What you shouldn’t do to tighten your vagina
Do not use any type of over-the-counter vaginal “tightening sticks” or “herbal remedies” to try to tighten or shrink your vagina. These work by causing irritation to the vagina that induces swelling. I have seen patients with severe vaginal burns from these products requiring hospitalization. As a general rule, you should not put anything in your vagina that you buy on Etsy.
If you are concerned about the outside appearance of your labia, then seeing a plastic surgeon to reshape your vaginal lips is fine (though completely unnecessary in my professional gynecological opinion). If you are concerned about the structure or function of your vagina, then you should see a gynecologist or a urogynecologist. Surgery should always be the last resort, but if you need your pelvic muscles repaired, then you need to see a urogynecologist who is trained to reconstruct your pelvic floor.
Vaginal laser treatment is marketed as another option, but we don’t have enough data on it. It supposedly stimulates collagen growth and claims to improve vaginal dryness and some symptoms of vaginal laxity. Be aware: Laser treatment has not been approved by the FDA for this purpose, and there have been case reports of vagina burns. If you do choose to try vaginal laser therapy, make sure you have it done with a gynecologist who can assess your pelvic floor and not at a med spa.
A woman’s sexual satisfaction is not related to the size of the vagina. Stimulation to the clitoris and pressure to the inner front portion of the vagina enhance sexual response. Multiple studies have shown no difference in sexual function or satisfaction between women who have had cesarean sections versus those with vaginal deliveries, suggesting the normal stretching from a vaginal delivery does not make a difference.
Can a vagina be too big? If a woman hasn’t had an exceptionally difficult vaginal birth or any type of vaginal surgery, then no. If childbirth has damaged your pelvic floor and is causing structural problems, then consult your gynecologist or urogynecologist. Remember to be kind to your vagina, don’t rush into any surgery, and above all else, don’t put any herbal “tightening” remedies in there.