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Have you struggled to lose weight for as long as you can remember? Perhaps, you’re about ready to give up. If you can relate to this frustrating situation, consider speaking with your trusted physician about your concerns. Your doctor might be able to determine why you’re encountering difficultly losing weight. For instance, you might have an undiagnosed thyroid problem. Or, you may be retaining water. If you’re suffering from hypothyroidism, taking a prescription medication every morning might help you shed a few pounds. On this blog, I hope you will discover how a doctor can help you achieve lasting weight loss success. Enjoy!

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Vaginoplasty After Your Last Child: How The Procedure Is Done

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Some women get very self-conscious about the "looseness" of their vaginas after having a few kids. If you are one of those women that is worried about a "roomier" vagina and you want to have a vaginoplasty to tighten things up a bit, you can have the procedure shortly after you give birth to your last baby (i.e., a few weeks, give or take a couple of weeks depending on how quickly you heal and how quickly your body recovers from postpartum bleeding). You can talk to your OB/GYN about what the procedure means for your personal obstetrics and gynecology health before making a final decision. Here is how the procedure is done.

Sterilization Before Vaginoplasty

If you truly plan on having vaginoplasty, you should consider sterilization to prevent more pregnancies. While you are still on the delivery table and after you have given birth to your last baby, your OB/GYN can surgically remove your ovaries and/or your uterus. It is a good idea to get sterilized, otherwise all of the work and money that goes into getting a vaginoplasty is lost when another child pushes its way out into the world. If you would prefer to keep your ovaries and uterus, there are other forms of reversible sterilization, such as tubal ligation and an IUD, or intrauterine device. All of these methods can be performed or inserted right after you give birth.

The alternative is to choose a very effective form of birth control to prevent damaging your plastic/cosmetic surgery to your vagina, vulva and/or labia. The use of condoms during every sexual encounter is an effective method. The birth control contraceptive pills are also effective as long as they are taken consistently.

Waiting for the Swelling from Childbirth to Go Down

Because childbirth brings a lot of swelling and pain to the vaginal tissues, you do have to wait until the swelling goes down before your doctor can perform the vaginoplasty. Since most women also experience post-birthing bleeding known as lochia, your plastic surgeon or OB/GYN will also want to wait until your lochia stops or slows down, which is usually anywhere from two to six weeks. Once this bleeding stops, it is easier for your doctor to tell if you are bleeding heavily from a blood vessel in your labia and vagina versus postpartum bleeding.

Cutting Back "Extra" Labial Tissue

After you have scheduled your vaginoplasty and your genitals are washed and treated with iodine prep solution for surgery, you will get a local anesthetic for pain, but probably remain awake for the operation.  Your surgeon will excise "extra" labial tissue (if you have chosen to have a labiaplasty​ as well) that is loose or hanging down before tightening your vagina and/or vulva. After the labia and blood vessels are stitched off, then the surgeon will then begin the true vaginoplasty.

The Actual Vaginoplasty

Here, the surgeon pulls the muscles in the pelvic floor taught and sews them into the tightened position. Then the vagina itself gets a "face lift" when the surgeon sews it closed a few millimeters from the back (near your anus) to front (closer to your clitoris) on the outside. The opening to your vagina is now smaller than what it used to be, making it feel tighter to both you and your partner. Your OB/GYN will monitor the healing process and help you in the event that there are any complications.

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