China
Africa
Explore chapters and articles related to this topic
Intimate areas
Published in Jani van Loghem, Calcium Hydroxylapatite Soft Tissue Fillers, 2020
Jani van Loghem, Job Thuis, Pieter Siebenga
For injection placement, see Figure 35.2. Disinfect and mark the treatment area.Dilute 1.5 mL CaHA with up to 0.6 mL of lidocaine with epinephrine so the product easily spreads to the tissue but retains volumizing capacity.Anesthetize and make three entry points with a 21 G needle: one entry point per labia majora and one in the midline of the mons pubis (Figures 35.3, 35.4).Use a 22 G, 70 mm cannula and inject the CaHA in linear retrograde threads in the dermal–subdermal junction. Use half a syringe per side for the labia.Only treat the anterior part of the labia majora. The risk of product migration to the lowest point increases when the posterior part of the labia majora is also treated. This will result in an aesthetically unpleasant look.
Common vulvar and vaginal complaints
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Physical examination of prepubertal girls should include documentation of Tanner staging, and a head and neck exam to asses for pharyngitis. Examination of the external genitalia can be done in frog-legged or knee-chest position. Nonspecific vaginitis often reveals mild erythema at the introitus and the presence of a small amount of discharge. Poor hygiene can be noted by the presence of excessive smegma or soiling from stool. Gentle downward traction of the labia majora can help visualize the lower vagina and may help reveal the presence of a foreign body. Small CalgiSwabs can be used to obtain a vaginal culture. Vaginal irrigation with use of a small pediatric Foley or feeding tube and a syringe with saline can be used to flush out small bits of toilet paper, the foreign body most often found. If the patient cannot tolerate an examination in the office, or if foreign body is suspected, examination under sedation, and vaginoscopy using a small hysteroscope or cystoscope are indicated.12Figure 8.5 demonstrates the presence of foreign body, in this case, stuffing from a toy bear, in a 6-year-old girl presenting with a 6-month history of malodorous vaginal discharge.
Normal Fetal Anatomy
Published in Asim Kurjak, CRC Handbook of Ultrasound in Obstetrics and Gynecology, 2019
The fetal sex is best demonstrated by performing a longitudinal scan opposite to the spine. The male genitalia are more easily seen and can be clearly detected as early as 14 weeks by demonstration of the penis and scrotum floating freely in the amniotic fluid (Figures 50 and 51). Being much less prominent, the female genitalia are more difficult to see early in the second trimester. In most cases, female sex cannot be established with certainty before 17 to 18 weeks. Diagnosis of the female is based on visualization of the labia majora. In most cases, the labia minora can be also demonstrated (Figure 52). Although the detection of the fetal sex is considered to be less important from a clinical standpoint, familiarity with the ultrasonic appearance of the genitalia enables antenatal diagnosis of its malformations and is of particular importance in estimating of the risk of sex-linked diseases.
Gayzing Women’s Bodies: Criticisms of Labia Depend on the Gender and Sexual Orientation of Perceivers
Published in The Journal of Sex Research, 2023
Flora Oswald, Cory L. Pedersen, Jes L. Matsick
Increasingly, women in Western countries are seeking genital cosmetic surgery to align their bodies with sociocultural ideals (Chibnall et al., 2019; Clerico et al., 2017). Labiaplasty – removing portions of the labia minora with the aim of rendering them minimally visible beneath the labia majora (Jones & Nurka, 2015; Sharp et al., 2016) – is among the most commonly sought forms of female genital cosmetic surgery in the United States and, in 2020, was globally the 16th most common plastic surgery procedure overall (International Society for Aesthetic Plastic Surgery, 2020). Most women pursue labiaplasty for aesthetic reasons (Crouch et al., 2011; Goodman et al., 2010; Veale et al., 2014), which has raised concern regarding the stigmatization of naturally diverse labial appearances and the corresponding perpetuation of narrow labial ideals (Braun, 2019; see also Skoda et al., 2021).
Molecular study and genotype–phenotype in Chinese female patients with 46, XY disorders of sex development
Published in Gynecological Endocrinology, 2021
Junke Xia, Jing Wu, Chen Chen, Zhenhua Zhao, Yanchuan Xie, Zhouxian Bai, Xiangdong Kong
P.5 complained of primary amenorrhea. Testicles were detected around her right iliac fossa by US. The serum testosterone was 11.37 ng/mL. Her mother’s sister suffered from the same symptoms (Supplement Figure 1). P.6 complained of primary amenorrhea. Normal female genitals were observed. US showed no uterus, and two ovarian-like masses around her bilateral iliac vessels. Needle biopsy was performed, and pathology results confirmed that the two masses were actually testicles. P.7 visited the hospital because of genital abnormality. Her clitoridauxe resembled a micropenis, behind which the urinary meatus was observed. The vaginal orifice could not be observed. Labia majora and labia minora were normal. P.8 complained of genital abnormality. Her clitoridauxe resembled a micropenis. Both labia majora and labia minora were over-hypertrophic and resembled a scrotum, which appeared to fuse together with the micropenis. The urinary meatus was at the bottom of the micropenis, and the vaginal orifice could not be observed. P.9 was 1-year old and was admitted to the hospital because of genital abnormality. She had been diagnosed with hernia from an unknown origin. Her clitoridauxe resembled a micropenis, behind which the urinary meatus was observed. The vaginal orifice could not be observed. Labia majora and labia minora were normal.
Perceptions of Female Genitalia Following Labiaplasty
Published in The Journal of Sex Research, 2021
Kaylee Skoda, Flora E. Oswald, Lacey Shorter, Cory L. Pedersen
Female genital cosmetic surgery (“FGCS”) is becoming increasingly widespread internationally and is one of the world’s fastest growing cosmetic surgeries (Chibnall et al., 2019; Clerico et al., 2017), although these procedures constitute only a small percentage of cosmetic surgical interventions overall (Jones & Nurka, 2015). Labiaplasty is among the most commonly performed types of FGCS (Clerico et al., 2017; Jones & Nurka, 2015) and entails the removal of portions of the labia minora, typically with the aim of making the vulva appear smaller and more symmetrical (Goodman, 2011, 2011; Gunter, 2019). Women’s reasons for pursuing labiaplasty are primarily esthetic, generally involving a dislike of the labial appearance (Crouch et al., 2011; Goodman et al., 2010; Rouzier et al., 2000; Veale et al., 2014); accordingly, the surgical norm is for the labia minora to be altered such that they are rendered minimally visible or completely invisible beneath the labia majora (Jones & Nurka, 2015; Sharp et al., 2016).