Is Perineoplasty Covered by Insurance? Orange County Costs and Considerations

Aging, injuries, or childbirth can impact your perineum, which is the space between the vaginal opening and anus. Not only can having an injury or scars in the area be painful, but it can also impact your self-confidence and make sexual intercourse uncomfortable.
To address the problem, you can opt for a perineoplasty in Orange County. But what does this process entail, and can it be covered by your insurance? Learn more about perineoplasties and why they could be the right choice.
What Is a Perineoplasty in Orange County?
A perineoplasty is a surgical procedure that helps tighten the perineum, the area between your vaginal opening and anus.
The perineum is essential for supporting your pelvic floor muscles and reproductive organs. If it suffers any damage, whether as a result of childbirth, aging, or an injury, it can cause discomfort as well as a loosening of the skin around the vaginal opening.
You may opt for a perineoplasty for a number of reasons. You might feel self-conscious about the way your vaginal area looks, or you may experience diminished sensation during intercourse. Some people may also feel pain if scar tissue has developed.
To perform the procedure, your surgeon will cut into the perineal area and remove excess skin and scar tissue. They’ll also repair tissue layers, including damaged muscles, around your vaginal opening.
A perineoplasty can be combined with other vaginal rejuvenation procedures like a clitoral hood reduction, vaginoplasty, and labiaplasty. These procedures typically do not require a hospital stay but are performed in outpatient surgical centers.
Good Candidates for Perineoplasties
A perineoplasty can be a good choice for women who are in overall good health and experiencing looseness of the skin in the vaginal area because of childbirth trauma, injury, or aging. It’s helpful for women who feel discomfort during daily activities or sex.
Most of the time, the procedure will tighten muscles, but in some instances, the perineal muscles are already too tight, leading to painful intercourse. If that is the case, the surgery addresses this problem by releasing muscle tension.
The right candidates will also have realistic expectations. They must be ready to follow all recommendations from their surgeon when it comes to aftercare.
You may not be a good candidate if you can’t take time off to recover. A perineoplasty will require that you avoid excessive activity for a few weeks. You will also need to not have intercourse for at least four weeks, though it can take as much as two months to fully recover.
Perineoplasty Cost in Orange County
How much the procedure will cost depends on the complexity of the surgery. Typically, you can expect to pay between $4,500 and $12,000. If you receive it alongside other procedures, such as a mommy makeover, the prices can rise to $15,000 or more.
These costs will include all manner of surgeon and facility fees. The price will also depend on how popular the surgeon is and how much experience they have. As with any medical procedure, cheaper isn’t better.
Are Perineoplasty Procedures Covered by Insurance?
People often worry about insurance coverage when they plan on undergoing these procedures. The leading factor in determining whether the surgery is covered or not is whether it’s a reconstructive or cosmetic procedure.
If you’ve been through childbirth and suffered serious damage or needed to have an episiotomy (which widens the vaginal opening by cutting into the perineum), a perineoplasty may be covered. That’s because it’s a medically necessary treatment. Your insurance might cover all or part of the surgery.
If you’re getting a perineoplasty mainly for cosmetic reasons, however, most insurance plans won’t cover it.
For example, if aging is the cause of skin looseness and you’d like to address it for aesthetic purposes, you’ll have to pay out of pocket. It’s essential to consult with your insurance company to make certain you understand what your options are.
David Ghozland, M.D. Offers Expert Care
If you’re struggling with painful intercourse, discomfort throughout your day, or self-confidence problems because of a damaged perineal area, there are surgical options available. David Ghozland, M.D., provides leading gynecological and surgical treatments in Orange County.
At our office, you will receive the compassionate and experienced care you deserve. If you’re concerned about the cost of these procedures, speaking with your surgeon can help you understand what to expect and whether you are eligible to receive insurance coverage. Contact David Ghozland, M.D., to schedule a consultation.