Name: FAQ — Dr. Dina Rezk Aesthetic Gynecology Riyadh
Creator: Dr. Dina Rezk

Question 1

How long is recovery from labiaplasty?

Accepted Answer

Recovery from labiaplasty is gradual. During the first three days, mild bruising and swelling appear with some discomfort — ice packs and prescribed pain relief help. By days four to seven, swelling begins to subside and most women can return to desk work. Weeks two and three see the dissolvable stitches absorbing naturally and light walking resuming. After four to six weeks the core healing is complete and sexual activity and strenuous exercise can resume with the doctor's approval. Final results are fully visible after three to six months once any residual scarring has faded.

Question 2

How long does a labiaplasty procedure take?

Accepted Answer

Labiaplasty typically takes about one hour under local anaesthetic. The exact time depends on the technique used and the degree of correction required. The Trim Method suits elongated labia and creates a clean natural edge, while the Wedge Method suits thicker labia and preserves natural pigmentation. The procedure is carried out in a dedicated private clinic for women and you return home the same day.

Question 3

Why is labiaplasty performed?

Accepted Answer

Reasons for labiaplasty span functional, aesthetic, and psychological grounds. Functionally, it relieves pain and friction during exercise, intercourse, or when wearing tight clothing, and reduces recurrent inflammation caused by moisture build-up. Aesthetically, it corrects asymmetry and restores a natural, balanced appearance. Psychologically, it rebuilds self-confidence, improves body image, and enhances marital quality of life. After vaginal delivery it can also help restore prior appearance and function.

Question 4

Why do the labia majora lose volume over time?

Accepted Answer

The labia majora lose volume because collagen and natural fat decline with ageing or hormonal changes.

Decreasing oestrogen after menopause reduces subcutaneous fat in the intimate area.

Significant weight loss affects fat throughout the body including the intimate area.

Multiple pregnancies and deliveries accelerate volume and elasticity loss in this area.

Labial filler or autologous fat injections safely and effectively restore natural volume and shape.

Question 5

Does labial filler give a natural appearance?

Accepted Answer

Yes — labial filler applied by a specialist doctor gives a completely natural appearance resembling original tissue.

Hyaluronic acid used in the filler is a substance naturally found in the body, giving a natural feel.

The amount injected is determined precisely to avoid over-correction and achieve a balanced result.

Filler is added gradually and can be adjusted or removed if needed.

The doctor's expertise and precise technique are the most important factors in achieving a natural result.

Question 6

How long do labial filler results last?

Accepted Answer

Labial filler results typically last from 12 to 18 months, varying by filler type and individual body response.

Hyaluronic acid gradually breaks down in the body, with breakdown speed varying between individuals.

The intimate area moves less than facial areas, which may extend filler longevity.

Annual maintenance sessions preserve results and prevent returning to the previous state.

Autologous fat injections give longer-lasting results but involve a more complex procedure.

Question 7

Is labial enlargement normal?

Accepted Answer

Yes, the range of labial sizes is completely normal, and enlarged labia minora or majora is not in itself a medical condition.

The labia minora (inner lips) range from a few millimetres to more than 5 cm, and all of this is within the normal range. Labial enlargement only becomes a medical issue if it causes pain or discomfort during movement, wearing clothes, or intercourse. Labia minora reduction and labiaplasty are elective procedures that improve quality of life.

Question 8

Is a size difference between the labia normal?

Accepted Answer

Yes, a size difference between the right and left labia is very common and completely normal.

More than 50% of women have labia that are unequal in size or shape. This variation is not a deformity and does not affect normal function. If the difference is significant and causes aesthetic or physical discomfort, labia minora reduction and labiaplasty can restore symmetry. The decision is always personal and must be based on the woman's own desire, not external pressure.

Question 9

Does labial shape affect marriage?

Accepted Answer

Labial shape does not medically affect marriage, but very large labia may cause discomfort during intercourse.

Enlarged labia minora can in some cases cause pain or friction during intercourse. Aesthetically, some women may experience psychological concern that affects their self-confidence. Labia minora reduction and labiaplasty before marriage improves both physical comfort and self-confidence. Medical consultation helps determine whether intervention is necessary.

Question 10

Is vaginoplasty painful?

Accepted Answer

During vaginoplasty you feel no pain because it is performed under local or general anaesthetic depending on the case. After surgery mild to moderate pain appears and is controlled with prescribed pain relief. Pain is at its peak in the first three days then gradually subsides. Most women describe the pain as very manageable and similar in intensity to labour pain. Pain essentially disappears by the second week.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 11

Is vaginoplasty permissible in Islam?

Accepted Answer

Vaginoplasty is permissible for medical and therapeutic reasons. If the condition causes pain during intercourse, negatively affects marital life, or is the result of multiple deliveries weakening pelvic floor muscles, treating it is permissible under the principle that 'harm is to be removed'. It is required to be performed by a specialist doctor and with the woman's and her husband's consent.

Question 12

How do I know if I have vaginal laxity?

Accepted Answer

Common symptoms of vaginal laxity include: reduced sensation during intercourse; ease of air entry; and weakened muscle control.

You may notice difficulty feeling muscular tension when trying to tighten pelvic floor muscles.

Audible air entry during intercourse or movement is a common sign.

Weak bladder control when laughing, sneezing, or exercising may indicate related pelvic muscle weakness.

Accurate diagnosis requires specialist clinical examination to determine the degree of laxity and appropriate treatment.

Question 13

Intimate area whitening

Accepted Answer

Intimate area whitening is a safe cosmetic procedure aimed at lightening skin pigmentation in the intimate area. Available options include: specialised medical creams containing effective components such as kojic acid, niacinamide, and arbutin; specialised laser sessions (Nd:YAG or Q-switched); chemical peels at low concentrations; and light therapy. Medical sessions give faster and safer results. Usually multiple sessions are needed to achieve the desired result.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 14

Intimate area whitening for brides

Accepted Answer

Intimate area whitening for brides is one of the most requested cosmetic procedures before marriage. It is advisable to start treatment three to six months before the wedding for best results. The usual treatment plan includes: laser or chemical peel sessions at regular intervals; medical whitening creams for home use; and moisturising and nourishing skin treatments. Results are gradual and natural-looking. Consult a doctor early to put together a treatment plan suited to your timeframe.

Question 15

Does vaginal gas invalidate wudu?

Accepted Answer

Vaginal flatulence (vaginal gas or queefing) does not invalidate wudu according to the majority of Muslim scholars and jurists. Wudu is invalidated only by wind released from the anus (the natural passage for wind). Vaginal gas is air that enters and exits the vagina; it is not wind from the intestines and carries no impurity. This has been confirmed by many contemporary scholars including those of the Permanent Committee for Scientific Research and Ifta in Saudi Arabia.

Question 16

How does a doctor examine the hymen?

Accepted Answer

Hymenal examination is conducted by visual inspection only without inserting any instrument. The external area is examined with the naked eye or a magnifier. The examination causes no pain and does not alter the hymen's condition. Importantly, medical examination of the hymen cannot definitively determine a woman's sexual history — this is confirmed by all international medical organisations.

Question 17

How do I know if my hymen is intact?

Accepted Answer

Hymenal integrity cannot be reliably determined except through a specialist clinical examination by a qualified gynaecologist.

The hymen is a thin, elastic tissue that varies in shape and size between women and is not an accurate indicator of virginity. Some hymens are very elastic and do not bleed even after intercourse, and some are so thin they are not visually noticeable. The only reliable examination is a clinical examination by a specialist doctor. Self-examination is not recommended as it may cause injury or unwarranted anxiety.

Question 18

Can the hymen rupture without intercourse?

Accepted Answer

Yes — the hymen can rupture due to many factors unrelated to sexual activity.

Notable causes include: intensive sport such as gymnastics, horse riding, and swimming; physical falls or injury; use of tampons; medical examinations; or even ordinary daily movements in some girls with very thin hymens. An elastic hymen may never rupture even after delivery. This means hymenal integrity is not a definitive indicator of anything.

Question 19

Does sport such as gymnastics, horse riding, cycling, or martial arts affect the hymen?

Accepted Answer

Yes, some types of intensive sport may affect the hymen, but this does not mean sport is a risk to be avoided.

Sports that may have an effect include: gymnastics and ballet (powerful stretching movements and splits); horse riding (continuous vibration and pressure on the pelvic area); cycling (repeated pressure on the saddle); and martial arts such as karate, judo, and wrestling (falls, strikes, and sudden movements). The hymen is an elastic tissue that varies between girls — some hymens are very elastic and completely unaffected by sport, others thin and easily affected.

Question 20

Female intimate anatomy

Accepted Answer

The external female intimate area (vulva) consists of: the mons pubis; the labia majora (outer lips); the labia minora (inner lips); the clitoris and its hood; the urethral opening; the vaginal opening; and the hymen. The vagina is the internal canal connecting to the cervix. All these parts are normal and functional, with important roles in sexual and reproductive health.

Question 21

Difference between the vagina and the vulva

Accepted Answer

The two terms are often confused. The vulva is the entirely visible external area, including the labia, clitoris, urethral opening, and vaginal opening. The vagina is the internal muscular canal extending from the vaginal opening to the cervix, approximately 7–10 cm in length. The vagina cannot be seen from outside. This distinction matters because many women use the word 'vagina' to refer to the entire external area.

Question 22

What should I expect on my wedding night?

Accepted Answer

The first intimate experience is unique and varies between women; realistic expectations help you navigate it better.

What to expect: there may be mild to moderate pain at first intercourse due to tissue elasticity and hymen condition. Light bleeding may or may not occur — both are normal. Tension and anxiety increase pain, so relaxation is very important. Communication with your husband and good preparation significantly reduce discomfort. If pain is severe or persistent, medical assessment is warranted.

Question 23

Is pain normal at first intercourse?

Accepted Answer

Mild to moderate pain at first intercourse is common, but severe or persistent pain is not normal and warrants medical assessment.

Normal pain: mild pain or pressure at first intercourse due to tissue elasticity, improving gradually over time. Abnormal pain: severe pain preventing completion of intercourse; persistent burning; or pain that does not improve after several weeks. Causes of abnormal pain include: vaginismus; dryness; infections; or anatomical issues. Do not ignore severe pain — early treatment significantly improves marital quality of life.

Question 24

What is vaginismus?

Accepted Answer

Vaginismus is an involuntary contraction of pelvic and vaginal muscles that makes penetration painful or impossible.

This contraction happens automatically without the woman's will and may be a response to fear, anxiety, or anticipated pain. It is classified into two types: primary (no successful penetration has ever occurred) and secondary (occurring after a period of normal relations). The condition is fully treatable with a very high success rate with a specialist doctor.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 25

Is fear of intimacy normal?

Accepted Answer

Mild fear before first intercourse is normal, but severe fear that prevents intimacy requires specialist intervention.

Mild anxiety and tension before first intercourse are completely human feelings. But severe fear that causes muscular spasm and prevents penetration is a medical condition that needs treatment. This fear may be the result of misinformation, previous negative experiences, or general anxiety. Specialist treatment helps gradually and effectively overcome this fear.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 26

Why can't I allow penetration despite wanting to?

Accepted Answer

This condition is known as vaginismus — an involuntary contraction you cannot control; it is not a weakness of will.

The body triggers an involuntary protective response causing pelvic muscles to contract even when desire is present. This happens automatically, like closing your eye when something approaches. The cause may be psychological, physical, or both. The good news is that this condition is fully treatable with a specialist doctor.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 27

Does intimate area colour vary normally between women?

Accepted Answer

Yes — intimate area colour varies greatly between women and this is completely normal.

Colour ranges from light pink to dark brown depending on original skin tone and other factors. Natural pigmentation in this area is more pronounced than the rest of the body due to skin nature and friction. There is no 'perfect' colour or single standard. Pigmentation increases with age, pregnancy, and hair removal, and all of this is normal.

Question 28

Is intimate area darkening normal?

Accepted Answer

Yes — intimate area darkening is very normal and common among women of all skin tones.

Darkening in this area occurs due to: constant friction; sweating; hair removal by shaving or waxing; hormonal changes; and pregnancy. This pigmentation does not indicate any health problem. If you would like to lighten the area before marriage, there are safe and effective treatments available.

Question 29

How do I prepare medically before marriage?

Accepted Answer

Medical preparation before marriage involves visiting a specialist gynaecologist for a comprehensive assessment of gynaecological health.

The pre-marital medical assessment includes: examination of the labia and hymen; screening for infections or health problems; assessment of psychological state and readiness for marital relations; and discussion of any concerns or questions. A visit 3–6 months before marriage is recommended to allow sufficient time for any necessary treatment. Medical preparation reduces anxiety and improves the early marital experience.

Question 30

Which gynaecological tests are recommended before marriage?

Accepted Answer

Several gynaecological tests are recommended before marriage to ensure optimal health and a sound marital start.

Essential tests include: labial examination and anatomical assessment; hymen examination to determine type; vaginal swab to detect infections; hormone tests if symptoms warrant; and assessment of any skin conditions in the intimate area. A specialist doctor determines tests appropriate to each case.

Question 31

Is vaginal discharge normal before marriage?

Accepted Answer

Yes — vaginal discharge is completely normal before marriage and is part of the normal function of the reproductive system.

Normal discharge is clear or white, odourless or mildly scented, and its consistency changes with the menstrual cycle. Its amount increases at mid-cycle (ovulation) and may also increase with stress. Abnormal discharge is yellow, green, or grey; has a foul odour; or is accompanied by itching and burning.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 32

When does discharge indicate infection?

Accepted Answer

Discharge indicates infection when its colour, odour, or consistency changes abnormally.

Signs of abnormal discharge: yellow, green, or grey colour; foul or fishy odour; cheese-like or frothy consistency; and any discharge accompanied by itching, burning, or pain. These symptoms warrant immediate medical attention as untreated infections can progress and cause complications.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 33

Is itching in the intimate area normal?

Accepted Answer

Occasional mild itching may be normal, but persistent or severe itching warrants medical assessment.

Causes of normal itching: mild dryness; irritation from soap or detergents; or sweating. Causes of abnormal itching: fungal infection (most common); bacterial infections; skin conditions; or allergy. Itching accompanied by abnormal discharge or pain requires immediate medical attention.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 34

What causes low sexual desire in women?

Accepted Answer

Low sexual desire in women has multiple causes: hormonal, psychological, physical, and relational.

Decreased oestrogen and testosterone (especially after menopause or delivery) are among the most common hormonal causes.

Stress, fatigue, depression, and marital difficulties noticeably reduce desire.

Pain during intercourse (from dryness or infections) gradually causes avoidance of intimacy.

Some medications such as antidepressants and the contraceptive pill may reduce desire as a side effect.

Question 35

Does PRP help improve sexual desire?

Accepted Answer

Yes — PRP injections in the intimate area improve sensitivity and sexual response in some women.

PRP stimulates nerve and blood vessel regeneration in the area, enhancing sensation.

It is used in what is known as the 'O-Shot' to improve sexual response and facilitate orgasm.

Results vary between women and depend on the original cause of low desire.

If the cause is hormonal or psychological, treatment needs a comprehensive approach involving more than PRP.

Question 36

Why does the intimate area darken?

Accepted Answer

The intimate area darkens due to increased melanin production resulting from friction, hormonal changes, and pregnancy.

Constant friction from tight clothing stimulates melanin cells to produce more pigment.

Hormonal changes during pregnancy and the menstrual cycle naturally increase pigmentation.

Hair removal by shaving or waxing causes repeated irritation leading to gradual pigmentation.

Pigmentation is not a disease but an aesthetic change that can be treated by various safe methods.

Question 37

Does laser remove intimate area pigmentation?

Accepted Answer

Yes — laser is one of the most effective pigmentation treatments and gives clear results after several sessions.

Q-switched and Nd:YAG lasers precisely target melanin pigment without damaging surrounding tissue.

Number of sessions ranges between 3–6 depending on pigmentation degree and depth.

Rest periods between sessions (4–6 weeks) are necessary to avoid irritation and give skin time to recover.

Protecting against friction after sessions reduces the likelihood of pigmentation returning.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 38

What are the first signs of menopause (سن الأمل / سن اليأس)?

Accepted Answer

The first signs of menopause include: irregular periods; hot flushes; night sweats; and mood changes.

Irregular periods are the most common first sign and may become less frequent or heavier.

Hot flushes affect about 75% of women and may continue for years.

Vaginal dryness and reduced sexual desire are early signs that affect quality of life.

Average age of menopause is 45–55 years, but it may occur earlier or later depending on genetic and health factors.

Question 39

Does menopause cause vaginal dryness?

Accepted Answer

Yes — vaginal dryness is one of the most common and impactful menopause symptoms on quality of life.

Decreasing oestrogen reduces vaginal wall thickness and natural secretions.

Dryness leads to itching, burning, and pain during intercourse.

Treatment is available and effective: from topical oestrogen creams to laser and PRP.

There is no need to endure it; consulting a specialist doctor allows choosing the most appropriate treatment for each case.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 40

Does laser help after menopause?

Accepted Answer

Yes — vaginal laser is one of the most effective treatments for menopause-related intimate symptoms.

CO2 and erbium lasers stimulate collagen and renew vaginal tissue that atrophies after menopause.

It treats dryness, painful intercourse, and weak bladder control simultaneously.

An excellent option for women who cannot or do not wish to use hormonal therapy.

2–3 sessions are generally sufficient with annual maintenance sessions to preserve results.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 41

Why do I feel severe vaginal dryness after menopause?

Accepted Answer

Post-menopausal vaginal dryness results from declining oestrogen, which maintains moisture and elasticity of vaginal tissue.

As periods stop, oestrogen levels drop sharply, causing vaginal tissue to thin and dry out. This condition is medically known as Genitourinary Syndrome of Menopause (GSM). Symptoms include: dryness; burning; itching; and pain during intercourse. Treatment is available, effective, and noticeably improves quality of life.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 42

Is vaginal dryness normal after menopause?

Accepted Answer

Yes — vaginal dryness is very common after menopause, but it is not a condition that must be accepted without treatment.

Vaginal dryness affects between 40–60% of postmenopausal women. Although common, treatment is available and greatly improves quality of life. You do not have to accept these symptoms as a normal part of ageing. Modern treatments are safe, effective, and give excellent results.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 43

What is the best treatment for vaginal dryness?

Accepted Answer

The best treatment for vaginal dryness depends on symptom severity and patient preferences and general health.

Available treatments include: vaginal moisturisers for daily use; lubricants for use during intercourse; topical oestrogen (cream, ring, or vaginal tablets); vaginal laser therapy; and PRP injections. Each option has its advantages and contraindications. A specialist doctor determines what is most appropriate for your case.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 44

Why has intercourse become painful after menopause?

Accepted Answer

Painful intercourse after menopause is most often caused by vaginal dryness and tissue thinning due to declining oestrogen.

Decreasing oestrogen causes vaginal walls to thin, dry out, and lose elasticity. This makes friction during intercourse painful and irritating. Pain may be accompanied by light post-intercourse bleeding in some cases. This condition is fully treatable and does not have to be accepted as inevitable.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 45

Is pain during intercourse normal after menopause?

Accepted Answer

Painful intercourse after menopause is common but it is not a condition to be accepted — treatment is available and effective.

Pain during intercourse affects between 17–45% of postmenopausal women. Despite its prevalence, most women do not report it to their doctors due to embarrassment. Modern treatment greatly improves symptoms and restores marital quality of life. Do not hesitate to discuss this topic with your doctor.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 46

How can painful intercourse be treated?

Accepted Answer

Treating painful intercourse after menopause depends on addressing the root cause: dryness and tissue thinning.

Treatment options include: medical lubricants for immediate use; vaginal moisturisers for regular use; topical oestrogen; vaginal laser for tissue renewal; and PRP injections. Laser gives excellent and lasting results without the need for hormones. A specialist doctor determines the most appropriate option for your case.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 47

Why has my sexual desire decreased after menopause?

Accepted Answer

Decreased sexual desire after menopause results from multiple hormonal changes affecting both the brain and body.

Decreasing oestrogen and testosterone after menopause directly reduces sexual desire. Vaginal dryness and painful intercourse add another reason to avoid intimacy. Psychological changes such as mood swings and insomnia also play a role. Comprehensive treatment addresses all these causes and noticeably improves desire.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 48

Is low desire normal after menopause?

Accepted Answer

Low sexual desire is common after menopause but it is not a condition to be accepted without treatment.

Low desire affects between 40–55% of postmenopausal women. Despite its prevalence, available treatment noticeably improves desire. Combining treatment of physical (dryness, pain), hormonal, and psychological causes gives the best results. Do not hesitate to discuss this topic with your doctor.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 49

Why has the intimate area changed shape after menopause?

Accepted Answer

Intimate area shape changes after menopause result from hormone decline causing collagen and fat loss.

Decreasing oestrogen reduces collagen and elastin production in the skin, causing it to thin and lose elasticity. Subcutaneous fat loss causes labial laxity and loss of natural fullness. These changes are natural but treatable with multiple safe and effective options.

Question 50

Is loss of fullness in the labia normal after menopause?

Accepted Answer

Yes — loss of labia majora fullness is common after menopause, but treatment is available for those wishing to restore a natural appearance.

Subcutaneous fat loss in the labia majora area creates a sagging or hollow appearance. This change affects aesthetics and may cause discomfort when wearing clothing or sitting. Labial filler or autologous fat injections restore natural fullness with excellent results.

Question 51

Why do I suffer from recurrent itching after menopause?

Accepted Answer

Recurrent itching after menopause is most often caused by dryness and tissue thinning due to declining oestrogen.

Decreasing oestrogen causes skin to thin, dry out, and lose its natural protective barrier against irritation. This makes the area more sensitive and prone to itching. Other causes: disrupted bacterial balance; skin conditions; or allergy to care products. Accurate diagnosis is necessary to identify the cause and devise an appropriate treatment plan.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 52

Is itching linked to dryness after menopause?

Accepted Answer

Yes — vaginal dryness is one of the main causes of chronic itching after menopause.

Dry tissue loses its elasticity and natural barrier, causing continuous irritation and itching. Dryness-related itching usually intensifies after bathing or at night. Treating dryness with appropriate moisturisers or laser or topical hormones noticeably relieves itching. If itching persists despite treating dryness, there may be another cause.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 53

Why do vaginal infections recur after menopause?

Accepted Answer

Recurrent vaginal infections after menopause result from disruption of the natural vaginal environment due to hormone decline.

Oestrogen maintains the acidic vaginal environment that prevents harmful microorganism growth. With its decline, vaginal pH rises, facilitating fungal and bacterial growth. Tissue thinning reduces tissue's ability to resist infection. Treating the root cause (dryness and hormone decline) noticeably reduces recurrent infections.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 54

What are the symptoms of menopause?

Accepted Answer

Menopause symptoms are varied and affect different aspects of physical and psychological health.

Common physical symptoms: hot flushes; night sweats; insomnia; vaginal dryness; painful intercourse; urinary incontinence; and weight gain. Psychological symptoms: mood swings; anxiety; mild depression; and difficulty concentrating. Symptom severity varies greatly between women. Available treatment effectively relieves most of these symptoms.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 55

How long do menopause symptoms last?

Accepted Answer

Menopause symptom duration varies greatly between women, lasting on average 4–8 years.

Some women experience mild symptoms for only one or two years, while others last more than 10 years. Hot flushes are the most common and longest-lasting symptoms. Genitourinary symptoms such as dryness and pain may continue long-term and require ongoing treatment. Treatment significantly relieves symptoms and improves quality of life during this period.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 56

Why do I experience hot flushes?

Accepted Answer

Hot flushes result from fluctuating oestrogen levels affecting the brain's temperature-regulating centre.

When oestrogen levels decline, the brain's thermostat becomes more sensitive to body temperature changes. Any slight rise in body temperature triggers an exaggerated cooling response causing a hot flush. Flushes usually last 1–5 minutes and may be accompanied by sweating and palpitations. Hormonal therapy and some non-hormonal medications reduce their frequency and severity.

Question 57

Why do I leak urine when coughing or sneezing?

Accepted Answer

Urinary leakage when coughing or sneezing is known as 'stress urinary incontinence' and results from weak pelvic floor muscles.

When coughing or sneezing, intra-abdominal pressure rises suddenly, and if pelvic muscles are weak they cannot fully close the urethra, causing leakage. This condition is common after multiple deliveries and after menopause. Treatment ranges from pelvic exercises and Tesla device to surgery in severe cases.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 58

Is urinary incontinence normal after menopause?

Accepted Answer

Urinary incontinence is common after menopause but it is not a condition to be accepted — treatment is available and effective.

Urinary incontinence affects between 30–50% of postmenopausal women. Declining oestrogen weakens urethral tissue and pelvic muscles. Despite its prevalence, many women do not seek treatment due to embarrassment. Modern treatments are very effective and greatly improve quality of life.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 59

How can urinary leakage be treated without surgery?

Accepted Answer

There are effective non-surgical treatment options for urinary incontinence that give excellent results.

Non-surgical treatments include: Kegel exercises to strengthen pelvic floor muscles; the Tesla Chair device that stimulates pelvic muscles with a magnetic field; vaginal laser to strengthen tissue; and behavioural therapy. The Tesla device gives excellent results for stress incontinence without any surgical procedure.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 60

Does menopause cause vaginal laxity?

Accepted Answer

Yes — menopause causes changes in vaginal tissue that may lead to loss of natural elasticity and tone.

Decreasing oestrogen reduces collagen and elastin production in vaginal tissue, causing it to thin and lose elasticity. This is different from the 'laxity' that occurs after multiple deliveries, but symptoms may be similar. Laser or PRP treatment stimulates collagen production and restores natural elasticity.

> Note: Dr. Dina Rezk will recommend the best procedure for your case during the consultation.

Question 61

How do I know if my pelvic muscles are weak?

Accepted Answer

Specific symptoms indicate pelvic floor muscle weakness that can be identified.

Key symptoms: urinary or bowel or gas leakage; difficulty holding gas or faeces; a feeling of heaviness or pressure in the pelvic area; air entering the vagina during movement; or reduced sensation during intercourse. Accurate diagnosis requires specialist clinical examination.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Question 62

What are the symptoms of pelvic floor weakness?

Accepted Answer

Pelvic floor weakness symptoms are varied and affect different aspects of health and daily life.

Common symptoms include: stress or urge urinary incontinence; difficulty controlling gas; a feeling of heaviness or pelvic organ prolapse; lower back or pelvic pain; reduced sensation during intercourse; and air entering the vagina. If you have more than one symptom, medical assessment is recommended.

If symptoms are recurrent or accompanied by pain or discharge, book a consultation with Dr. Dina Rezk in Riyadh.

Aesthetic Gynecology
Frequently Asked Questions

Have a question specific to your case?

Aesthetic GynecologyFrequently Asked Questions

Have a question specific to your case?

Aesthetic Gynecology
Frequently Asked Questions