Rejuvenation of external female genitalia Flashcards
Ageing of female genitals modified by diet
T Also; Genetic influences Childbirth Environment Cultural factors Exercise Past illness Other factors
Pubic hair becoems more curly with age
F
less curly and lost pigment
Labia minora increase in size with age
T
usually do and lose elasticity
‘labial hypertrophy’
Labia majora and mons increase in volume with age
F
loss of volume
Pigmentation of the skin and mucosa of the vulva is reduced with age
F
increased pigmentation
but loss of mucosal redness
Hyaluronic acid-based fillers used as Rx for volume restoration in mons and labia majora
T
90% of women with concerns about the appearance of the vulva have symptomatic changes
F
90% cosmetic concerns only
Symptoms of labial hypertrophy include include dyspareunia, irritation or problems with clothing or hygeine
T
Labial (minora) hypertrophy is assymetrical in 50%
F
usually symmetrical
Pts with Labial (minora) hypertrophy are often concerned about perceived masculinisation of the genitalia
T
surgery is advisable for women with cosmetic concerns due to labial (minora) hypertrophy
F
If asymptomatic reassurance and hygiene advice measures are sufficient
Consider surgery for those with irritation due to hypertrophy
Labium minus being wider than 5cm from base to free margin at its maximum height is a parameter of correction
F
wider than 4cm
Should refuse surgery if pt has high psychological vulnerability, BDD or low self esteem
T
refer to counselling
Must screen for BDD and for external pressure being put on the pt
pre and post op photos are recommended for labioplasty
T
risk of asymmetry is negligible in labioplasty
F
Must advise of this risk
Pts need full careful and slow explanation of procedure risk and side effects
