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Labial Anatomy Concerns in the Adolescent: A Review.
Ashli A Lawson1, Julie L Strickland1
1Children's Mercy Kansas City, Division of Pediatric & Adolescent Gynecology, Department of Surgery, Kansas City, Missouri; University of Missouri-Kansas City, Department of Obstetrics & Gynecology, School of Medicine, Kansas City, Missouri.
Journal of Pediatric and Adolescent Gynecology
|July 23, 2023
Summary
Concerns about labial size are common in all age groups. Understanding the cause of these concerns is key to management, with patient education often being sufficient, and surgery not recommended for minors solely for cosmetic reasons.
Area of Science:
- Gynecology
- Adolescent Medicine
- Plastic Surgery
Background:
- Labial size concerns are a frequent complaint in adolescents and adults.
- Significant variation exists in labia minora size across prepubertal, adolescent, and adult populations.
Purpose of the Study:
- To address the increasing prevalence of labial size concerns.
- To guide the management of patients presenting with these concerns.
Main Methods:
- Review of existing studies on labia minora size variation.
- Emphasis on thorough patient history to identify the root cause of concerns.
Main Results:
- Wide variations in labia minora size are normal across all age groups.
- Patient education and addressing underlying psychosocial factors are often effective management strategies.
Conclusions:
- Management should focus on understanding the origin of concerns, which may stem from societal pressures or misinformation.
- Patient and caregiver education is paramount.
- Surgical intervention for cosmetic reasons in minors is contraindicated.
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