Welcome to OBGYN Champs, the show where no question is off limits. Join host Morgan Allen and board-certified OB/GYN Dr. Suny Caminero, MD, as they tackle the topics women are often too embarrassed, afraid, or unsure to ask about. From hormones, menopause, and sexual wellness to pregnancy, pelvic health, cosmetic gynecology, and everything in between, each episode delivers honest conversations, expert advice, and practical insights to help women take control of their health with confidence.
Whether you’re in your 20s, navigating motherhood, approaching menopause, or simply looking for trustworthy answers, OBGYN Champs is your place for real talk, myth-busting, and empowering education. Tune in, ask your questions, and join the conversation because your health deserves to be talked about.
Dr. Suny Caminero, MD, OB/GYN
Founder of Cosmetic Gynecology Florida
Website Address: https://cosmeticgynecologyfl.com/
Can vaginas become too loose for sex, or is that just a myth?
Dr. Suny Caminero:
It’s never too loose. You can always have sex, but it can become too loose for you to feel when you’re having intercourse, for sure. I have patients who say they don’t feel anything. They don’t even know if their partner is inside or not, which is really sad, actually. I also have patients who can’t even hold a tampon because the vagina just spits it out, essentially. So, yes, you can become too loose for sex.
Morgan Allen:
Can it be from anything besides childbirth?
Dr. Suny Caminero:
Most of the time it is from childbirth. Typically, it’s when it was a big baby for the size of the pelvis or multiple childbirths.
Another cause comes from sex toys. Some women use really, really large sex toys. Over a period of time of using these really large sex toys, the tissue is going to expand, kind of like it expands when having a baby. And that can also potentiate having a larger-sized vagina.
Not so much as a baby; it’s not to that degree. It’s not like having a baby, but it can become too loose.
If sex doesn’t feel as good as it used to, how do you figure out the cause?
Dr. Suny Caminero:
Most women kind of know. Most women know, ” I had a baby, and now it doesn’t feel the same.” Or it feels better for some women who are very, very small. For example, when they have a baby, it feels better because it doesn’t hurt anymore. So for them, it feels better. It can change because of babies, hormones, or because they’re getting older. So they have a general idea of what caused it.
As a physician, I have to do an exam and figure out why. What is the problem? Is it a hormonal issue? Is it an anatomical issue? Is it a pelvic floor issue? Is it a relationship issue? Is it something else? That’s where the examination and the conversation with the patient come in.
Can the way a woman’s vulva or labia is shaped actually affect which sexual positions are comfortable?
Dr. Suny Caminero:
It can. The labia, for example, if it’s too long- and sometimes some women have labia that are very long- when they’re having sex, the labia can actually get pulled inside. And when it gets pulled inside, it hurts. It can create friction. It can create irritation. Sometimes women have to physically move their labia out of the way before having intercourse because otherwise it gets caught. So they hang more, and sometimes that happens. It gets, like, caught on their underwear, and sometimes it does affect when they’re having sex because it kind of gets caught in and out when they’re having sex, and that can be uncomfortable.
And then after they have a labiaplasty, or even the hood of the clitoris, which is the skin- it’s not necessarily the clitoris, even the hood- that excess tissue, we do remove that. Then all of a sudden they’re like, “Oh, I didn’t realize that this was bothering me this much.”
It happens with runners, too, in the labia, actually, over time, because it’s constantly being rubbed with things. It gets even thicker because it’s responding to an injury. It gets darker because it’s responding to an injury.
Why does the vagina get darker?
Dr. Suny Caminero:
So there are different colors of labia. Just like there are different colors of skin, there are different colors of labia. And that is completely natural. But labia that are really protruding and getting friction and injury can become darker because they’re responding to injury. If you injure yourself, that area gets pigmented. Well, the labia, constantly getting rubbed, get hyperpigmented, too.
Morgan Allen:
Is there a fix for that? Like, because I’ve heard of bleaching and things like that.
Dr. Suny Caminero:
There are different treatments for hyperpigmentation. There are lasers. There are creams. There are different ways to treat it. But often, over time, it either comes back if you don’t do anything about it, right? So down there in the labia, as long as it’s exposed to injury, it will keep getting pigmented.
If a woman is turned on mentally but her body isn’t producing lubrication, what is actually happening?
Dr. Suny Caminero:
Most of the time, they aren’t producing lubrication because something else is going on. Either there’s a hormone issue or there is some kind of pain. And so you can be turned on mentally, but if you know it’s going to hurt, you’re going to avoid it. And so that does affect that relationship and having intercourse. You know it’s going to hurt, and you just decide not to do it.
Can they affect the lubrication because they’re hormone-blocking?
Dr. Suny Caminero:
Absolutely. Birth control blocks your own production of estrogen and progesterone because it’s giving it to you via the pill or via whichever way that you’re getting the hormone. And it does decrease the lubrication to the vagina.
So some women do end up, and often you’re getting enough of the hormone and enough of the estrogen through the pill, for example, then you may get some into the vagina and not be an issue. Depends on the dose of the birth control, too. So if it’s really too low of a dose, which is pretty popular now to do the low, low doses, those really take away the estrogen from the vagina, and then you have a lot of dryness.
Do libido-increasing drinks actually work, and are there healthier ways to increase libido?
Dr. Suny Caminero:
It’s like alcohol, right? You have alcohol, and then you’re more uninhibited. Those drinks are more about increasing your serotonin and dopamine in the brain, not so much what they’re going to forever and ever and ever give you more libido. That is very short, if it’s even going to work. And I don’t know that it actually does work, but if it does, it’ll be very short-lived.
Morgan Allen:
That’s just a quick remedy for getting in the moment?
Dr. Suny Caminero:
Yes. Getting in the moment, yes.
Morgan Allen:
Okay. Yes. That’s good to know. Some people think that, okay, if I drink these, I’m going to be turned on all the time, and it’s just going to be this wild, crazy, sexy life, and it’ll be happening everywhere.
Can scarring from tearing or an episiotomy still affect a woman’s sex life years after giving birth?
Dr. Suny Caminero:
Yes. Nowadays, there aren’t that many episiotomies being done, which is fantastic, right?
Morgan Allen:
What is an episiotomy?
Dr. Suny Caminero:
When the baby’s being born and there’s not enough space for the baby to come out, or the baby is misbehaving in the sense that the heart rate is dropping and you have to get the baby out really fast. And the fastest way to get the baby out is to cut the bottom of the vagina to allow for a bigger space for the baby to come out faster because you’re trying to deliver the baby as fast as possible for whatever emergency reason there is.
Nowadays, not many are done, which is great. But an episiotomy is a cut in that bottom area of the vagina, typically. Then it gets repaired after the delivery.
Sometimes, obviously, in that spot you can have scar tissue. Many women have actually no issues with it. But for women that have issues, they can have some kind of, like, a hot spot. Like, every time I touch it, it’s painful. And so anytime they have sex, it’s painful, so they avoid having sex.
Another thing is that sometimes it doesn’t heal well. Sometimes that opens up. And at that time, you’re taking care of a baby. You’re not even paying attention to your vagina at all. You just want to sleep and take care of your baby. And so it feels kind of wonky. It doesn’t heal right. It feels maybe just open. Now the vagina is opening larger, and with that, you end up having a wider opening to the vagina, which means that when you’re having sex, you don’t really feel any friction going in.
What can perineoplasty change for a woman who says sex has never felt the same since childbirth?
Dr. Suny Caminero:
So perineoplasty is, there are muscles, okay? And these muscles are typically the ones that not necessarily get cut, but get injured with having a delivery, an episiotomy. So these muscles get loose, kind of like stretching, stretching a rubber band that doesn’t kind of come back. So they get loose, and then the vagina kind of opens up.
A perineoplasty essentially is going into these spaces and finding those muscles and bringing them back together and closing that spot. So now you have better support. Now when you bring it back together, instead of being kind of wide like that, right, now it’s like this. So now you can see there is friction forces coming in.
And for us women, not only is our clitoris a big sensation area, it’s the major one actually, but also we have the spot right back here, which is our G-spot, essentially. And so if you’re coming in and you’re not having friction in that area, that’s when women start having different positions, right? Like, “It only happens in this position because it hits that spot.” And so when it’s too wide, you have to, like, come up with all these different ways of trying to get to that spot. When you close this area, now you have the friction in the right, correct area so that you are able to have an orgasm in different positions and not just have one position.
Is the G-spot in the same location for everyone?
Dr. Suny Caminero:
It’s not the same exact spot, but it’s in the same location. There are multiple spots, but the G-spot in particular is in the same location, the same vicinity.
Morgan Allen:
It’s like three inches in or something like that, or like close?
Dr. Suny Caminero:
Less. The area where you pee, the urethra. It is about, right, like maybe half a centimeter in, right under that.
Can a micropenis create internal orgasms?
Dr. Suny Caminero:
Yes, however, most women don’t have internal orgasms. Most women have orgasms that are related to having both the G-spot and the clitoral stimulation. The majority of women- over 90% of women.
Morgan Allen:
I’m sure that makes a lot of men feel better about themselves.
Do you recommend using a vibrator or toy during sex if you’re trying to have an internal orgasm?
Dr. Suny Caminero:
I recommend you use whatever works for you. Women shouldn’t be shy about finding their spots. Know where it is. Teach your partner; he won’t know. It’s okay to teach them and say, “This is the area,” and go for that area, and use whatever you need to get to the goal. And sex isn’t just for him.
I think culture is changing and views are changing. And now it’s more, more and more women are not just, like, about serving. When it comes to intimacy, they’re not just about serving. Many men aren’t just about being served, either. Many men do want to serve you, too. So it’s a mutual interest for both.
