Dr. Karyn Eilber

But I do think that this tightening is probably after labiaplasty, you know what I'm saying, Ariana, is the most common thing that is there, right?

I mean, why don't we have like...

penile rejuvenation.

You know, it's always the woman who has to be rejuvenated.

So those are, I think, between the labiaplasty, I think, and the tightening, those are the two most common requests that I would say fall under vaginal rejuvenation.

I mean, for sure, like what Arianna was mentioning earlier, especially I think with runners, if you have excessive tissue, 100% at chafes and no question.

I think also some people probably do, you know, when they're...

I've had people tell me whether it's true or not, and they zip their pants if they really have a lot of excessive tissue.

But then my question is, why don't you have underwear in between your zipper and your pants?

But, you know, we're not judging.

But other than that, I think it is sometimes difficult to get...

The labiaplasty covered, which if it really is labial hypertrophy and it's like a simple vulvectomy versus most women who need a tightening, they have prolapse anyway.

And really what a lot of people don't realize is having a prolapse repair, a benefit is you get some vaginal rejuvenation on top of that.

I always like to tell patients prolapse surgery is a vaginal rejuvenation that is covered by insurance.

It's so interesting when we have this like kind of lack of data and yet we know things do work.

Like I am a big believer.

I think the Mona Lisa really does work.

I'm actually surprised that after all these years, breast cancer patients have not gotten the least indication with insurance coverage for Mona Lisa.

Because even no matter what the data shows, I'm sorry, if you are a breast cancer survivor, I think you have a really hard time listening to anybody, even if we tell you that vaginal estrogen is not absorbed systemically in any significant amount.

I think in urology especially, we extrapolate a lot of data from other specialties.