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    Fast Facts

    Vaginal lips

    What’s normal
    To be wholly accurate, the vaginal lips should be called ‘vulval lips’. The outer lips are usually fleshy, and the inner lips are usually thin but, like every other part of the body, they come in all shapes and sizes. In some women, the inner lips are completely enclosed by the outer lips. In other women, the inner lips (labia minora) are larger than the outside lips. This is perfectly natural and normal, but many women worry about it. It is a shame that pictures in men’s top shelf magazines and articles in womens’ magazines are making women feel abnormal when they are not. But, if the inner lips are so large that they are upsetting you, it is possible to have them trimmed by a surgical operation.

    See a doctor
    It would be best to start by visiting a genitourinary medicine clinic. These clinics mainly test for genital infections, but deal with other problems as well. Explain to the doctor that you have not come for tests, but because you have another worry. You can then ask the doctor to examine your vaginal lips, and tell you whether or not they are abnormally large. The advantage of going to the sexual health clinic is that the doctors in these clinics examine dozens of women every day, so the doctor you see will be able to give you a good opinion. If the clinic doctor says that you are unusual, you can then ask your family doctor to arrange for an operation if you wish.

    Surgery
    The operation to reduce the labia minora is simple. It can be done by a gynaecologist or a plastic surgeon. There are two ways of doing it.

    • The surgeon may simply trim the edges of the labia, in which case you may be left with a scar running along the edges of the labia.
    • The other method is to remove a fan-shaped portion of each lip, and then stitch the cut edges together. This reduces the size of the lip without much scarring.
    This is a cosmetic operation, so you would probably not be able to have it done under the National Health Service in the UK. You would have to have it done privately. Try to pluck up courage to ask your doctor to refer you to a suitable private gynaecologist or surgeon. Explain how troubled you are feeling. This is a better course of action than trying to find a good one yourself, which can be difficult.

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