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Labia minora hypertrophy: pathologizing diversity?

Sara Perelmuter1

  • 1Weill Cornell Medical College, New York, NY 10021, United States.

Sexual Medicine Reviews
|May 16, 2024
PubMed
Summary
This summary is machine-generated.

Labia minora hypertrophy is common and largely nonpathologic, yet often medicalized. Demedicalizing elongated labia and educating the public on genital diversity are crucial to avoid unnecessary cosmetic surgery risks.

Keywords:
labia hypertrophylabia minoralabia minora elongationlabia minora reductionlabiaplastymedicalization

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Area of Science:

  • Gynecology
  • Anatomy
  • Medical Ethics

Background:

  • Labia minora hypertrophy, where labial tissue extends beyond the labia majora, lacks a precise definition.
  • Despite its prevalence, societal attitudes and surgical interventions often overshadow the understanding of this common anatomic variation.
  • Further research into labia minora hypertrophy is vital to acknowledge and study this underrepresented aspect of genital diversity.

Purpose of the Study:

  • To comprehensively review existing literature on labia hypertrophy.
  • To discuss the definition, causes, societal attitudes, and management of labia minora hypertrophy.
  • To explore the implications of the medicalization surrounding labia minora hypertrophy.

Main Methods:

  • A thorough review of scientific literature specifically addressing labia minora hypertrophy was conducted.

Main Results:

  • Labia minora exhibit extensive variation in appearance and size; hypertrophy is highly prevalent and typically nonpathologic.
  • Standardized criteria for defining labia hypertrophy are currently lacking.
  • Global attitudes towards labia hypertrophy vary, with a trend toward medicalization observed in Western countries.

Conclusions:

  • The negative attitudes and medicalization of nonpathologic labia hypertrophy are unwarranted and carry potential risks.
  • There is a pressing need to demedicalize nonpathologic elongated labia and promote public education on genital appearance diversity.
  • Improved understanding of the long-term outcomes and risks associated with cosmetic genital surgery is essential.