Several ways: By repairing, elevating, and strengthening the perineum and “perineal body” (the area just outside of and below the vaginal opening) and, if indicated, bringing the pelvic floor muscles into better apposition, both the “angle of attack” and the tightness of the vaginal opening are changed, leading to better gripability of the penis at the opening, and more pressure of this thrusting organ against the clitoral complex.