Functional and aesthetic gynaecology addresses changes to the vulva, vagina and pelvic floor that can follow childbirth, menopause or ageing. These changes can cause discomfort, urinary leakage, pain during intercourse or self-consciousness.
Care is led by qualified gynaecologists, with urology, physiotherapy and plastic surgery input when needed. We start with an examination and a conversation about what matters to you, and we always discuss conservative options first.
Enlarged or asymmetric labia can cause discomfort during exercise, intercourse or daily activities. Labiaplasty is a surgical procedure to reduce or reshape the labia. It is performed by a qualified surgeon after a full discussion of benefits, risks and recovery.
Some women notice looseness after vaginal delivery. Options include pelvic floor physiotherapy, non-surgical energy-based treatments (laser or radiofrequency) and, for significant tissue damage, surgical repair. Evidence for energy-based treatments is still developing; your gynaecologist will explain what to expect.
Leakage when coughing, laughing or exercising. Pelvic floor muscle training is the first-line treatment. Other options include an electromagnetic pelvic floor chair, vaginal laser, and referral for surgery when needed.
Dryness, irritation, pain during intercourse and urinary symptoms caused by falling oestrogen. Options include moisturisers, local hormone treatment, energy-based treatments and, in selected cases, PRP, which is still being studied for this use.
Involuntary tightening of the vaginal muscles that makes penetration painful or difficult. Treatment includes counselling, pelvic floor physiotherapy and dilator therapy, and in selected cases botulinum toxin injections.
A chronic skin condition of the vulva. Prescription steroid ointment is the standard treatment, with regular follow-up. PRP is being studied as an add-on for selected patients.
| Treatment | Used for |
|---|---|
| Laser & radiofrequency | Vaginal laxity · dryness and GSM · mild stress urinary incontinence |
| Electromagnetic pelvic floor chair | Pelvic floor weakness · stress urinary incontinence |
| Pelvic floor physiotherapy | Incontinence · vaginismus · post-natal recovery |
| PRP | Selected cases of GSM and lichen sclerosus (as an add-on; evidence still developing) |
| Botulinum toxin | Selected cases of vaginismus |
| Hyaluronic acid filler & fat grafting | Labia majora volume loss, performed by a qualified surgeon |
| Surgery | Labiaplasty · perineal and vaginal repair |
Every procedure is performed by a qualified gynaecologist or surgeon, supported by physiotherapy and urology colleagues.
We discuss physiotherapy and medical options before procedures, and surgery only when it is right for you.
Private consultation rooms and careful handling of your information.
We explain the evidence, likely results, risks and costs of each option before you decide.
Speak with our gynaecology team about the option best suited to you.