Adolescent girls are increasingly presenting with concerns about their genital appearance and requesting surgical correction. Management of these concerns requires an understanding of the wide variety of normal appearance, time, and resources to educate the patient and her family and a cautious, conservative approach to management prior to considering any surgical intervention. There is no standard definition of labia minora hypertrophy, and caution should be taken before making diagnosis. Common symptoms of adolescents presenting with labial hypertrophy include irritation, pain, and interference with personal hygiene and sports. Concerns about the appearance of the labia minora can affect their self-esteem and result in significant psychological distress particularly when wearing specific clothing. Once other conditions have been excluded, the provider should provide reassurance and education. Conservative management should be the first approach. Surgical correction of labial hypertrophy in adolescence remains controversial and should be reserved for very symptomatic individuals.
KeywordsLabia minora hypertrophy Labiaplasty Labia minora Labial hypertrophy Enlarged labia
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