Background
A woman may complain to her provider that her vaginal opening feels or appears enlarged. This can be the result of pelvic organ prolapse or a damaged perineal body. This problem is not life-threatening, but a woman may complain of a bulge coming out her vagina, sexual dysfunction, or defecatory dysfunction. The urogynecologic term for this is an enlarged “genital hiatus”, although other providers may use the terms “relaxed vaginal outlet” or “enlarged vaginal introitus.” None of these terms are an actual diagnosis, but rather a physical exam finding of which a patient may or may not be symptomatic.
Multiparous patient with an approximately 3cm vaginal introitus.