What can be done about vaginal laxity in women?

Jul 01, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, vaginal laxity in women may be caused by obesity, aging, pelvic floor muscle injury, endocrine disorders, vaginitis, or other factors. Treatment options include general therapy, medication, and should be conducted under a doctor's guidance. In daily life, one should avoid prolonged urine retention to reduce pressure on the pelvic floor, and also pay attention to weight control to prevent increased abdominal pressure associated with obesity.

Generally, vaginal laxity in women may be caused by obesity, aging, pelvic floor muscle injury, endocrine disorders, or vaginitis. Treatment options include general therapy and medication, under the guidance of a physician. A detailed explanation is as follows:

1. Obesity

Obesity can lead to vaginal relaxation primarily because excess weight increases abdominal pressure, placing long-term strain on the pelvic floor muscles and causing fatigue, relaxation, or even damage. It is recommended to lose weight through reasonable dietary changes, such as eating more vegetables and fruits, to reduce body weight.

2. Aging

With increasing age, estrogen levels in women decline, leading to a reduction and atrophy of elastic fibers in the vaginal wall and a decrease in muscle tone, which causes vaginal relaxation. This is a natural physiological process. Maintaining a healthy lifestyle and engaging in appropriate physical activities, such as yoga, can help sustain bodily functions and slow down the vaginal laxity process.

3. Pelvic Floor Muscle Injury

Pelvic floor muscle injury often occurs due to excessive stretching or tearing during childbirth or engaging in heavy physical labor too soon after delivery, preventing full recovery of the pelvic floor muscles and resulting in vaginal laxity. Symptoms may include uterine prolapse and a sensation of pressure in the lower abdomen. Patients should follow medical advice to use medications such as amoxicillin capsules, metronidazole tablets, and mirabegron extended-release tablets for treatment.

4. Endocrine Disorders

Endocrine disorders may be associated with long-term mental stress, irregular lifestyle habits, and other factors. Hormonal imbalances can lead to insufficient estrogen secretion, causing thinning and reduced elasticity of the vaginal mucosa, which results in vaginal relaxation. Symptoms may also include menstrual irregularities and worsening skin condition. Patients should use medications such as estradiol valerate tablets, Kuntai capsules, and Wuji Baifeng pills under a doctor's guidance.

5. Vaginitis

Vaginitis may be caused by bacterial, fungal, or viral infections. Inflammation can cause congestion and swelling of the vaginal mucosa, affecting vaginal tightness. Patients often experience symptoms such as itching of the vulva, abnormal vaginal discharge, and odor. Treatment options include using medications such as metronidazole suppositories, clotrimazole suppositories, and clotrimazole vaginal tablets, as recommended by a physician.

In daily life, individuals should avoid prolonged urine retention to reduce pressure on the pelvic floor. Additionally, weight should be controlled to prevent abdominal pressure caused by obesity.

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Is the hymen easily broken?

The hymen usually refers to the vaginal membrane. Whether the vaginal membrane is prone to tearing generally depends on individual circumstances. Minor daily activities typically do not cause the vaginal membrane to rupture, but vigorous exercise, improper external force, or specific activities may lead to rupture. To reduce the risk of accidental rupture, it is advisable to take protective measures before engaging in intense physical activity.

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Will the hymen always bleed when it breaks?

The hymen is generally referred to as the vaginal membrane. Whether bleeding occurs when the vaginal membrane ruptures usually depends on individual circumstances. When the vaginal membrane tears, some individuals may experience slight bleeding, while others may not bleed at all. Therefore, it is not necessary to determine whether the vaginal membrane has ruptured solely based on the presence or absence of bleeding; assessment should be made according to specific circumstances and observations.

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Can the hymen repair itself?

The hymen usually refers to the vaginal membrane. Under normal circumstances, once the vaginal membrane is torn, it does not repair itself. The vaginal membrane is composed of mucosal tissue, and the lacerations resulting from tearing lack the ability for self-regeneration and healing. Therefore, the damaged state typically persists and does not heal spontaneously like a skin wound. There is no need to overly focus on the integrity of the vaginal membrane in daily life; instead, greater attention should be paid to hygiene and care of the external genital area.

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Can a woman get pregnant without breaking the hymen?

The hymen is generally referred to as the vaginal membrane. Under normal circumstances, pregnancy is still possible even if the vaginal membrane remains intact, although the probability is relatively low. Whether or not pregnancy occurs primarily depends on whether sperm meets and fertilizes an egg, rather than on the integrity of the vaginal membrane. It's important to note that if you do not plan to become pregnant, protective measures should be taken during any intimate contact, regardless of whether the vaginal membrane is intact.