According to Dr. Nguyen Ngoc Thoai of the Obstetrics and Gynecology Center at Tam Anh General Hospital in Ho Chi Minh City, multiple pregnancies and births can damage the pelvic floor. Weight gain, hormonal changes during pregnancy, and vaginal delivery can weaken and stretch the pelvic floor muscles. After the age of 40, women's bodies also begin to produce less estrogen, leading to thinning, dryness, and reduced elasticity in the vaginal lining. This is why many women experience a decrease in sexual desire. Here are some ways to address this issue.

Pelvic floor exercises, such as Kegels and restorative yoga, can strengthen muscles and improve sensation during intercourse. These exercises directly target the pelvic floor muscles, also known as the PC (PuboCoccygeus) muscles. Both men and women have PC muscles. These muscles support the pelvic organs, including the urethra, bladder, intestines, and uterus, keeping them in place during movement. PC muscles also contribute to bladder and bowel control and sexual function.

Laser treatments can stimulate collagen production, tighten the vaginal walls, and improve moisture and elasticity. This cosmetic procedure uses laser technology and doesn't involve complex or painful surgery.

Surgical intervention can be considered for severe vaginal laxity or pelvic organ prolapse. Surgery can tighten the vagina and restore the pelvic floor structure, thereby improving sexual function. However, women should not undergo this procedure if they are pregnant, menstruating, have a genital infection, experience abnormal vaginal bleeding, have abnormal cervical cells, or have genital HPV.

Dr. Thoai performs vaginal rejuvenation surgery on a woman with pelvic organ prolapse due to multiple births. Photo: Thanh Luan

Hormone therapy or estrogen creams can reduce dryness and irritation, increasing elasticity and pleasure. However, women should consult a doctor before using these treatments and avoid self-medicating.

According to Dr. Thoai, in addition to physical factors, psychological well-being also plays a crucial role. Work pressure, family responsibilities, and marital stress can all affect desire. Women should ensure they get adequate rest and communicate openly with their partners to foster understanding and support in improving their sexual well-being.

Tue Diem