Women who had multiple pregnancies may suffer from uterine prolapse and or urinary incontinence, which can be repaired using the newest technical advances in the field.

Loss of sexual enjoyment by your spouse may be due to excessive loss of tone and loose ligaments related to childbirth. An experienced cosmetic gynecologist can make a tremendous difference in your life performing what is known as "Intimate surgery" an outpatient procedure done in our centers under local anesthesia with IV sedation. 

After childbirth, the vagina may become stretched; men get smaller as they age due to less testosterone in their systems, which can affect the size of their erections and their stamina as well. By tightening the vagina, this can enhance pleasure for both the woman and the man." 

With childbirth -- and aging -- pelvic muscles relax and the internal and external diameters of the vagina increase. Difficult deliveries can cause serious stretches, tears, and rips -- and generalized weakening of pelvic supports. 

If the vagina loses its tone and strength, if the pelvic muscles get too loose, even Olympic-caliber regimens of Kegel exercises won't help much. And sexual pleasure during intercourse may be diminished. In short, a woman won't feel as much sexually. Neither will her male partner. 

Gynecologists have long performed surgeries to repair damage caused by labor or trauma. But now, doctors are adapting their surgical techniques to deliver what many patients want: enhanced sex. The procedure provides a tighter, more resilient vagina, physiologically optimized for lovemaking. 

It's an outpatient procedure that takes about an hour. Within a couple of weeks of the surgery, women can resume most normal activities; sex is not advised until six weeks have passed. 

These procedures are available to women who want them. You shouldn't be embarrassed. Sex -- and the joy it can bring to you and to your spouse-- is a big part of life.