How long should conservative treatment be tried before surgery?
Conservative treatment—such as pelvic floor muscle training and physiotherapy—should be continued for at least 3 to 6 months before considering surgical intervention for vaginal laxity, according to NHS and RCOG guidelines.
Detailed Medical Explanation
Most guidelines recommend trying non-surgical options for a minimum of 12 weeks, and often up to 6 months, as many women experience substantial improvement over this time. Surgery is only considered if symptoms persist and significantly affect quality of life. Review by a pelvic health specialist is recommended before any surgical decision. NHS Pelvic Floor Treatment.
Clinical Context
Individual progress varies, and some women may need longer conservative care. Surgery is typically reserved for those who have not responded to tailored rehabilitation.