How common is vaginal laxity in women after childbirth?
Vaginal laxity is a common concern after childbirth, with studies suggesting up to 40% of women report some sensation of looseness or reduced vaginal tone postpartum, especially after vaginal delivery.
Detailed Medical Explanation
Vaginal laxity refers to a subjective feeling of looseness or reduced muscle tone of the vaginal walls. Following childbirth, particularly vaginal delivery, the muscles and connective tissue of the pelvic floor can stretch and weaken. Research shows that up to 40% of women experience some degree of vaginal laxity after delivery, especially with factors like high birthweight, multiple births, or use of forceps. The actual prevalence may be underreported due to embarrassment or lack of awareness. Most cases improve within the first year as tissues heal, but persistent laxity can occur. Read this study.
Clinical Context
Women often notice vaginal laxity after their first vaginal birth, but it may also occur after subsequent pregnancies. The severity can depend on delivery factors, genetics, and age. Postnatal pelvic floor exercises are advised by the NHS to aid recovery and prevent future pelvic floor problems.
Evidence-Based Approaches
Management includes pelvic floor muscle training, physiotherapy, and sometimes minimally invasive treatments if laxity is persistent. A comprehensive review from RCOG and NHS highlights the effectiveness of early intervention. For ongoing issues, consulting a pelvic health specialist is recommended.