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Case 12 - A 21-Year-Old Woman with Labial Pain During Exercise

Published online by Cambridge University Press:  19 November 2021

By
Christine Isaacs
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 21-year-old nulligravid woman presents complaining of vulvar pain and irritation noted during exercise and with tampon insertion. She is an avid cyclist and rides approximately 75 miles per week as her routine. Her gynecologic history is unremarkable, but upon further questioning, she notes frequent friction and a “pulling sensation” with sexual activity. She has no medical or surgical history and uses a levonorgestrel intrauterine system for contraception. She takes no medication and has no allergies.

Keywords

labial hypertrophylabioplastydysparunia
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 32 - 33
Publisher: Cambridge University Press
Print publication year: 2021

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References

Tepper, OM, Wulkan, M, Matarasso, A. Labioplasty: anatomy, etiology, and a new surgical approach. Aesthet Surg J 2011; 31: 511–18.Google Scholar
Elective female genital cosmetic surgery: ACOG Committee Opinion, Number 795. Obstet Gynecol 2020; 135: e36–42.CrossRefGoogle Scholar
Motakef, S, Rodriguez-Feliz, J, Chung, MT, et al. Vaginal labiaplasty: current practices and a simplified classification system for labial protrusion. Plast Reconstr Surg 2015; 135: 774–88.CrossRefGoogle Scholar
Hunter, JG. Labia minora, labia majora, and clitoral hood alteration: experience-based recommendations. Aesthet Surg J 2016; 36: 71–9.CrossRefGoogle ScholarPubMed

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