Pelvic Organ Issues and Prolapse
The external genitalia of a woman is made up of the labia majora, labia minora, vestibule, and clitoris.
The labia majora are larger, have pubic hair, and contain a fat pad, nerves, blood vessels, and glands.
The labia minora are thinner and start at the clitoris and extend down to the vestibule. They vary in shape, size, and color. It is equivalent to male foreskin.
The vestibule is the area at the entrance into the vagina that contains the urethral opening, vaginal opening, and Skene’s and Bartholin’s gland duct openings.
The clitoris is a very sensitive area that is the primary source of female sexual pleasure. It contains more than 2000 nerve endings. It is equivalent to the male penis.
Labialplasty is the removal or reshaping of either the labia majora and/or the labia minora.
The labia majora can deflate and sag with age causing a change in appearance of the external vulva and/or discomfort in clothes and during intercourse.
The labia minora can range in size and length from small lips hidden within the labia majora to larger lips that protrude and extend from the clitoral hood all the way down below the vaginal opening. Genetics, childbirth injury, trauma (chronic trauma can occur over time from activities such as bike riding; or, acute trauma such as an injury such as a tear or fall), and age can change the size and shape of the labia. The labia can become a source of pulling or pinching with exercise and intercourse, lead to discomfort in clothing, underwear, bathing suits, and cause embarrassment and self-image issues.
Many treatment options exist today including surgical and non-surgical options.