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Old 07-08-2008, 12:35 PM  
Socks
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Join Date: May 2002
Location: Toronto
Posts: 8,475
hah they responded!

Hello Socks,

I am going to take you at your word and give you a serious response. I
suspect, however, that your mother did not put Socks on your birth
certificate and assume that your surname on said certificate was not and
is not "Manly". That aside, let's talk.

Most women are never exactly the same after birthing babies, but do
rebound enough that the architectural changes are minimal or
unnoticeable to herself and her sexual partner. Other women are less
fortunate, with persistent, permanent and bothersome vaginal laxity.
There are two options, not necessarily mutually exclusive, these being
pelvic fitness training and surgical reconstruction. I never recommend
surgical correction of such laxity unless it is bothersome to the woman
herself.

Assuming surgical correction with a perineoplasty is in order here
(http://www.urogynics.org/pages/pops/seif/VLaxity.html), the healing
takes about one month (all wound healing takes about one month) and with
genital surgery, the "time to intercourse" is typically 6-8 weeks from
the date of surgery.

Some women really don't need perineoplasty, and are able to restore
vaginal snugness by increasing the pelvic muscle bulk with a Kegel
exercise fitness program. This can take anywhere from 4-12 weeks,
depending on the condition of these muscles at the beginning of the
program.

Given your final query, I assume this is not an open discussion between
the two of you and you have kept your concerns to yourself. Therefore,
I suggest you "break" it to her very, very carefully.

She can call us anytime!

Best,

Name Removed, MD
PHIT
133 E. 58th St suite 311
NY NY 10022
212 935 4011
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