Fowler Gyn International

The Experts in Vaginal Health Care

Paradise Valley
Medical Plaza

5410 N. Scottsdale Rd

Suite B-200

Paradise Valley, AZ 85253



Call (480) 420-4001

"Finally Revealed- New Treatment For Excessive Vagina Tightness and/or Vagina Tears With Intercourse- That Actually Works"


What are the Symptoms of a Tight Vagina?

The following are a number of real-life symptom scenarios:

Extreme pain with intercourse; the vagina splits at the bottom in the “v” just above the rectum. When the vagina tears it bleeds and then stays sore for days.

During initial insertion it feels really tight but loosens up as things get going so it’s ok until afterwards. Then it’s really sore and itchy for hours.

Fearful and avoids engaging altogether because the vaginal opening feels so tight, even tampon removal hurts. Prior attempts have not been pleasurable because the pelvic muscles go into spasm due to the anticipation of pain.

After menopause and years of sexual inactivity, the vagina feels very tight at the opening. Attempts at intercourse are anxiety provoking because insertion may not be possible.

How Can the Vagina be Too Tight?

Some women have a tight vaginal opening being virginal due to normal anatomy. As an infant the vaginal opening is nearly covered by the thick membrane known as the hymen. With growth and physical activity of childhood, the hymen breaks apart. At puberty with the onset of menstrual periods, the hymenal opening is usually still tight making initial insertion of tampons an ordeal but with successive use of tampons the hymen dilates over time but not necessarily enough to comfortably engage in intercourse without tearing. For non-tampon users, it’s all the more likely that the hymen will not be dilated enough for pleasurable intercourse. Tearing the hymen makes for a terrible first experience.

For women that have engaged in intercourse without difficulty but then stopped for a number of years, the vaginal opening naturally shrinks in diameter. This is especially true for women who have never given birth. Other women encounter well-endowed partners and find it difficult to keep the vaginal opening dilated to this degree.

Then there is a condition called menopause. If you haven’t already noticed, men are responsible for most of the adverse events women face…menarche, menstrual cramps, and menopause! After a number of years of being menopausal, many women, particularly those not taking estrogen therapy, have difficulty with vaginal opening tightness.  The tissues atrophy with aging and shrink from lack of estrogen. Intercourse works as a natural dilator if engaged at least twice per week. The problem being, most couples in this age group do not maintain this frequency for a variety of reasons. Less frequent intercourse coupled with the increasing difficultly for your partner to achieve and maintain erection, the more critical it is to maintain excellent vaginal conditioning and reasonable vaginal opening diameter.

There are a number of conditions in young women where the estrogen effect on the vagina can wane causing vaginal tightness. The vagina is very dependent on estrogen. When there is sufficient estrogen stimulation, the vagina is thick, very elastic, non-sensitive and produces natural lubricant. When estrogen effect wanes, the vagina becomes more “atrophic.” As the effect advances, the vaginal mucosa lining goes from lush pink to reddish pink, then pale pink, and finally whitish with sub mucosal hemorrhage spots. The vagina becomes more dry, less elastic, and sensitive to touch. Under these conditions the vagina begins to shrink in length as well as diameter. Intercourse gradually becomes uncomfortable, if not painful and sometimes impossible. There are a number of reasons why the vagina can become under-estrogenized. Estrogen can wane in overall amounts with less ovarian production beginning in the mid-forties.   Lower systemic estrogen levels can occur due to increased life stress, excessive exercise, and being significantly under-weight. These are called hypothalamic factors because they down regulate the hormones secreted in the brain which control ovarian estrogen production. Some women on birth control pills can experience this problem. Although these women are getting flooded with high levels of estrogen, its synthetic estrogen known as ethinyl-estradiol which does not always effectively stimulate the natural or 17Beta estradiol receptors present in the vaginal mucosa. Changing pill types doesn’t help either because all the pills contain the same type of estrogen. Other women may have vaginal estrogen receptors that no longer function as well as they did in their youth. Smokers metabolize their estrogen faster. In many women, the effects of vaginal estrogen deprivation can occur after menopause or by stopping or reducing the dosage hormone replacement therapy.

How can FGI Help You

It’s your turn to get advanced technology working for you. Dr. Fowler took early retirement from the Mayo Clinic, where he worked as a  gynecologist specializing in vaginal disorders and bio-identical hormones, to hosts this website and makes his knowledge & expertise of evaluating women with vaginal conditions for over 20 years available online…to you, right now! FGI offers diagnosis and individualized treatment protocols for select vaginal conditions that have been used with success by thousands of women. 

Ask yourself,

How long have I had this problem?

How many doctors have I seen?

Do I want to go through another pelvic exam? 

How much would I like to be rid of this problem?

If your answers are too long, too many, I hate pelvic exams, and that would be wonderful!... Register today and get on the path tomorrow that could very well resolve your problem! You must be 18 and not pregnant, a resident of the US (residents of Texas and Oklahoma are not eligible due to restrictivemedical laws). Let FGI help make you the next success story; you may register today if the ribbon on the header is green or yellow! If red, return tomorrow and check availability or put your name on the wait list under “Contact Us” click

Your Options for Services from FGI are as Follows:

1) Potential Client- Sign Me Up. FGI will review your vaginal symptoms and general medical history questionnaire information and clarify the details on the phone with you, recommend the VFA Test if indicated, and create an individualized treatment protocol tailored to your condition with prescription medications! You can register either for “Virtual Services” delivered to the privacy of your residence or schedule an In-Office visit at FGI headquarters in Scottsdale, Arizona.


2) FeminaRx Pure SkinCare Collection. Order the highly praised, time proven, combination of skin products ideal for women with sensitive external genitalia tissues. It took Dr. Fowler 25 years of clinical observations to discover! You don't even need be an FGI Client to purchase.  You may buy these products right now and switch from your current products which likely contain common chemical irritants contributing to your symptoms.  You may think you’re using hypoallergenic products right now, but wait until you feel the difference. This collection contains five hypocontactant products recommended by FGI for all women with sensitive external genitalia skin particularly for those women with vaginal discharge associated with irritation, sensitivity, itching, burning, dryness/ chafed sensation, or sensitivity after shaving genital hair and sensation of urinary urgency/frequency. The Collection contains about 4 month supply of product.

Expectations for Response

While FGI cannot guarantee full resolution or the degree of response to prescribed treatments which can vary from person to person, expect about 2 months before notable improvement in the vaginal caliber can occur with three times per week use of the dilators. If not, conditioning of the vagina with vaginal rejuvenate therapy may be needed and/or  changed if initiated at onset of therapy because the vaginal mucosa of every woman does not uniformly respond to the same type or dosage of therapy. A vaginal fluid analysis (VFA Test) at that time can best clarify how to proceed. Fortunately, most women do experience relief of symptoms with the first line of therapy individualized to their situation. Are you ready for expert help?

Need More Proof that FGI is Here for You?

If you’re still hesitant and need more proof of the expertise and competency of FGI so that you can place your trust in an online medical consulting practice, take your time and investigate more of the information on the home page. Click on How It All Worksand the Organization.  Under the Organization you will find the “CV of Board Certified R. Stuart Fowler, M.D.” where you can read about Dr. Fowler’s training, credentials, and 25 years of affiliation with the Mayo Clinic, and “How Dr. Fowler Developed His Expertise” in vaginalhealthCare. Read “Testimonials” for inspiring success stories of women who have used Dr. Fowler’s treatment protocols. Or call FGI HEADQUARTERS at 480-420-4001 in Scottsdale, Arizona during business hours and talk to the staff. The experts in vaginalhealthCare at FGI treat women with vaginal conditions with confidence. It’s a sub-specialty practice and they know exactly what they are doing. Are you ready for expert help?

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