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|June 24, 2011

Summary

Adolescent girls often worry about perceived abnormal genitalia due to media influence. This study found that concerns about labial appearance in young females are common, with surgery risks outweighing benefits.

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Area of Science:

Gynecology
Adolescent Medicine
Psychology

Background:

Media portrayals create unrealistic expectations for female genitalia appearance.
Adolescents are increasingly concerned about perceived abnormalities, particularly labial protrusion.
This can lead to anxiety and a desire for cosmetic intervention.

Purpose of the Study:

To audit adolescent girls presenting with concerns about their genitalia appearance.
To investigate the reasons behind these concerns.
To evaluate the risks and benefits of Female Genital Cosmetic Surgery (FGCS).

Main Methods:

Prospective audit of 16 adolescent girls (aged 10.2–17.8 years) attending a specialist service.
Data collected on labial width, reasons for presentation, and sources of concern.
Literature review on FGCS risks and patient satisfaction.

Main Results:

Concerns included labial size inequality (6 girls) and perceived abnormal appearance due to puberty changes or media (10 girls).
Mean labial width was 36mm, with significant variation.
Risks of FGCS, especially regarding sexual function and long-term satisfaction, are not well-documented.

Conclusions:

Adolescent concerns about genitalia appearance are often driven by unrealistic media standards.
Female genitalia naturally change during puberty, necessitating caution with surgical interventions.
FGCS should be deferred until adulthood, with clear patient expectations regarding outcomes.