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In a study published in 2021 that included 84 pre-menopause women, with a mean age of 47.7 years who had CO2 Laser treatment for vaginal laxity with diminished sexual satisfaction, it was shown that CO2 laser treatment has both a statistically and clinically significant effect on participants' complaints and sex-life, which wanes by 6 months post-treatment. Laser therapy seems to be safe in the short term, with no serious adverse events reported in the current study.39-43
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Radiofrequency for Vaginal Tightening:
Radiofrequency is used to induce regeneration of the tissues by warming up the lining of the vagina and the vulva to induce collagen and elastin formation, improve blood flow and increase moisture in the vagina which makes the tissues tighten so the vaginal walls are stronger and plumper.
The treatment is painless and takes about 20 minutes and creates a gentle warming sensation. 44-53
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Vaginal Laxity, How it Happens Following Childbirth:
Vaginal laxity occurs during childbirth when the vaginal tissue and lining are thinned out and stretched to accommodate the delivery of the baby. 
Vaginal Laxity happens after several deliveries or big-size babies, where the vaginal wall and its opening become unable to retract back to their initial shape or size due to overstretching and loss of the pelvic muscles’ tone that surrounds the vaginal opening either due to mechanical overstretch or due to birth tears/injuries resulting in looseness and weakness of vaginal tissues.
Vaginal laxity syndrome is the term describing a group of symptoms resulting from the disruption of the pelvic floor muscles and manifesting as loose vaginal opening, diminished sexual sensation, urine leakage and stool leakage (faecal urgency or incontinence) 7-9
All references can be found <a title="here" href="https://www.drnyaesthetics.com/post/vaginal-tightening-treatment-of-vaginal-laxity" target="_blank" rel="noopener">here</a>.

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