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When a woman is aroused, it increased to 4.25 inches to 4.75 inches. Tarnay says the main issues he sees women have is discomfort during sex.

Regardless of how long the vagina is, the area that is thought to be important for most women’s sexual response is the outer one-third. This typically occurs if the vagina is too short or tight or they have a prolapse, where the uterus, bladder, or other organs fall out of place, typically after childbirth. “There is such a wide range of normal, one can be completely assured that in the absence of prolapse, length has no impact on sexual satisfaction.” What may make a difference, Tarnay says, is what he calls the genital hiatus -- the vaginal opening.

Not a lot of research has been done in this area and because there are so many variables at play in women’s sexuality it is difficult to tell if vagina size and sexual pleasure are linked.

“Our ability to understand size as it relates to sexual function is poorly understood,” Christopher Tarnay, MD, director of the division of female pelvic medicine and reconstructive surgery at the UCLA Medical Center, tells Web MD.

The complaints he hears from his patients are typically after childbirth.

“Women will come in describing a change in sexual function and say it feels loose and they feel less satisfied,” he says.

“But in the last 10 to 15 years, there has been a lot more attention paid to the field of sexual medicine.” The vagina is a very “elastic” organ, says Christine O’Connor, MD, director of adolescent gynecology and well women care at Mercy Medical Center in Baltimore.

Researchers used medical records, an exam, and questionnaire of 500 gynecological patients aged 40 and older to see if there was a correlation between vaginal length and opening size and sexual satisfaction.

This is because the walls of the vagina are similar to those of the stomach, they have rugae, meaning they fold together to collapse when unused, then expand when necessary.

“It doesn’t stay one particular size,” O’Connor says.

While exercising, be sure to breathe normally and try not to use the muscles in your legs, stomach, or bottom.

Some women sustain nerve injury during birth and can’t feel these muscles. Tarnay says there are even physical therapists who specialize in helping women perform Kegels properly.

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