Frequently Asked Questions - FAQ

Laser Vaginal Rejuvenation FAQ  I have had children and since then things aren't the same vaginally. My vagina isn't like it was before childbirth and sex isn't as gratifying as it was before. For me giving birth has resulted in vaginal enlargement with loose weak vaginal muscles. My vaginal muscle tone is poor and the support outside the vagina especially at the bottom is poor. I perform Kegels exercise everyday but this doesn't seem to help. Many women have your exact same problem, share your self-conscious concerns and desire to enhance sexual gratification .Women are concerned about their sexual concerns, sexual needs and the procedures to enhance sexual gratification. Laser vaginal rejuvenation (LVR) is a modification of a standard gynecological procedure. The laser is used to perform precise aesthetic surgical incisions. The techniques that we have developed result in a relatively bloodless procedure done on an outpatient basis. In brief we will tighten the vaginal muscles and supporting tissues as well as reduce redundant vaginal mucosa. It will effectively reduce the internal and external vaginal diameters as well as build up the perineal body (The area outside the vagina up to the anus). According to Masters and Johnson, sexual gratification of the female is directly related to the amount of frictional forces generated. We can tighten the vagina thus increasing the amount of frictional forces generated. The procedure can also provide an aesthetic enhancement of the external vaginal structures resulting in a more youthful look. As with all our surgical procedures, you are an integral part of our team and we listen to you and abide by your wishes. In this procedure the women decides how tight she wants to be.  I have had several children. I have vaginal relaxation and I leak urine when I laugh, cough, sneeze or exercise. This problem has really impacted my life. It is socially embarrassing and hygienically unacceptable. Can I correct my urinary problem an enhance sexual gratification all at once? Your urinary problem is called stress incontinence. It is caused by relaxation of the top part of the vagina or anterior vaginal wall. Laser vaginal rejuvenation (LVR) can correct your problem with stress incontinence and enhance sexual gratification all at once.  How long does LVR take? The surgical time depends on the extent but in general about 2 hours.  Where is the surgery performed? The surgery is performed at Parkway Women & Fertility Clinic at Parkway Parade in Singapore. We have full operating theatre facilities with recovery beds with monitoring for up to 3 patients.  I have vaginal relaxation of the bottom part of the vagina and the perineal body . Can I have LVR? In this case we only need to repair the bottom part of the vagina and the perineal body (the area between the vagina and rectum). Usually in this case, vaginal relaxation is less extensive and LVR will be of benefit to you.  I haven't had any children but I have some vaginal relaxation and I would like to enhance vaginal muscle tone and strength as well as decrease the vaginal diameter. Can I have the procedure? Depending on the examination you can be a candidate for LVR. Such procedures generally involve the bottom part of the vagina and the perineal body.  My inner vaginal lips are too long. Can I get the reduced in size? The labia can be aesthetically sculptured to your specifications using laser reduction labiaplasty.  What types of anesthesia are available? You can be provided by your choice of anesthesia by a qualified anesthetist. We generally use intravenous sedation with a pudendal block and lots of tumescent anesthesia.  When can I resume sex after the operation? We ask that you resume sex 6 weeks after the operation. Oral sex, however can be resumed much earlier.  When can I return to work after the operation? This will depend on what type of work you do. In general most patients can return to work after one week but we can give 2 weeks medical leave.  I am not from Singapore. How long do I have to stay in Singapore after the operation? We request that you stay for a minimum of 4 days. We will visit you in the hotel after the operation so you don't have to come to the clinic.  How much discomfort will I have after the operation? With our technique of submucus tumescent anesthesia, pudendal block with long acting local anesthesia, you will be pain free for 18 to 24 hours. After this patients report a mild to moderate discomfort which can be controlled with analgesics and cold packs.  How much does LVR cost? Fees are all inclusive and this will include surgical fees, anesthetist fees, theatre fees, assistant fees and post op visits. The initial consult is complimentary. The fees depend on the type of procedure and the extent. A fee range is provided once we know your particular needs. We accept major credit cards and some of the procedures can be claimed by insurance. Medisave deduction is also possible.  What are the surgical risks of LVR? LVR is a safe procedure with low risk. To put the risk in perspective, pregnancy is associated with far more risks than any of the surgical procedures. Like any surgery the risks are bleeding and infection. There is always a risk of injury to the bladder and rectum. This is very rare. With any surgery , there is always scaring. Over correction can result in painful sex. Although rare, anesthetic risks can also occur.  Can LVR be combine with DLV? Yes , the two can be combined. If you want liposuction, that can also be combined. Read more about - Laser Vaginal Rejuvenation

Pap Smear  Who needs A Pap Smear Test? Every Women does. Especially if you're sexually active and between the ages of 20 and 70. And you should continue to have Pap smear tests even if you have reached menopause or are no longer sexually active. As long as you had sex once, even with only one man, you should have regular Pap smear tests. A Pap smear test should be an extremely important part of your health care routine.  Why Do I need a Pap Smear Test? Pap smear tests are used as a routine screening method for cancer of the cervix or cervical cancer. The test can detect changes in the cells covering the surface of the cervix. These changes in the cells, known as "pre-cancerous changes", do not mean that you have cervical cancer. What it does mean is that your cells are abnormal and therapy to treat these potentially cancerous cells must begin immediately. Otherwise, these abnormal cells could become cancerous. The Pap smear test can actually save you from developing invasive or established cervical cancer. The Pap smear test can save your life.  What is Cancer of the Cervix? Our bodies are made up of millions of tiny cells, the building blocks of our bodies. These cells usually grow and divide in an orderly manner. Sometimes however, for reasons not often understood, some of our cells start growing and dividing in an uncontrolled way. When this happens, we say that those cells have turned cancerous or malignant. The cervix is located at the base of your womb, at the top of your vagina. In cancer of the cervix, it is the cells in the cervix which have become malignant. Cancer of the cervix is the most common cancer to affect the female reproductive system.  How is a Pap Smear test done? There's nothing to be afraid of or embarrassed about when you have a Pap smear test done. It only takes 'five' minutes. You will lie comfortably on your back with your knees drawn up and apart. Your doctor will use an instrument called a vaginal spculum to hold the walls of your vagina apart. Using a small wooden spatula your doctor will gently scrape some cells off your cervix. These cells will be smeared onto a slide and stained for analysis under the microscope.  Is the test Painful? A Pap smear test may be only slightly uncomfortable but it will not cause you any pain or lasting discomfort. It would help though if you relaxed and breathed deeply while the doctor is taking the cell sample. This way, your muscles will be more relaxed and it will be easier for the doctor to take the sample.  How accurate is the Test? Like any other screening test, the Pap smear test is not totally fool-proof. What sometimes happens is that the sample does not include any abnormal cells, though they may be present or that some Pap smear tests are difficult to interpret. It is however, the best screening method for the prevention of cancer of the cervix available today. The key to prevention of cancer of the cervix is to have regular Pap smear tests which can detect abnormal cells in the cervix.  When Should I be tested? You should have your first Pap smear test once you are sexually active and it should be repeated after one year. Thereafter, the Pap smear can be done annually or once every two or three years, as advised by your doctor. Try to schedule a test midway between two periods. If you have reached menopause, any time of the month would be suitable.  Why is it important to have regular tests? As we mentioned, regular testing is important in detecting abnormal cells in the cervix early. The cure rate for the pre-cancerous stage is 100%. It is thus very much worth the little time and effort it takes to have the test. It is also important because many a time, many woman have no idea that something has gone wrong with their cervix, in many cases, cervical cancer does not exhibit any symptoms.  Why is a Pap smear so Important? There are a variety of reasons why Pap smear tests are important - - Because cervical cancer is the 4th common cancer in Singaporean women - Because cervical cancer can be detected by a Pap smear test. - Because chances of a cure are high if it is at a pre-cancerous stage. Read more - Gynaecologist in Singapore

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