Question:
After having four children, I don’t feel that my vagina is as tight as it used to be and worry if I am still pleasing my husband. I have seen ads for vaginal tightening creams but wonder what they contain and what they actually do. Are they effective and most importantly, are they safe?

Hot Mama, Seremban
Answer:
Of course it goes without saying that the vagina after repeated delivery will tend to loose it rugae (folds of mucosa) and probably will tend to be more slippery and could not hold the penis unless the vaginal muscles are tort and able to clench. Unfortunately the tone of the vaginal muscles also is affected by repeated vaginal deliveries. Therefore it is not surprising some women chose Caesarean Delivery rather than vaginal delivery, which of course comes with its own set of complications! Why cut if you can go natural! The answer to vaginal tightness and suppleness is not vaginal repair operation which means another cut and therefore scars but the Kegel’s Pelvic Floor Exercises. The pelvic floor muscles that actually cut off urine flow when you hold your urine is that very same muscles which you need to work on diligently. Make sure you have actually easy yourself before you work on your sex muscles if you do not want to suffer from bladder problems! Vaginal creams and jells that contain plant extracts of Oak gall, Kacip Fatima and Serapat contains tannins that can be a good astringent and tightens the vaginal mucosa by expelling mucosal fluid. If excessive vaginal fluid is lost the vagina can become dry and sex can be uncomfortable for both! Your best bet will be Kegel’s exercise.