The patient we would like to introduce today is a 40-year-old woman

who has experienced two vaginal deliveries and visited our clinic

due to multiple ongoing concerns that began after childbirth.

Her primary concerns were pain during intercourse caused by scar tissue

at the previous perineal incision site,

as well as severe vaginal laxity.

She described feeling that the vagina had become

“so loose that there was almost no sensation during intercourse.”

She also reported a significant decrease in her own sexual sensation.

Although her husband did not express it directly,

she felt that his satisfaction had also declined.

As a result, they gradually began to avoid intimacy.

A vaginal pressure assessment revealed the following results:

Vaginal laxity score: 82

(indicating severe vaginal laxity)

Pelvic floor muscle contraction score (Kegel): 12

(indicating difficulty maintaining contraction)

Based on the examination, we confirmed that:

▷ Vaginal wall support had significantly weakened

▷ The pelvic floor (Kegel) muscles were functioning minimally

▷ Dense scar tissue was present beneath the previous perineal incision site

After thorough consultation,

we recommended Ribbon Vaginal Surgery combined with vaginal mucosal contouring,

with the goal of achieving definitive vaginal tightening

while also improving the condition of the vaginal mucosa.

We explained that creating a vaginal structure that is both

firm and naturally flexible would be the most effective approach.

During surgery, we carefully evaluated the condition of the scar tissue

within the inner perineal area, removed as much fibrotic tissue as possible,

and restored the region to a more natural anatomical shape.

During the first 1–2 weeks after surgery,

the patient experienced mild pulling sensations while walking or moving.

However, recovery progressed quickly,

and she was able to resume most daily activities within two days.

Today marks six months post-surgery,

and she returned to the clinic for vaginal laser maintenance care.

Seeing her again after some time,

it was clear that her expression and eyes looked much brighter than before.

She shared shyly,

“Our relationship has become much better than it used to be,”

and “It feels amazing that I’m the one who wants to be closer first.”

Her vaginal muscles had recovered well,

and seeing her confidence restored along with physical improvement

was a reminder that obstetrics and gynecology

often helps strengthen family relationships in meaningful ways.

Vaginal pressure assessment results comparing before and after surgery:

Vaginal laxity score: 82 → 64

Vaginal pressure (pelvic floor muscle strength): 12 → 39

The vaginal tightening effect remained stable,

and pelvic floor (Kegel) muscle function had improved noticeably.

We believe that Ribbon Vaginal Surgery is an approach that

precisely restores only what is necessary,

providing clear vaginal tightening and functional recovery,

and helping patients once again experience comfort and confidence

in their intimate relationships.

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