It seemed like something a 45-year-old divorcee with two kids would get after her husband left her for a 22-year-old.
I thought it was to repair an overstretched pelvic floor, and then maybe add some labia liposuction, and finally re-pinkify the parts down there, somehow. (No vajazzling, though.)
I was wrong. It can be those things above, but then I read this article by a woman with vagjnal atrophy. Her vagina hurt all the time, even when she wasn’t being examined. It sounded dreadful. It has only a partly happy ending, but I still recommend it, even if just to know it’s an option if needed.
Bonus: The male version of vajazzling is called dickorating.