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Reconstructive and Functional Gynecology

In recent years, there has been an increase in the number of women who seek reconstructive and functional solutions for problems in their most intimate areas.

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It was in response to this demand that Reconstructive and Functional Gynaecology was born, a medical subspecialty within Gynaecology which helps functionally and aesthetically repair and restore the vulvar and vaginal areas.

Reconstructive and Functional Gynaecology has been a clinical and technological revolution, as it offers a comprehensive approach to gynaecological pathology, providing a solution to functional and morphological changes.

It has been reported that approximately 6 million people in Spain suffer from urinary incontinence and this number will increase in the years to come due to an increase in life expectancy. This figure is particularly relevant among the female population, especially for women who have had children, as it has been estimated that a not insignificant number of them suffer to a greater or lesser extent some degree of vaginal laxity associated to childbirth.

In addition, due to such increase in life expectancy, the number of women who reach menopause is increasing and therefore, the number of women who suffer vaginal atrophy and dryness with varying degrees of severity is also greater. All these symptoms are included in what is known as the Genitourinary Syndrome of Menopause. In today’s world, these women are for the most part, fully active regarding all areas of life: work, family and sex, and they cannot afford to and do not want to see their capabilities hindered in any way that will affect their quality of life.   

These figures give us an idea of the large number of patients who can ultimately benefit from the latest non-invasive technological breakthroughs in intimate rejuvenation treatments.

For its part, the World Health Organization has defined Sexual Health as a “state of physical, emotional, mental, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity.” Adding that “for sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence”.

The growing trend towards pursuing intimate aesthetics is a true sexual revolution particularly for women, which could even be compared to when the use of the birth-control pill became widespread in the seventies.

And finally, surgery, and non-invasive technology in particular, provide increasingly effective treatments for this type of problems.

At the age of 30, women can start to appreciate the first natural changes in the female genital area. Therefore, women between the ages of 30 and 70 can benefit from Reconstructive and Functional Gynaecology.

Medical consultations regarding Reconstructive and Functional Gynaecology are more frequent than it might first seem. Particularly with regard to: 

Pregnancy and childbirth: sometimes after several deliveries, it is common to experience vaginal hyperlaxity, that is, the loss of vaginal elasticity, which affects the patients’ sexual sphere. Episiotomy is a surgical cut in the vaginal opening; the resulting scar can be painful during intercourse.


Sexual organ morphology: 
approximately 20% of young patients have inner lips -labia minora- of uneven lengths and very thick appearance. When the inner lips extend beyond the labia majora, some women experience discomfort specially when using tight clothes or when practising certain sports such as cycling, or horseback riding.          


Vaginismus: it is a very frequent pathology among young women. It is an abnormal contraction of vaginal muscles, which can make sexual intercourse difficult or impossible.


During menopause there is a decrease in oestrogen production which generally comes with vaginal atrophy and vaginal and vulvar dryness, two conditions that can make sexual intercourse difficult.

On top of this, the loss of oestrogen and other factors such as traumatic childbirth can result in symptoms related to mild urinary incontinence (type I and II).It seems clear that the field of Reconstructive and Functional Gynaecology is now in full swing and there are technological innovations and new medical and surgical treatments emerging every day.

Reconstructive and Functional Gynaecology, along with Cosmetic and Longevity Medicine occupies a prominent position when it comes to the patient’s overall healthcare and well-being. And this is good news for society at large.

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