most doctors even OBGYNs aren’t taught
to discuss genital comfort function and
appearance and to top it off most
insurance companies won’t cover costs
they deem cosmetic even if function is
affected let’s begin with that awkward
thing that we’ve all been through which
is puberty okay
our bodies change during puberty and a
girl’s developing body estrogen
stimulates things to grow most
noticeably the breasts but what you may
not know is something else is being
stimulated to grow down there the inner
lips of the labia minora and just like
the breasts they can become larger
change color and become uneven I’m quite
sure that many gentlemen out here can
relate to issues concerning size but
while I doubt many men will complain
about their penis growing or developing
body hair it’s different for young women
back to the breasts for a minute all
girls grow breasts during puberty but
some grow bigger than others for girls
with extremely large breasts this
condemned their self-confidence and
impact comfort and their ability to
exercise some women will seek a breast
reduction to address these issues and
are happier because they sought a
solution when a woman feels good about
her body her confidence shines through
and just like the breast the same thing
can happen to the inner labia yes people
don’t be afraid to say the word come on
say it with me labia labia maybe uh when
there’s more than average growth it can
be noticeable but not an inconvenience
with substantially more growth however
it can be painful and physically
problematic suddenly there can be tissue
sticking out and it can be uncomfortable
doing any physical activity even sitting
or walking or wearing certain clothes
like jeans or swimwear hygiene can
become a problem and putting in tampons
as well and for older sexually active
teens sex can become unnaturally
for feeling abnormal or uncomfortable or
experiencing pain or embarrassment can
lead to feelings of depression and
self-loathing during a time when girls
should be embracing their body’s changes
body image is a huge issue for teens and
it’s important as parents that you talk
to your children about this and any
concerns that they have most girls are
mortified to talk to their parents about
this or their doctors and pediatricians
rarely counsel the moms of preteen girls
about the changes that may occur and
what to expect and what they can do so
they can better advise their daughters
OBGYNs don’t ask during a pap smear does
this tissue bother you get in the way so
it’s your job to talk to your daughters
about this and although surgery is
available it’s preferable to wait until
18 because their bodies are still
developing unless the your child’s
activities are severely restricted or
she’s an emotional distress or has
chronic pain parents would tea with
preteen daughters you should go home and
give them a mirror and tell them to take
a look you should reassure them that
there’s nothing embarrassing about body
development or sexual function it’s a
natural part of growing up and what’s
more important is to know what’s normal
for you and when something changes in a
negative way that will impact you and
that way you have time to address it
before bigger problems arise dad’s your
daughter’s probably don’t even want you
to know that they have their periods but
you can just let them know that you’re
there for them labia reduction has been
a taboo thing between parents patients
doctors and insurance companies and to
make matters worse most insurance
contracted doctors are not trained to
perform labiaplasty procedures there’s
also a huge misperception that women are
seeking labiaplasty strictly for
cosmetic purposes and having performed
over 800 labia reductions I can firmly
state that that is not the case my
experiences
that this discomfort starts in puberty
and while it doesn’t matter as much the
size of the labia as the problems that
they cause it’s imperative to do Sigma
ties this part of the female anatomy and
more importantly it’s important to be
comfortable in one’s body can create
happier daughters sisters and moms
speaking of moms we know puberty is just
the beginning can you guess the next big
event in a woman’s life yep it’s having
kids and boy do they change us it could
be the first baby or the fifth baby and
it could cause a wide variety of
symptoms from mild to severe that can
impact bladder bowel and sexual function
as well as the quality of their lives
and even though these are considered
normal changes of childbirth you don’t
have to live with them
most OBGYNs will discuss losing the baby
fat but they won’t talk about these more
intimate concerns and the fact that
there are treatment options available to
restore this kind of function so with
the bladder there’s three kinds of
incontinence but we’re just going to
talk about the one that’s related to
childbirth
that’s called stress urinary
incontinence and that’s leakage of urine
with coughing sneezing bending laughing
lifting jumping all the things that you
may do running after a toddler this is
due to the lack of support of the
bladder neck with increased abdominal
pressure surgery radiofrequency and
lasers can all support the bladder neck
and help reduce urinary leakage bowel
function can change to going to the
bathroom used to be in and out kind of
thing but after childbirth it can take
time and effort and ladies like
gentlemen can get constipation and
hemorrhoids so not sexy and depending on
how badly this has impaired surgery can
fix this
now we’ve add all muscles weak vaginal
opening muscles can cause a partner to
fall out compromising sexual function
this plus reduce sensation for one or
both partners and air causing gas like
noise
are the most common reasons women seek
doctors like myself to help restore
function and often when women go to
their doctors and ask them what they can
do they’re told to squeeze their muscles
but their muscles are no longer
connected imagine the birth canal as
this toilet paper roll and it’s cut from
one end to the other and this is before
childbirth this is after childbirth so
the fact is that there are surgeries and
non-surgical options to help restore
sexual function talking about sex let’s
talk about how aging and gravity can
impact sexual function as we go through
the last major event which is menopause
as we age the hormones estrogen
progesterone and testosterone decline
causing all kinds of symptoms like
irritability emotional distress and
temporary insanity these these are
symptoms of menopause but they can also
include a lack of energy vaginal dryness
causing painful sex urinary leakage and
reduced orgasmic intensity and many
women also feel reduced desire and so
their partners may feel neglected
but not know why now hormones have been
given a bad rap but they can be life
restoring for women that have no risk
factors supplementing low hormones can
restore a body’s balance but not all
women can or want to take hormones so
you can treat menopausal symptoms with
lasers and radiofrequency which we can
restore moisture and tightness to the
vaginal canal and although these are not
permanent solutions they have almost no
risks and have no downtime now
hysterectomies are also common during
menopause and these can happen because
of bleeding problems cancer and because
the uterus is literally falling out now
just like there are many reasons to have
a hysterectomy there are several kinds
of hysterectomies you should know about
and you can have them with or without
the cervix being taken
and with or without the ovaries being
removed they can also be done through
the abdomen or through the vagina and
I’m always surprised when I have
patients that come to me and tell me
they’ve had a hysterectomy but don’t
know if they have their cervix or their
ovaries it’s really important if you’re
going to have surgery that you know
what’s being done to you you need to
take ownership of your body and that’s
the most important thing you can do
don’t be afraid to voice your concerns
about your genitalia write down a list
of your symptoms or questions and take
that to your doctor information is power
and your doctor may or may not be
qualified to help you and if they can’t
hopefully they can refer you to somebody
who can talking to women about their
bodies has opened my eyes up to the debt
that Anatomy can affect the quality of
their everyday lives there are millions
of women that have these issues and
there are physicians who can help thank
you for your attention
[Applause]
you
to discuss genital comfort function and
appearance and to top it off most
insurance companies won’t cover costs
they deem cosmetic even if function is
affected let’s begin with that awkward
thing that we’ve all been through which
is puberty okay
our bodies change during puberty and a
girl’s developing body estrogen
stimulates things to grow most
noticeably the breasts but what you may
not know is something else is being
stimulated to grow down there the inner
lips of the labia minora and just like
the breasts they can become larger
change color and become uneven I’m quite
sure that many gentlemen out here can
relate to issues concerning size but
while I doubt many men will complain
about their penis growing or developing
body hair it’s different for young women
back to the breasts for a minute all
girls grow breasts during puberty but
some grow bigger than others for girls
with extremely large breasts this
condemned their self-confidence and
impact comfort and their ability to
exercise some women will seek a breast
reduction to address these issues and
are happier because they sought a
solution when a woman feels good about
her body her confidence shines through
and just like the breast the same thing
can happen to the inner labia yes people
don’t be afraid to say the word come on
say it with me labia labia maybe uh when
there’s more than average growth it can
be noticeable but not an inconvenience
with substantially more growth however
it can be painful and physically
problematic suddenly there can be tissue
sticking out and it can be uncomfortable
doing any physical activity even sitting
or walking or wearing certain clothes
like jeans or swimwear hygiene can
become a problem and putting in tampons
as well and for older sexually active
teens sex can become unnaturally
for feeling abnormal or uncomfortable or
experiencing pain or embarrassment can
lead to feelings of depression and
self-loathing during a time when girls
should be embracing their body’s changes
body image is a huge issue for teens and
it’s important as parents that you talk
to your children about this and any
concerns that they have most girls are
mortified to talk to their parents about
this or their doctors and pediatricians
rarely counsel the moms of preteen girls
about the changes that may occur and
what to expect and what they can do so
they can better advise their daughters
OBGYNs don’t ask during a pap smear does
this tissue bother you get in the way so
it’s your job to talk to your daughters
about this and although surgery is
available it’s preferable to wait until
18 because their bodies are still
developing unless the your child’s
activities are severely restricted or
she’s an emotional distress or has
chronic pain parents would tea with
preteen daughters you should go home and
give them a mirror and tell them to take
a look you should reassure them that
there’s nothing embarrassing about body
development or sexual function it’s a
natural part of growing up and what’s
more important is to know what’s normal
for you and when something changes in a
negative way that will impact you and
that way you have time to address it
before bigger problems arise dad’s your
daughter’s probably don’t even want you
to know that they have their periods but
you can just let them know that you’re
there for them labia reduction has been
a taboo thing between parents patients
doctors and insurance companies and to
make matters worse most insurance
contracted doctors are not trained to
perform labiaplasty procedures there’s
also a huge misperception that women are
seeking labiaplasty strictly for
cosmetic purposes and having performed
over 800 labia reductions I can firmly
state that that is not the case my
experiences
that this discomfort starts in puberty
and while it doesn’t matter as much the
size of the labia as the problems that
they cause it’s imperative to do Sigma
ties this part of the female anatomy and
more importantly it’s important to be
comfortable in one’s body can create
happier daughters sisters and moms
speaking of moms we know puberty is just
the beginning can you guess the next big
event in a woman’s life yep it’s having
kids and boy do they change us it could
be the first baby or the fifth baby and
it could cause a wide variety of
symptoms from mild to severe that can
impact bladder bowel and sexual function
as well as the quality of their lives
and even though these are considered
normal changes of childbirth you don’t
have to live with them
most OBGYNs will discuss losing the baby
fat but they won’t talk about these more
intimate concerns and the fact that
there are treatment options available to
restore this kind of function so with
the bladder there’s three kinds of
incontinence but we’re just going to
talk about the one that’s related to
childbirth
that’s called stress urinary
incontinence and that’s leakage of urine
with coughing sneezing bending laughing
lifting jumping all the things that you
may do running after a toddler this is
due to the lack of support of the
bladder neck with increased abdominal
pressure surgery radiofrequency and
lasers can all support the bladder neck
and help reduce urinary leakage bowel
function can change to going to the
bathroom used to be in and out kind of
thing but after childbirth it can take
time and effort and ladies like
gentlemen can get constipation and
hemorrhoids so not sexy and depending on
how badly this has impaired surgery can
fix this
now we’ve add all muscles weak vaginal
opening muscles can cause a partner to
fall out compromising sexual function
this plus reduce sensation for one or
both partners and air causing gas like
noise
are the most common reasons women seek
doctors like myself to help restore
function and often when women go to
their doctors and ask them what they can
do they’re told to squeeze their muscles
but their muscles are no longer
connected imagine the birth canal as
this toilet paper roll and it’s cut from
one end to the other and this is before
childbirth this is after childbirth so
the fact is that there are surgeries and
non-surgical options to help restore
sexual function talking about sex let’s
talk about how aging and gravity can
impact sexual function as we go through
the last major event which is menopause
as we age the hormones estrogen
progesterone and testosterone decline
causing all kinds of symptoms like
irritability emotional distress and
temporary insanity these these are
symptoms of menopause but they can also
include a lack of energy vaginal dryness
causing painful sex urinary leakage and
reduced orgasmic intensity and many
women also feel reduced desire and so
their partners may feel neglected
but not know why now hormones have been
given a bad rap but they can be life
restoring for women that have no risk
factors supplementing low hormones can
restore a body’s balance but not all
women can or want to take hormones so
you can treat menopausal symptoms with
lasers and radiofrequency which we can
restore moisture and tightness to the
vaginal canal and although these are not
permanent solutions they have almost no
risks and have no downtime now
hysterectomies are also common during
menopause and these can happen because
of bleeding problems cancer and because
the uterus is literally falling out now
just like there are many reasons to have
a hysterectomy there are several kinds
of hysterectomies you should know about
and you can have them with or without
the cervix being taken
and with or without the ovaries being
removed they can also be done through
the abdomen or through the vagina and
I’m always surprised when I have
patients that come to me and tell me
they’ve had a hysterectomy but don’t
know if they have their cervix or their
ovaries it’s really important if you’re
going to have surgery that you know
what’s being done to you you need to
take ownership of your body and that’s
the most important thing you can do
don’t be afraid to voice your concerns
about your genitalia write down a list
of your symptoms or questions and take
that to your doctor information is power
and your doctor may or may not be
qualified to help you and if they can’t
hopefully they can refer you to somebody
who can talking to women about their
bodies has opened my eyes up to the debt
that Anatomy can affect the quality of
their everyday lives there are millions
of women that have these issues and
there are physicians who can help thank
you for your attention
[Applause]
you
Please follow and like us: