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“Tightening my vagina changed my life. Sex after three children was never the same, but after vaginal rejuvenation and labiaplasty with Dr. Michael Litrel, I felt like a new woman. Sex was better than ever!”

– Real patient, Brandy

In her late thirties and with three children, Brandy was struggling to find sex enjoyable. Like many women, sex changed after giving birth to each of her children. By the third child, her vagina was loose, but she also felt a fullness in her vagina during intercourse, which left her feeling uncomfortable and unsatisfied. Her labia also became enlarged and asymmetrical, which made her feel self-conscious.

“Sex is AMAZING now, like nothing I’ve ever experienced in my life. I feel like a completely new woman. Not only is sex to a whole new level, but now my vagina is a work of art!”

– Brandy after vaginal rejuvenation

Finding the Right Vaginal Rejuvenation Surgeon

Brandy had been researching vaginal rejuvenation online for almost two years but was reluctant to commit to a doctor. Vaginal rejuvenation was what she desired but finding the right surgeon was challenging. She had several consultations with doctors near her home, but was not pleased with any of them. She felt she wasn’t being heard, and that they weren’t listening to her needs.

Learn more! Download our FREE Vaginal Rejuvenation eBook.

Brandy found Dr. Michael Litrel, a double board-certified OB/GYN and urogynecologist, after extensive research and reading online reviews. She had done due diligence and knew that a physician with his qualifications and experience was what she needed. FPMRS surgeons are both OB/GYNs and urogynecologists, therefore experts in advanced female pelvic surgery. Even though she lived on the West Coast, she was willing to make the investment in a superior surgeon by traveling across the country to Georgia. She felt that since this was a once-in-a-lifetime surgery, she wanted the very best.

Brandy contacted Erica, Dr. Litrel’s Patient Coordinator, and after a long conversation and getting all of her questions answered, she booked a telemedicine appointment with Dr. Litrel later that week. Brandy shares her thoughts on her consultation and on speaking with him.

“I instantly knew Dr. Litrel was the right doctor for me. He actually listened and was very open-minded and honest about my expectations. He took a holistic approach and took my needs seriously. I had a few very personal requests concerning my labiaplasty, and he gave me the assurance and confidence that I was not getting from any of the other doctors I had consulted with before. This guy knew his stuff.  Booking the surgery, the flights, that was a no-brainer. I was excited and ready to roll.”  

– Brandy on choosing Dr. Litrel

Vaginal Rejuvenation with Dr. Michael Litrel

Within a few weeks, Brandy was on a flight to Georgia for her vaginal rejuvenation surgery. She said she wasn’t nervous at all, and in fact was very confident, and just ready to get it done.

Dr. Litrel performed a vaginoplasty, labiaplasty, rectocele repair and clitoral hood reduction in his office so there were no additional hospital costs for Brandy. After the procedure, Dr. Litrel shared that he was satisfied with the results and he was quite confident that she would be pleased.

Brandy shares her thoughts right after the surgery.

“My vagina is gorgeous! Even with the slight swelling, I can tell that Dr. Litrel created a masterpiece. His stitching technique is fabulous. I couldn’t be happier with the results.”

– Brandy right after VR surgery

Six Months After Vaginal Rejuvenation

Brandy shared six months after surgery, “Sex is insane, like I never imagined. The friction is unbelievable. I went from feeling barely any satisfaction during sex, to having by body tingle from head to toe with every move. And that’s only the half of it, my confidence is amazing. I’m loving my ‘new look’ – it’s stunning!”

Was Travelling to Georgia for VR the Right Decision?

“Dr. Litrel changed my life. He was so willing to make sure my every need was met, every concern, right down to the last detail. He doesn’t just do the surgery and forget you, he continued to text me for weeks after, making sure all was going well and meeting my expectations. It was worth every penny.”

– Brandy, when asked if she’d made the right decision traveling to Georgia for vaginal rejuvenation

If you’re interested in vaginal rejuvenation, call us today at 770.721.6060 or request an appointment online.

The biology of a woman’s body is much more complex than a man’s.

As specialists in women’s health care, our expertise is concentrated in the range of specialties unique to a woman’s body.

Obstetrics

The physicians and midwives at Cherokee Women’s bring decades of experience and expertise to the care of expectant moms.

• Infertility
• High-Risk Pregnancy
• Preconception Counseling

Well Woman

Routine annual exams are essential to detect and prevent the unique health problems that women face.

• Gynecology & Annual Exams
• Contraception
• Menopause & Hormone Therapy
• Cancer Screening
• Abnormal Pap Smears
• Sterilization

Urogynecology

• Urinary Incontinence
• Bladder Prolapse
• Pelvic Organ Prolapse
• Pelvic Reconstruction
• Vaginal Rejuvenation
• Transvaginal Mesh Repair
• Fecal Incontinence

Vaginal Rejuvenation

We offer patients the latest in cosmetic vaginal surgery. Cosmetic gynecology aims to make improvements to either the physical appearance or function of the vagina and labia.

• Vaginal Rejuvenation
• Labiaplasty
• The Orgasm Shot® (O-Shot®)
• ThermiVa
• Vaginal Lengthening
• Hymenoplasty
• Clitoral Hood Reduction
• Perineoplasty

GYN Problems

• Urinary Incontinence
• Bleeding
• Pelvic Pain
• Endometriosis

GYN Treatments

• Pelvic Reconstruction
• Ablation
• Hysterectomy
• Transvaginal Mesh Revision and Repair
• Laparoscopic Surgery
• Robotic Surgery

Our surgical team with laparoscopic techniques bring a level of expertise in pelvic reconstruction that puts us on the national map.

Cosmetic Services

As OB/GYNs who care for women through all stages of their lives, we are sympathetic to the fact that women want their outward physical appearance to mirror their inward physical health. Reconstructive surgery, rejuvenation and cosmetic care are a natural extension of our services as women’s health care providers.

• Tummy Tuck (Abdominoplasty)
• Liposuction and Liposculpture
• Autologous Fat Transfer

Medical Weight Loss

Cherokee Women’s Health offers a medically-based weight loss program, designed exclusively for women and the unique challenges of their anatomy and hormone balance.

• Medical Weight Loss
• Medical Weight Loss Patient Stories

Physical imperfections are usually visible to the naked eye. Flaws can range from minimal irregularities such as a receding hairline or having one eye slightly larger than the other. Others can be stark abnormalities such as a distorted limb or a blatant handicap. We base these deviations on our everyday observations of what we perceive as ‘normal’. However, when it comes to the more private area of our bodies, it may be more difficult to differentiate between normal and abnormal.

Pelvic appearance and health continue to remain private subjects for most. Typically, women don’t whip off their panties or take selfies of their lady parts in order to ask someone, “Am I normal down there?” In fact, a 2015 Australian study shows that 50% of women have no idea what a normal vagina looks like. 53% have never seen a real-life vagina other than their own, and 15% have only ever seen one in science videos.

The research continued to say that many women rely on pornographic material to compare their private parts to what they think might be the norm. Based on those often misconstrued observations, a staggering 1 in 7 women request labiaplasty because what they see on TV and elsewhere appears to be different from their own.

What Am I Supposed to Look Like? What is Considered ‘Normal’ Down There?

Unlike men, whose sexual organs are mostly external, the outer visible parts of your genitalia are limited to the vulva, which can be seen when facing a mirror standing up. Even those parts may be obscured by pubic hair unless you opt for a waxed or shaven appearance. The rest of your sexual organs are internal, and investigating them for possible problems can only be done by pulling back the labia or having your gynecologist discern any possible abnormalities during your annual checkup.

There are several parts to the vulva, but most women are concerned with the appearance of the following:

Mons pubis or mons veneris: The gently sloped shaven or unshaven mound you see when facing a mirror. The mound size depends on hormone levels and weight. The mons pubis enlarges at puberty and sinks at menopause due to estrogen levels. In some cases, sharp pains in this area can occur, sometimes during later stages of pregnancy or even after, and if this discomfort is excessive, you should consult your physician.

The appearance of the mons pubis is different from woman to woman and can fluctuate in size with weight, childbirth or during the aging process. If you find yours to be unsightly, monsplasty (a pubic lift) can reduce, lift or tighten sagging in this area, thus improving its size and appearance.

Labia majora: The two outer sides of the vulva called labia majora resemble pads or cheeks that are separated by lip-like tissue (pudendal cleft). These labia extend from the mons pubis all the way down to the base of the vulva and perineum. They consist of fatty tissue that contains oil and sweat glands.

A slight musty smell is normal, and you may even emit a somewhat metallic odor around menstruation. Foul smell or discharge should be checked. Labia majora size is different from one woman to the next. Just as you can have one foot bigger than the other, labial size varies and perfect symmetry is actually more unusual than the norm.

Get your FREE Vaginal Rejuvenation e-book now!

Color varies from a normal skin tone to a deep purple, just like your facial lips. However, should you develop cysts, new moles, lumps, ulcers, experience excessive pain, itching or any discomfort that is not eased by wearing looser or cotton lined underwear, consult your physician.

A prominent labia may sometimes result in what is referred to as ‘camel toe’, where the pudendal cleft of the labia can be seen through tighter clothing. You may find this extremely embarrassing, however, labiaplasty can correct this problem.

Labia minora: These are thinner inner lips that come into view when lightly spreading the labia majora apart. In some women, the labia minora can protrude from the labia majora and this is not an abnormality. As with labia majora, color differs from one woman to the next.

Clitoris: The small, knobby, sexually sensitive sponge-like tissue located on the anterior top of the vulva is your clitoris. The visible portion of the clitoris is about the size of a pencil eraser. It can either protrude or be nestled in tissue called a clitoral hood. Both are normal—much like belly buttons that vary from person to person. Some are embedded and referred to as innies while others, known as outies, may jut out. Sometimes, the clitoral hood may be too thick or protrude too much, causing chafing and discomfort. This may interfere with sexual pleasure and gratification. A procedure called clitoral hoodectomy can correct this, either for aesthetic purposes, for physical comfort or as a medical necessity.

Urethra: Located just below the clitoris and above the vagina, the urethra is the portal for urine to pass. It is about 1-½” long. Any swelling, discomfort, pain upon urination, lumps, abdominal pressure, blood in your urine, itching, discharge, discomfort during sex, or inflammation should be discussed with your doctor.

Vaginal opening (introitus): The channel leading to the vagina and its interior. Color varies and can range from a light pink hue to a deep wine color. Size and shape also differ from woman to woman. It can be cylindrical, round or oval. As with most of your genitalia, any discomfort, pain, difficulty with sex or urination, lumps, unusual bleeding, itching, discharge, foul smell, inflammation, visible protrusions of inner organs, or growths should be reported to your gynecologist.

Perineum: This is the small section of triangularly shaped fibro muscular tissue that begins at the base of the vulva and extends to the anus. The distance between the two can vary greatly from female to female. As with all lady parts, there are no set measurements that are considered ‘normal’ or ‘abnormal’.

The perineum serves as a structural support for several internal organs. It is also referred to as an erogenous zone.

The perineum may need to be surgically incised to allow for a safe delivery of a baby (episiotomy). It is then stitched and allowed to heal. Due to the trauma the perineum may suffer as a result of childbirth, women may experience complications (prolapse) later on that may require surgical intervention (perineoplasty). Should you experience bowel problems, incontinence, pain in the perineal area or in your thighs, back, abdomen or waist, speak to your doctor.

Anus: This is the end of the digestive tract and external opening that allows for fecal elimination. Depending on your skin tones, its color can range from pink to reddish brown. The opening is puckered and closed unless either eliminating fecal matter or inserting an object such as a finger or other probe.

If you experience pain, itching, difficulty or burning during a bowel movement, have uncontrollable bowel movements (fecal incontinence), notice blood, pus, swelling, a hard mass, any discharge or mucous, discuss this with your doctor.

I’ve Been Told I’m ‘Normal’ Down There But I Still Don’t Like the Way I Look. Do I Need to be ‘Abnormal’ to Qualify for Surgery?

Not at all. Mental health and physical health go hand in hand. If you’re not happy with your body and feel cosmetic GYN surgery can make you feel better about yourself and give you more confidence, there are a range of cosmetic procedures available to you.

Just as a regular breast examination is essential to your health and well-being, it’s a good idea to take a peek down there from time to time. By looking at your body and listening to cues, you may counteract an issue before it interferes with your pelvic health.

Dr. Michael Litrel, Dr. Peahen Gandhi and Dr. James Haley all participate in RealSelf.com, an online forum on cosmetic treatments and aesthetic medicine. Not only are they highly skilled in performing vaginal rejuvenation procedures, their expertise includes any necessary pelvic surgery you may require. They can answer your questions frankly and honestly. They’ll even look at any selfies you may wish to provide on RealSelf.com to help ascertain whether you may benefit from a vaginal rejuvenation procedure. Of course, an in-person consultation is required prior to final decision making.

Typically, if you feel good, have a satisfying sex life, suffer no discomfort, experience no unpleasant leaks or odors, or don’t suddenly have bits and pieces poking out that don’t seem to belong, you are perfectly ‘normal’ down there. Maintain your annual gynecological checkups and pay attention to any changes that concern you. To schedule an appointment with one of our FPMRS doctors, call 770.721.6060.

Have you ever wondered what the difference between vaginoplasty and labiaplasty is but have been to embarrassed to ask? Never fear, here’s a list of cosmetic and GYN glossary terms in plain English, broken down by surgery type.

Vaginoplasty: Tightening of the entire vaginal canal from the opening to the cervix (or the apex of the vagina, if hysterectomy was performed).

Hymenoplasty: Restoration of the hymen to restore anatomic state, which can be done at the time of vaginoplasty, if patient desires.

Cosmetic GYN Surgery on the External Genitalia

Labiaplasty: Reshaping the labia minora or inner lips for improvement in appearance and to diminish labial irritation with clothing and during sex.

Clitoral Hoodectomy: Removal of excess skin covering the clitoris to create a better appearance and to help with clitoral orgasm.

Perineoplasty: Reshaping the external opening to the vagina for a smaller, more youthful appearance. This is performed during vaginoplasty or can be done without vaginoplasty, if vaginal tightening is not desired.

Labia Majora Reduction: Reshaping the labia majora or outer lips for a better appearance.

Learn more! Download our FREE Vaginal Rejuvenation eBook.

Female Reconstructive And Reparative Surgery (Usually Covered By Medical Insurance)

Anterior Repair: Repair of cystocele or bulging of bladder using natural tissue or biological graft or synthetic material.

Posterior Repair: Repair of rectocele or bulging of rectum using natural tissue or biological graft.

Enterocele Repair: Repair of enterocele or the sagging of the top of the vagina using natural tissue or biological graft or synthetic material.

Incontinence Repair: Repair of leakage of urine using native tissue, biological graft or synthetic material.

Endometrial Ablation: Outpatient or in-office procedure to diminish or eliminate menstrual bleeding without changing hormone status.

Hysterectomy: Removal of uterus to stop periods and pelvic pain associated with menses and sexual intercourse (pelvic pain with thrusting motions). Or, to remove tumors or pathology once childbearing is complete. During this procedure, removal of fallopian tubes (or salpingectomy) is strongly recommended to decrease the risk of future cancer.

Oophorectomy: Removal of ovary or ovaries for pelvic pain associated with sex or menses or is chronic or for cyst or mass. These are the organs that secrete hormones so removal of both will result in surgical menopause. Removal of one ovary will not affect hormones. Removal of one ovary is recommended once a woman is in menopause if hysterectomy is performed to decrease risk of cancer. If a woman has significant chronic pain on one side of her pelvis during her cycles or sex or chronic, removal of that ovary is considered.

Enterolysis: Minimally invasive (laparascopic or robotic) removal of internal adhesions of bowel to pelvic organs that cause pelvic pain with sex, menses, bowel movements or is chronic in nature.

Removal/Fulgurtion of Endometriosis: Minimally invasive (laparoscopic or robotic) removal and destruction of endometriosis lesions that cause painful menses or pain with sex or is chronic.

Salpingectomy: Removal of tubes for sterilization. Note: Tubal ligation without removal of tubes is not recommended because tubal removal will decrease future cancer risks but tubal ligation will not.

Make an Appointment Today

Still have questions? Request an appointment online or call us at 770.721.6060.

Cherokee Women’s Health patient, Maggie, was eager to know if she was fertile. To her surprise, she quickly became pregnant but tragically experienced a miscarriage at 10 weeks. After a D&C procedure, it was discovered that fibroids were the cause of her loss. Her journey to conceive again was fraught with challenges, and it wasn’t until a year later that she received medical approval to try again.

Hope Amid Challenges

A few months after trying, Maggie finally got pregnant again and prepared for a C-section due to the risks associated with her previous complications. Throughout her pregnancy, she became a patient of Dr. Peahen Gandhi, an OB/GYN and urogynecologist who specializes in fibroid-related issues, whom she had admired from the beginning of her journey.

Facing Anxiety and Finding Comfort

As the due date approached, she faced anxiety about the C-section and the potential for further complications. Despite her fears, she found comfort in Dr. Gandhi’s honesty and preparation for any scenario that might arise during childbirth.

“I told her I was scared. I asked her, ‘Are you comfortable with my surgery?’ She was very straight up with me, as she is going to be very honest with you. She explained that all childbirth is trauma and said, ‘Can anything happen for anyone? Yes. Are you a little bit more susceptible than someone else? Yes. But I’m going in preparing for that.’

I think hearing her say that made me more comfortable. I was already confident in her; she’d already done some procedures before, but I think hearing that was like, okay, not only does she know what she’s doing, but she also has everything prepared for worst-case scenarios to happen. It made me feel more reassured.”

Birth and Complications

Eventually, she underwent the C-section. Maggie and her husband welcomed their baby boy, Bradley Olins Barrett, or Bo for short, into the world. The C-section was successful but not without complications. Maggie experienced postpartum hemorrhage and allergic reactions to blood transfusions.

Kindness and Reassurance

Maggie’s mental state became fragile, and she battled anxiety and depression during her stay in the hospital. However, the kindness and reassurance of Dr. Lisa McLeod helped her cope through the difficult time.

“I remember Dr. McLeod came in and said, ‘Hey, how are you doing?’ I just cried. She closed the door and said, ‘I’m not going to leave until I know you’re okay.’ She stayed in there for a good 30 minutes, reassuring me.”

“Dr. Gandhi and Dr. McLeod were both my cheerleaders, in the best way.”

– Mom Maggie

Embracing Motherhood with Gratitude

As she settled into motherhood, Maggie realized the immense love and joy that comes with the experience. With her husband by her side, and the love for her son growing each day, she embraced the journey of motherhood with hope and gratitude for the beautiful gift she had been blessed with.

She encourages other mothers to cherish every moment, no matter how challenging, as these moments build resilience and strength.

“It’s one of those things that you don’t know until you know. Everyone has always said that, but that’s real. My advice for other moms is to just enjoy every moment. That sounds so cliché, but it’s true. Even those little moments that I hated in the hospital, they just made moments better in a way with him. Because I got through that, we got through it. That means we could get through other harder things.”

Maggie’s story of perseverance, love, and newfound motherly bliss is a beautiful reminder to others that the journey of motherhood is filled with both challenges and indescribable joy.

Make an Appointment Today

Our OBs are here to help you. Call us today at 770.720.7733 or simply request an appointment online at either our Woodstock or Canton location.

What is Vaginoplasty?

Vaginoplasty is one of several vaginal rejuvenation procedures whose purpose is to enhance, correct, tighten, or otherwise repair any problems or abnormalities of a woman’s genitalia. The procedure can also reconstruct the vagina, rectify congenital defects in the pelvic floor, remove growths or abscesses, alter the vulva, and even enlarge or shrink the vaginal opening to allow for ample friction. Any undesirable or surplus external skin can also be trimmed away to give a more streamlined look.

Vaginoplasty can address additional serious issues, such as reconstructing areas altered by hysterectomy, cancer treatments, and tumor or fibroid removal. In fact, vaginoplasty can rebuild a urethra, rectum, or vagina that has never completely developed since birth, or has been surgically removed due to cancer or other medical reasons.

Thousands of women annually seek minor vaginoplasty to tighten vaginal muscles that have become lax or flaccid over time, whether through genetics, as a result of aging or, most frequently, childbirth.

What Causes A Loose Vagina?

The skin naturally becomes looser and less pliable with age. When a woman gives birth, especially multiple times, the vagina continues to stretch and elasticity weakens with each delivery. Rough sex, obesity, and drastic weight gain or loss can also be contributing factors. Even some medications such as birth control which cause hormonal changes, can interfere with tissue regeneration and cause laxity. This leads to unsatisfying sexual pleasure due to less sensation felt during intercourse — both for a woman and her partner. Kegel exercises, no matter how diligently a woman may practice them, only minimally restore muscle strength.

Learn more! Download our FREE Vaginal Rejuvenation eBook.

Stretching, flaccidity, a sense of heaviness, prolapse, ill-fitting tampons, and incontinence, are signs of trauma to the pelvic floor, and can cause a series of functional problems for women.

Vaginoplasty corrects many of these issues by eliminating superfluous lining from the vagina and then surgically tightening the various muscle and tissue within, making additional repairs and alterations to other pelvic organs if necessary. This process restores the vagina to a more youthful, toned, pre-delivery condition.

Vaginoplasty Benefits

Vaginoplasty has provided thousands of women with both physical and psychological benefits. Physically, it enables them to reach climax more readily, once more allowing them to experience the increased sensation and friction necessary for satisfactory sexual arousal that may have been lost over time. Any additional reparations increase healthy function of previously flawed genitalia.

Psychologically, women who have undergone vaginoplasty have higher confidence and self-esteem levels, enjoy sex without pain, and relish their newly- increased response to the more pleasurable feelings derived from close intimacy. They no longer experience embarrassment at the pre-surgical lack of friction. They are happier to offer both themselves and their partners a tighter, snugger vagina that enables them to experience the friction necessary to maintain penile erection and achieve climax.

Vaginoplasty repair has enabled many couples to overcome sexual dysfunction caused by anatomical genital flaws.

Who Should Perform My Vaginoplasty?

Vaginoplasty can be both corrective and cosmetic. For that reason, it is of utmost importance to have this procedure done by an expert knowledgeable in the intricacies of a woman’s unique anatomy, one also qualified in both the fields of plastic and vaginal surgery.

At Cherokee Women’s Health Specialists, three of our physicians are doubly accredited urogynecologists who hold enviable certification in OB/GYN and Female Pelvic Medicine and Reconstructive Surgery (FPMRS). This accreditation enables them to treat all gynecological problems unique to women, and to perform any physical and cosmetic procedures related to these issues.

If you’d like to make an appointment to see if vaginoplasty is right for you, please call 770.721.6060 to schedule your appointment or request an appointment.

FREQUENTLY ASKED QUESTIONS

Vaginoplasty Articles

Vaginoplasty and Bladder Repair Video

Watch a vaginoplasty procedure and bladder repair with Michael Litrel, MD, FACOG, FPMRS. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...

Read More

Vaginoplasty, Bladder & Rectocele Procedures

Watch a vaginoplasty, bladder and rectocele repair surgery with Michael Litrel, MD, FACOG, FPMRS. Dr. Litrel shows the laxity before ...

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Vaginoplasty, Labiaplasty and Bladder Repair Surgery

Michael Litrel, MD, FACOG, FPMRS performs vaginoplasty, labiaplasty and bladder repair procedures. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...

Read More

A Patient Receives Vaginoplasty

Dr. Michael Litrel shares a video of his patient's vaginoplasty results ...

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Is My Vaginoplasty Healing Process Normal?

Many women spend weeks, months, or even years reaching the decision to have vaginal surgery. Each woman has her own ...

Read More

Nicky readily admits that she has an O-Shot addiction. Her sex life is better than ever, thanks to this holistic, all-natural treatment that increases sexual desire and response.

Learn more! Download our FREE O-Shot eBook.

The O-Shot, also known as the Orgasm Shot, is a non-surgical treatment designed by Dr. Charles Runnels, MD and has been around for over a decade. It is performed to increase sexual arousal by rejuvenating the vaginal wall, resulting in stronger, more frequent orgasms, and improved lubrication.

With thousands of patients worldwide achieving enhanced sexual benefits, it makes sense why Nicky is addicted to the O-Shot. After her first treatment, sex was way beyond her expectations, and she noticed a dramatic improvement.

“I don’t ever want to leave the bedroom. I’m hooked on these shots for life. All I can say is wow, just wow.”

– Nicky after getting her first O-Shot

Nicky suffered from sexual dysfunction for many years. In her thirties, she was married with three young children. After giving birth, sex wasn’t as satisfying as it once was, and she often had difficulties experiencing orgasm. She shared with her doctor that sometimes she would have so much anxiety before and during intercourse, that it was painful and not enjoyable. It became a touchy subject with her husband. Because Nicky was so busy with the kids and her job, sex was often put on the back burner, and she hated that.  

When she was younger, Nicky and her husband had enjoyed intimacy and it was often quite intense and memorable. She longed for those days again, but couldn’t quite get there on her own, even after trying many suggestions from her doctor and even after consulting with a sex counselor.

Request more O-Shot information.

Her Urogynecologist Recommended the O-Shot

At this point, and after suffering for several years with less than satisfying sex, her urogynecologist at Cherokee Women’s Health recommended she try the O-Shot, which he had been administering to women and had seen great results. Her doctor thoroughly explained the procedure and answered any questions she had. She also researched the procedure on her own and read how other women had been helped with the O-Shot, so she decided to give it a try.

How Does the O-Shot Work?

A urogynecologist will inject a patient’s own PRP (platelet-rich-plasma) into the vaginal area near the clitoris and G-Spot to stimulate rejuvenation. When injected, PRP releases growth factors that activate and regenerate stem cells that are located in vaginal and clitoral tissues, resulting in improved function, sensitivity, and enhanced sexual response.

What Benefits Can I Expect?

With the O-Shot, you can expect to see improvements in:

• Sexual desire
• Sexual response
• Bladder control
• Vaginal moisture, sensitivity, and sensation
• Orgasmic function

Is it Painful and What’s the Downtime?

With the use of a topical numbing cream, getting the O-Shot is typically painless, is performed in the office, and takes less than 45 minutes. There is no downtime and women may resume normal activities — including sex — the same day.

Nicky’s Experience of Getting the Shot

Nicky shared that she was quite nervous the day of the procedure. The nurse drew blood from her, and she could see her blood being put in a centrifuge to separate out her plasma. The nurse then numbed her vaginal area with numbing cream. After about 20 minutes, her PRP was ready, she was quite numb, and her doctor came in for the injections. While she was still nervous, her doctor reassured her that everything would be fine. He then injected the first shot of plasma into her vaginal wall, which was over within seconds. Nicky shares that she could barely feel it and was surprised that it didn’t hurt.

Then, the doctor gave her a second shot in her clitoral area. Nicky felt this a little more and compared it to a slight pinch. Though she winced a little, it was over very quickly and she was able to get dressed and be on her way.

After the O-Shot: “Sex is Better Than Ever”

That evening, Nicky noticed an unbelievable change in sensation, and she wondered if it was all in her head. She and her husband decided to try it out that night and she shares that she felt a sensation that she hadn’t felt in a decade. She was literally tingling down there. As soon as penetration started, she noticed that he went in smoothly and there was no pain at all. And her orgasm was intense, like it hadn’t been in years, if ever.

She and her husband have rekindled the romance that they once shared, and Nicky says she’s never going back.

“Sex was brought to a whole new level. It was a legitimate explosion of pleasure. It’s fun again and so important for our relationship and I’m never going to regress again. I’m addicted to the O-Shot and will be getting it every year!”

– Nicky explaining why she’s addicted to the O-Shot

See if the O-Shot is Right For You

Most women find that the O-Shot benefits typically last up to a year — and many do indeed find the O-Shot addicting. See if the O-Shot can help you. Call us today and make an appointment with one of our double board-certified urogynecologists at 770.721.6060 or request an appointment online.

For many women, the genital area and its many complicated parts still remain a mystery, often depriving them of the many delightful sensations they are capable of enjoying.

Our doctors at Cherokee Women’s Health are aware of the possible inhibitions you may have when it comes to asking what you might consider embarrassing questions. Simply admitting to exploring your own body may seem like a taboo subject, but to us, it’s a very natural and healthy practice, so we welcome any questions you may have regarding erogenous areas of your body such as the G-Spot.

Learn more! Download our FREE Vaginal Rejuvenation eBook.

What is the G-Spot and Where is It?

The G-Spot, or Gräfenberg spot, is an internal area located inside the entrance of a woman’s vagina. Named for a German gynecologist, Ernst Gräfenberg, who also invented the intrauterine device (IUD), the G-Spot is believed to be an extremely sensitive nerve bundle that, when aroused, can result in a profound, thrilling orgasm, sometimes culminating in female ejaculation.

Although the G-Spot varies slightly in location from one woman to the next, it is usually situated 2 to 3 inches upwards on the front wall inside the vagina. Some theorize that it is part of the prostate, while others believe it to be an extension of the clitoris, which extends up to four inches into the vagina.

Does Every Woman Have a G-Spot?

There is some controversy on the subject. Some sexologists and doctors say no, while others say with absolute certainly that, yes, it is present in all woman. If you’ve ever achieved G-Spot orgasm, you know it exists. It is likely that the reason for any doubt may be because of the G-Spot’s location in your body, which varies a little from woman to woman, making it tricky to pinpoint sometimes. As well, it cannot always be accessed and stimulated with normal penile penetration in the traditional missionary position. Rear entry vaginal penetration, or the woman on top, (‘cowgirl’) position are two examples you may wish to try. Sometimes, it just requires a little imagination, practice, and/or the introduction of oral, manual or artificial methods to achieve G-Spot gratification.

You Mentioned Female Ejaculation. Isn’t That Something Only Men Do?

No, some women are capable of ejaculating fluid during a G-Spot climax, and there is nothing harmful or unusual about it. It’s not known for certain if this happens because the G-Spot is an extension of the clitoris, which becomes engorged during sexual activity, or if the fluid is expelled by the woman’s prostatic-like glands that are situated in the urethral sponge, a part of the inner clitoral structure.

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Am I Abnormal if I’ve Never Experienced This?

Absolutely not! It is still difficult for many women to achieve orgasm, whether it be through clitoral, vaginal or G-Spot stimulation. There are many factors that can prevent a woman from enjoying full and satisfying intimacy, and these can be both psychological and/or physical. It’s our job to determine which might be preventing you from doing so, and to help you in any way we can.

If a pelvic examination shows no abnormalities, then some of the following reasons may be preventing you from enjoying the full, stirring benefits of G-Spot orgasm.

• Inhibitions such as nervousness or sexual taboo beliefs
• Insufficient lubrication
• Improper positioning
• Minimal or no foreplay
• Rough manipulation
• Lack of pressure during stimulation
• Lack of candid verbal or manual guidance between partners.

Is There Anything Else You Can Do to Help Me Experience G-Spot Pleasure Regularly?

Yes, we can. If we find there are no physical or psychological reasons preventing you from achieving G-Spot satisfaction, a procedure called G-Spot amplification (also known as G-Shot or GSA) enhances sexual arousal and gratification.

Our experts are fully qualified to administer this quick, safe, and painless procedure which injects a harmless filler that allows the G-Spot to extend lower into the vagina, making it more accessible and easier to stimulate. The effects have proven to be highly successful, and can last anywhere from three to five months, allowing women to enjoy the delightful benefits and gratification of G-Spot orgasms.

Sexual pleasure is a personal experience with individual preferences. What impassions one woman may not necessarily excite another, and that includes attaining climax through G-Spot stimulation. We are always here to help you and to discuss your concerns regarding intimacy and other feminine health issues that you may be dealing with.

If you have any questions about your sexual health, call us today for an appointment at 770.721.6060.

Vaginal rejuvenation questions are answered by Dr. Michael Litrel of Cherokee Women’s Health. Dr. Litrel believes the best patients are well-informed so here are 10 recent questions he answered on RealSelf.com about vaginal health.

If you’re considering vaginoplasty, labiaplasty, or other pelvic surgeries, you want a board-certified surgeon with the experience and expertise to provide you with the results you desire.

Dr. Michael Litrel is a board-certified OB/GYN, and he also has a board certification in Female Pelvic Medicine and Reproductive Surgery (FPMRS), which means he understands the toll childbirth and aging can take a woman’s body — and how to best restore vaginal health.

1. I am very insecure about my vagina and the color of it. Is it normal? I’m afraid to have sex.

Your appearance is perfectly normal and does not have any issues that require intervention from a cosmetic surgeon. Your insecurity is normal as well to some degree.  Everyone has some fear about social rejection, the feeling that others will not like or love us. This is really a spiritual issue, learning to love ourselves and love others, growing daily in our abilities in this arena. This is what makes life meaningful and fulfills our purpose in life: love.

When it comes to sexuality — the sharing of our bodies with another in a pleasurable and intimate manner — the insecurity that one can feel can prevent us from extending ourselves in this way. This is painful because sex, intimacy, and pleasure are so important to enjoy life.

But as a doctor who specializes solely in the care of woman, the common problem that women experience is not that they can’t find sexual partners, but rather that they choose the wrong sexual partner. Or, too many. For men, in many and most cases, sex is the end. Sex and orgasm itself is the goal.

Women like sex and orgasm, too. But for women, sex is really the beginning — the beginning of a powerful and important relationship — and the beginning of New Life (pregnancy). This is why so often women are broken hearted by the way they are treated by men. Men get sex, and eventually leave for someone else.

Thus, it’s important for women to choose a partner who is committed to not just his own orgasm and his own pleasure, but one who is committed to you and the future of the relationship that, God willing, may some day include children.

Bottom line is this: If insecurity about the appearance of your genitals is holding you back from sex — when you find the partner who is not just attractive physically but spiritually as well — one who will be committed to you and the future, that person will love you so you will not be so afraid.

So, it’s okay to wait to have sex and indeed it’s usually better. It builds a better long term relationship. When a woman waits to have sex, not only does the guy think she’s special, he also thinks he’s special. And thus, the relationship becomes special.

2. Is there any way to make my vagina look new again?

Women sacrifice a lot. Pregnancy and delivery is difficult enough, as is raising children. But the changes to a woman’s body are just another painful thing women must confront. There are office procedures and surgeries that can help you with both sexual function and the appearance of your genitalia. As far as specifics are concerned, that is something that is tailored to the desire and anatomy of each patient.

Learn more! Download our FREE Vaginal Rejuvenation eBook.

3. I’m suffering from some mild incontinence and loss of muscle tone in my vagina. Does the Apex M pelvic floor exerciser work?

There are three good things about the apex devices:

1. They can help improve the muscle tone on your pelvic floor and can help with incontinence. 
2. They are done in the privacy of your own home.
3. They are safe and won’t hurt you. It’s reasonable to try this before surgery. It’s reasonable to use this afterwards as well.

4. Can any board-certified surgeon do perform labiaplasty?

I would strongly advise you to wait until you find a specialist surgeon who focuses on labiaplasty. This can be a cosmetic gynecologist or a plastic surgeon. But don’t see someone who does not do a lot of these surgeries. Board-certification is about education and passing examinations. But the key is experience and skill rather than diplomas on the walls and initials after your name.

5. Vaginoplasty: Can vaginoplasty be personalized based on the size of my husband? Do all “holes” end up the same after vaginoplasty regardless of requests?

Your surgery should be tailored to the size of your husband. Sexual issues are usually top-of-mind for women considering vaginoplasty. Thus, your experience with your sexual partner is an essential part of the interview, the examination, and the performance of the surgery.

6. I recently had vaginal tightening surgery. Is it normal to have a lot of pain afterward?

Everyone responds to the pain of surgery in a different way. Our bodies are different. It’s important to get an examination by your surgeon to make sure that there are not issues. But assuming a normal exam, be assured that everyone will have a different response. Typically, by seven to fourteen days patients feel alright. If the pain continues, pelvic floor physical therapy can help. Muscle relaxers can also help if the examination demonstrates tenderness on your pelvic muscles.

7. Would a perineoplasty help with some feelings during sex?

The quick answer is that it will help — some. Your question shows a sophisticated knowledge of your body and the problems you are having. Pelvic reconstruction is likely required, along with vaginoplasty, to give you the tightness you desire and to correct the anatomic deformities and changes you eloquently describe. There are non-surgical modalities such as ThermiVa that can help. But that may be a waste. It will depend upon your anatomy and the findings on your physical examination. Good luck!

8. Can I enjoy sex after my clitoris is removed?

This should not be done for any reason other than the rare presence of cancer. In some parts of the world there is “female circumcision”, where young girls suffer genital mutilation. This is cultural and often the clitoris is not injured in the process. If you are considering a procedure, make sure you understand what is being done and why.

9. Is a partial labiaplasty possible?

This is a good question. The truth is that every labiaplasty has to be tailored to a patient’s anatomy and also her desire. So really, you should just receive what it is that you desire rather than a “one-size-fits-all.” Likely, you have excess skin adjacent to your clitoral hood or the hood itself is more pronounced than you desire. This is a common problem that can be handled during an office procedure.

10. What are the adverse effects from an overly aggressive labiaplasty?

The labia minora come in all sizes and shapes. Our bodies differ. Consider how noses and ears are different sizes and shapes. The main thing that troubles patients with a “botched labiaplasty” is emotionally upset with appearance. This can cause issues with sex because if we are not comfortable with how we look, then it is more difficult to be intimate with another. There are less common instances when an over-aggressive labiaplasty can cause pain with sex but I would not worry about this. The most important things for sexuality to go well is to be in a loving relationship. This is a loving relationship with another — and also with yourself.

Were your questions among the ones Dr. Litrel answered here? If not, let us know! Request an appointment online or call us at 770.721.6060.

And, you can always check Dr. Litrel’s RealSelf profile where he answers questions about several types of vaginal reconstructive surgery and female pelvic health.