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Vaginal Stenosis: What Causes it & Treatments

Posted by TheraWand Editorial on
Vaginal Stenosis: What Causes it & Treatments

Vaginial stenosis is a condition when your vagina (birth canal) becomes narrowed or shortened. The abnormal change brings about severe discomfort and threatens pelvic health. According to the National Cancer Institute, vaginal stenosis can cause a painful sex life and uncomfortable gynecological exams. (1) Women's health experts recommend using a vaginal dilator or pelvic therapy wand to ease pain associated with vaginal stenosis.


Causes of vaginal stenosis

The causes of vaginal stenosis vary from woman to woman, but the most commons reasons include the following:


  • Pelvic radiation therapy (PRT): It's a standard treatment a woman receives when they have cancer. The targeted radiation therapy destroys and prevents new cancer cells from forming. PRT treats all types of cancer, from breast cancer to endometrial and uterine cancer. While the PRT is an integral part of surviving cancer, one side effect is vaginal stenosis. The radiation changes the shape of the vagina, making sexual activity painful. (2)


  • Episiotomy: During childbirth, the birth canal may not be large enough to birth the child vaginally. The obstetrician makes a small incision at the opening of the vagina. The incision may result in scar tissue or changes in the shape of the vagina, resulting in vaginal stenosis. (3) 

  • Vaginal reconstructive surgery: It's the creation of a new or artificial vagina after a vaginectomy (the removal of the vagina). Another name for vaginal reconstructive surgery is vaginoplasty. (4)


  • Congenital adrenal hyperplasia (CAH): It’s a rare disease that prevents the creation of certain hormones, such as androgens. This causes other hormones to overcompensate and create issues with the formations of genitals. (5)


  • Gender reassignment surgery: This kind of surgery changes males to females (MTF) or female to male (FTM). In the case of MTF, a new vagina is formed with the skin of the penis. Afterward, the new vagina needs therapy with a pelvic therapy wand to expand and stretch the vaginal tissue to allow for sexual activity and the prevention of certain health conditions. (6)
  • Chronic pelvic pain syndrome: The condition is ongoing pain associated with the pelvis and has no discernible cause. The chronic pelvic pain lasts longer than six months, and specific triggers, such as touch or intimate relationships, cause a flare-up. (7)

    Signs of vaginal stenosis

    The most prominent sign of vaginal stenosis is pelvic pain. Although the condition can result in abnormal vaginal atrophy or extreme dryness, and the vagina tissues can become papery thin and tender.

    Another symptom is the buildup of scar tissue may form from having pelvic radiation or an episiotomy. All of which can have a dire effect on women's sexual health. Men's health may be affected too by symptoms similar to vaginal stenosis. When a man suffers with prostate cancer, he may undergo radiation therapy, as well. (8)


    Treatments of vaginal stenosis

    While vaginal stenosis is painful, there are a few different treatment options. The most effective treatment for vaginal stenosis is vaginal dilators or wands to alleviate pain.


    Pelvic therapy wands

    Pelvic therapy wands are similar to vaginal dilators in that they provide pelvic floor physical therapy to target trigger points and give a myofascial release. (9) Pelvic therapy wand massages the pelvic floor muscle to stretch and expand the vaginal canal and tissue surrounding the vaginal opening. 


    The therapeutic manual massage uses a curved design to allow for a deeper reach to match the natural curves of the body. TheraWand comes in various sizes and colors to match any lifestyle. (10) The pelvic floor therapy with TheraWand is recommended by leading physical therapists to alleviate pain and discomfort from vaginal stenosis. 


    Before beginning the soothing physical treatment, consult with your doctor or healthcare professional. Recommended treatment depends on your doctor’s recommendations, but usually women use pelvic wands 2-3 times per week for 20-30 minutes each session for best results. In the beginning, the length of time depends on your pain threshold. Make sure you clean your TheraWand before and after each use. 


    Increase vaginal moisture

    Pelvic therapy wands help increase vaginal lubrication. When you give yourself vaginal massage therapy, natural moisturization develops. However, you can increase vaginal moisturization through hormone therapy, vaginal moisturizer, and diet.   

    • Hormone therapy: It's replacing the missing hormones in your body with natural ones. One important female hormone is estrogen. Levels of estrogen naturally decrease as you age, but an imbalance can cause vaginal atrophy. Estrogen therapy is controversial but can help improve moisture and alleviate chronic pelvic pain. (11)


    • Vagininal moisturizer: Using a natural moisturizer with organic ingredients like aloe vera and vitamin E hydrates and rejuvenates tight vaginal muscles. Some moisturizers can also be lubricants during pelvic wand therapy


    • Healthy diet: When you eat a healthy diet rich in vitamins and minerals, you increase the natural moisturizer in your body. Some of the best foods to eat to increase vaginal health include avocados, cranberries, sweet potatoes, and leafy greens. Eating a healthy diet not only improves vaginal health and vaginal stenosis, but it also helps you feel younger and more energetic. (12)


    Vaginal stenosis is a severe problem that impairs your ability to have a high quality of life. Your health and wellness depend on finding the right health care and treatment to find relief. TheraWands allow you to control the exact amount and trigger focus to alleviate the symptoms of vaginal stenosis. Your treatment isn't just in your hands— it's in ours.



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