the future. Vaginal prolapses can be treated non-surgically or surgically, depending on the severity of the condition. In many ways, these therapies are quite similar to the choices available for uterine prolapses. The following are some of the considerations your healthcare professional will use when developing a treatment plan for you.

  • Your overall health, as well as whether or if you have any other major medical disorders
  • Your chronological age
  • The extent to which your prolapse has progressed
  • If you intend to have children in the future, you should consider the following: If you wish to have penetrative sex in the future, you need do the following:

The importance of having an open and honest discussion with your healthcare professional regarding these matters cannot be overstated. Some of the treatment choices may result in the inability to become pregnant or have sexual relations in the future. Any queries or concerns you have about these therapies should be brought up with your healthcare professional.

Non-surgical therapies are often employed as a first line of defense and are most effective when prolapses are extremely minor. Non-surgical therapy methods that are available include the following:

  • Exercise: Kegel exercises, also known as pelvic floor exercises, can help to strengthen the muscles in your pelvis. To perform these exercises, tense your pelvic muscles as though you were trying to keep pee from escaping your bladder. Hold the muscles in a tense position for a few seconds before releasing them. This should be done a total of ten times. You can do this as many times as you want during the day, and you may do it wherever you want. PESSARY (vaginal pessary): A pessary, which looks like a little plastic or rubber doughnut, is a medical device that is put directly into your vagina. It serves as a support framework, aiding in the stability of the overall construction. Your healthcare practitioner will fit and put a pessary in your body for you. In order to maintain its cleanliness, you will need to remove it before having sex. When the situation is more serious, surgery may be the best option. These are some of the alternatives: Vaginal vault suspension is a surgery that involves linking the vagina to the ligaments inside the pelvis that were previously responsible for holding it up. The procedure is carried out through an incision in the vaginal wall. It is necessary to connect a piece of mesh to your vagina and secure that mesh to your tailbone in order to give your vagina a lift throughout this treatment. Using small incisions and a less invasive procedure known as laparoscopy, this surgery is performed via your belly. Colpocliesis is a technique in which the vaginal opening is stitched shut. The result of this procedure is favorable in that the likelihood of experiencing another prolapse is minimal. Once this operation is completed, you will no longer be able to engage in penetrative intercourse. In elderly women with prolapse, it is more probable that a colpocliesis will be performed.

Prevention

A vaginal prolapse is something that can’t always be avoided. To reduce your chances of getting a vaginal prolapse, you should practice healthy lifestyle choices. These can include the following:

  • Keeping up a regular exercise regimen (Kegel exercises)
  • Maintaining a healthy weight and diet Not smoking
  • Using safe lifting skills
  • And not drinking alcohol.

What are proper lifting techniques and how do they help prevent a prolapse?

When you lift anything heavy, your muscles might become fatigued. A prolapse may result as a result of this tension. By following a few simple guidelines, you can reduce your chances of developing prolapse.

  • Lift with assistance: If you have anything that is unusually shaped or extremely heavy, enlist assistance. Additionally, avoid lifting anything higher than your waist level. Make sure you’re on solid ground: Before lifting anything, be sure you have a secure foothold. Lifting with your legs is a good technique. When picking something up that is lower than the level of your waist, maintain your back straight and bend at the knees and hips to avoid straining your back muscles. Do not lean forward at the waist with your knees straight
  • Instead, bend forward at the hips. Make use of a broad stance: Maintain your feet’s separation and firmness on the ground when lifting something heavy. When you lift anything, avoid jerking or twisting: Keep in mind that you should straighten your knees in a steady manner rather than jerking the object up to your torso. Before lifting, reposition the items as follows: For example, if you’re lifting something off a table, move it to the edge so that you may keep it close to your body. Keep your packages as near to your body as possible: Make sure your arms are bent and your abdominal muscles are contracted while holding the item closer to the center of your body
  • Start with little steps: When transporting a cargo, take your time. Take your time and make tiny, manageable moves. To lower an object, use the same procedure as you did to pick it up: spread your feet apart, contract your core muscles, and bend at the hips and knees to lower an object.

Outlook / Prognosis

It is possible that a vaginal prolapse will occur again following therapy. The majority of treatment approaches, on the other hand, are quite effective. It is possible that your healthcare professional will discuss surgical treatment options with you if you have a prolapse that is severe or has several prolapses.

What’s the outlook for a vaginal prolapse?

In the majority of instances, the prognosis for a vaginal prolapse is favorable. In most cases, treatment and lifestyle adjustments are effective. Discuss with your healthcare practitioner all of your treatment choices, as well as the implications of each decision for you. It is possible that your healthcare professional can assist you in creating healthy lifestyle practices that will reduce your chance of getting a vaginal prolapse in the future. Get useful, helpful, and relevant health and wellness information and news sent to your inbox.

More health news + info

Leave a Comment

Your email address will not be published. Required fields are marked *