Q&A: How would I know if I have labiahypertrophy of the labia majora?

Ask A Doctor Question: 

How would I know if I have labiahypertrophy of the labia majora? They don't sag or hang, but I have to hold them open during digital or oral clitoral stimulation? And I heard it's caused by high testosterone levels, would this also explain heightened pheromone levels?

- Curious


Eugene J. Cherny, MD, FACS - LocateADoc.com

Hi, great questions. The most common procedure in this area is a reduction of the inner labia, or labia minora.  We do have some requests for labia majora enhancement.  The labia majora or outer lips of the vagina are generally plump and full in young women, and diminish over time especially after menopause.  This parallels aging in the rest of the body. So generally volume is good, but not too much.  If your labia majora volume is causing functional issues that can't be corrected with lubricants, or for cosmetic reasons, they can be reduced.  The mons pubis and labia majora respond well to liposuction. Liposuction of the mons pubis has been pretty popular as of late.  If the labial  excess is of primarily skin, excision of that loose skin with a hidden scar can be done.  If clitoral exposure is inadequate, a clitoral hood reduction can be done also, alone or with a labioplasty.  We do many of these procedures under local anesthesia in my private operating room.  This is possible because topical anesthetics work quite well in this area. 
Btw, excessive testosterone in women causes excessive hair, muscularity, aggression, and enlargement of the clitoris, not labia.  Some docs treating low sex drive in women will treat with a tiny dose of testosterone. This does not cause side effects properly prescribed. 

--Eugene J. Cherny, MD, FACS
Des Moines, IA

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