Over time, many changes occur to the pelvic floor muscles, bladder, rectum, anus, vagina, and labia. There are many causes for these changes; most of which are beyond the control of the individual. Most commonly, pregnancy and childbirth have a dramatic effect on the integrity and strength of the pelvic muscles. Many women heal back to a point where they feel satisfied but often state just not the same? Care providers will usually teach Kegel exercises as a way to improve pelvic function non-surgically. When these efforts are not adequate, many women will seek surgical assistance. Natural aging, repeated heavy lifting, medical conditions that cause a lot of coughing or straining, and weight gain can also lead to drastic changes in genital function and appearance.