“I feel and I can clearly see that certain proportions of my intimate area have changed, whether externally or internally – pubis, labia, vagina, etc. I’m beginning to feel uncomfortable in close-fitting clothing or swimwear. Is it normal? What can I do?”
The gynaecologist/intimate rejuvenation specialist’s answer:
There is no standard!
There are no two women alike and the vulva’s shape and appearance naturally change over the years. The most obvious changes are linked to hormonal changes occurring at puberty, during the menstrual cycle, in pregnancy and around the menopause.
At puberty, the labia gradually become larger and thicker, as the epidermal process that renews the cells – keratinisation – changes. After puberty, the labia become more easily visible as their prominence increases. As a woman continues to mature, the labia’s thickness and length continue to increase, such as after pregnancy and delivery.
After the menopause, the level of female hormones such as oestrogen and progesterone declines in the blood because ovarian function ceases. All over the body, skin tissue begins to atrophy, in other words lose volume. The skin’s barrier function is impaired and it becomes dry. Due to decreased skin thickness and hydration, there is an increased risk of skin disorders.
However, if some sensations and changes begin to cause embarrassment or discomfort, don’t hesitate to ask your gynaecologist or intimate rejuvenation specialist about solutions. Simple medical protocols exist, whether to correct volume or skin firmness.”
Before suggesting a treatment, the doctor will confirm the “disproportion” diagnosis by taking a medical history, followed by a clinical and gynaecological exam. If the patient does not present any contraindications, such as an active urinary infection or a herpes flare-up, the appropriate SOS dryness protocol may immediately begin.
1st stage: Inflammatory symptoms prevail: swollen, red and painful vulva.
2nd stage: It is primarily characterised by a loss of volume (also described by the term atrophy), skin is less firm and has lost elasticity. The labia majora and minora are flattened.
3rd stage: it is characterised by both inflammatory symptoms and loss of volume or atrophy. Female genital organs that have become slack over time lead to both aesthetic and functional problems, including repeated infections, stress urinary incontinence and reduced sensation during sexual intercourse.