how to stretch your vagina
From radiation therapy to clinical trials to check-ins with your doctor, your care becomes as convenient as possible. From 3/3, vaccines are available for MSK patients over the age of 18 who live in New York state and who were treated for cancer in MSK or after 1/1/18. For more information, and if you live in NJ: How to use a Vaginal Dilator This information will teach you about vaginal dilators and how to use them for vaginal dilator therapy. After menopause, the vagina becomes more drier, less elastic (stress), narrower and shorter. This process may occur before if you have cancer treatments or surgery to reduce your risk of cancer. Using a vaginal dilator and starting therapy with vaginal dilator can help with these changes. About vaginal dilators A vaginal dilator is a tube-shaped device that is used to stretch the vagina. Vaginal dilators come in kits with different size dilators ranging from small (over the size of a finger) to large. Some kits also come with a handle to make it easier to keep the dilator while using it (see Figure 1). Figure 1. Vaginal dilator kit You will start therapy with vaginal dilator using the smallest dilator of your kit and slowly increase the size of the dilator over time, as you feel more comfortable. It is often better to use firm dilators made of hard plastic, not softer dilators made of silicone. This is because firm plastic dilators move and stretch muscles around your vagina (their pelvic floor muscles) better than silicone dilators. Your health care provider can give you a kit in clinic (such as Amielle® Comfort), or you can buy your own (such as Soul SourceTM Rigid Plastic Vaginal Dilators or VuVaTM Smooth Vaginal Dilators). About Dialator Vaginal Therapy Vaginal dilator therapy will help prevent the vagina from becoming too narrow. It can also help keep your vagina elastic. These things will help: The length of time you will need to do vaginal dilator therapy depends on many things. You can do it all the time you need. Talk to your healthcare provider about the length of time that is suitable for you. How to Do Dialator Vaginal Therapy Find a quiet time and place where you can be alone. Try to choose a comfortable space where you feel relaxed, like your bedroom. Relax the pelvic floor muscles and breathe deep before you begin. If you are not sure which muscles are your pelvic floor muscles, read the resource. Start by entering a comfortable position. Once you are comfortable, take some slow and deep breaths in your belly. You can also practice Kegel exercises (squeezing and relaxing pelvic soil muscles). These things can help relax the pelvic soil muscles and facilitate the insertion of the dilator. If you are not sure how to do Kegel exercises, read the resource. Using your vaginal dilatorUsing a vaginal dilator is simple. It should not cause any pain if you do it slowly and gently. It should take about 10 to 15 minutes. Start with the smaller dilator in your kit. The dilator should feel swollen but not painful. If you do not feel any pressure when inserting the dilator, you may need to use a larger size. Read the "Increase the size of your dilator" section for more information. After using your vaginal dilator Wash the dilator with hot and soapy water. Dry it with a clean towel or paper towel. Keep it as instructed in your kit. You may have a small amount of vaginal bleeding while using the dilator or after you have finished using it. This is normal. You may want to use a panty lining after the dilator therapy. If you have a lot of bleeding, such as bleeding that absorbs a sanitary napkin (pad), or if the bleeding continues for more than 1 day, call your health care provider. If you receive urinary tract infections (UTIs) often, you may want to urinate (pee) after using your dilator. If you have any questions or problems, talk to your healthcare provider on your next appointment. Increase the size of your dilator The goal of vaginal dilator therapy is to increase the size of your dilators slowly. When you can insert a size of a dilator completely into your vagina without any discomfort, you should start using the following size above. The goal is to insert the larger size dilator without any discomfort, if possible. Increase the size over time will help you have more comfortable pelvic exams, vaginal sex, or both. When to Do Dialator Vaginal Therapy You should do dilator therapy 3 to 4 times a week, but do not do it 2 or more days in a row. Making dilator therapy many days in a row can cause pain or irritation. Try to do Kegel exercises in the days you don't use your vaginal dilator. Kegel exercises should not be painful. If you forget to do your therapy with a dilator or don't have time to do it, don't give up. Try to start again as soon as you can. Coming with a plan or a routine for yourself can help you succeed. Vaginal moisturizers Vaginal moisturizers (such as ReplensTM, HYALO GYN® and Revaree®) are products that you can use regularly to increase moisture in your vagina. This can facilitate dilator therapy, sexual activity and pelvic exams. Vaginal moisturizers are especially useful if you are in menopause or are taking medications that can reduce your estrogen levels. Use vaginal moisturizers at least 3 times a week, or more often if you need it. You can use them inside your vagina, in your vaginal opening, in your clitoris and in your inner lips (the smallest folds of the skin around your vaginal opening). The best time to use a vaginal moisturizer is right before bed. This is because it absorbs better while you're lying flat and sleeping. Do not use a vaginal moisturizer right before dilator therapy because the moisturizer will not absorb in your skin properly. For more information on vaginal moisturizers, read the resource. Women's Health Program If you want more support and information on sexual health and privacy, talk to your health care provider about Sloan Kettering Memorial (MSK)'s. For more information about the program or to make an appointment, call. The Women's Health and Sexual Medicine Program offers services in the following places: Tell us what you thinkTell us what you thinkYour opinion will help us improve the information we provide to patients and caregivers. We read all the comments, but we cannot answer. If you have questions about your care, contact your healthcare provider. Questions Yeah. Anything. No. Was this information easy to understand? Yeah. Anything. No. Last Update For more resources, visit our virtual library. Create a personalized communication board for patients who cannot use their voice. create and save frequently used communication tables. MSK cancer experts are here to help. Sign up for MyMSK to send your questions and receive answers to your most urgent concerns. It's simple, and it's safe.
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