Lost Penis Syndrome : Explications et Solutions

Dear Dr. Sandra Yene Amougui,

I’m pregnant with my first baby, and my partner is complaining that my vagina is not as tight as it used to be. I’m wondering if this is only due to the pregnancy, and if it will get better after the birth, or if, on the contrary, it will worsen after the baby is born. While searching online, I came across the term "Lost Penis Syndrome" and I wonder if this could be the cause. What do you think?

Arielle*, 29 years old *name anonymized

Dear Arielle,

First of all, congratulations on your pregnancy! It’s completely natural to have concerns about the changes your body is going through during this exciting time.

The "Lost Penis Syndrome" Phenomenon

The term "Lost Penis Syndrome" refers to a sensation of "loss" or decreased sensation during sexual intercourse, often described by a man when the partner seems less "tight" after a pregnancy or childbirth. This sensation can be felt by the male partner, but this phenomenon is actually related to physical changes that occur in women, especially during pregnancy and after childbirth.

The "Lost Penis Syndrome" Phenomenon

This sensation is primarily due to the natural changes in a woman’s body during and after pregnancy. The pressure exerted on the vagina during childbirth can lead to stretching of the pelvic muscles and vaginal walls. This may make the sensation of penetration feel less intense, which might be mistakenly interpreted as a "loss" of sensation. However, it is important to note that these changes are not permanent and can improve with time and appropriate exercises.

The Vagina During Pregnancy and After Childbirth

During pregnancy, the body undergoes hormonal and physical transformations. The vagina becomes more supple and elastic to accommodate the growing baby. After childbirth, although the vaginal walls may seem looser, vaginal muscle tone generally returns after some time, especially if the woman performs pelvic floor exercises. The vagina can return to its original shape, but this also depends on individual factors such as genetics and regular practice of pelvic floor strengthening exercises (such as Kegel exercises).

Solutions and Treatments

If you feel that the sensation of your vagina has changed significantly, there are several solutions:

1. Pelvic Floor Exercises (Kegel Exercises): These exercises strengthen the muscles of the vagina and pelvic floor, helping to improve vaginal tone. They can be done at any time of the day, and their effects are usually noticeable after a few weeks.

2. Vaginal Laser Treatment: This increasingly popular treatment aims to tighten the vaginal walls by stimulating collagen production and reducing laxity. While it is often effective, this treatment requires a medical evaluation and may not be necessary in all cases.

3. Herbal Treatments and Suppositories: Some women turn to herbal treatments and suppositories to improve vaginal tone. However, these products are not always safe and may sometimes cause unwanted side effects, including scarring or irritation. It’s important to consult a healthcare professional before using such treatments.

4. Vaginal Tightening Surgery: Although this is a more extreme option, some women choose to undergo surgery to tighten the vaginal walls. This procedure is generally performed under anesthesia and can provide lasting effects, but it carries risks, as with any surgery.

   
   

Conclusion

It is important to understand that physical changes after pregnancy are natural and part of the evolution of a woman’s body. Instead of trying to "recover" a previous state, it is essential to learn to love and accept your body as it is. Every woman experiences pregnancy and the postpartum period differently, and what is normal for one may not be for another. What matters most is feeling comfortable in your own skin.

The well-being and health of the pelvic floor can be supported by regular exercises, good hygiene, and, if necessary, medical support. Self-love and confidence are key to navigating these changes with serenity and well-being.

Take care of yourself!

Best regards,

Dr. Sandra Yene Amougui