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Major traditions in Hinduism continue this. In western societies there has been a largely negative attitude typified by the medical terminology of pudenda membra , meaning parts to be ashamed of.

There has been an artistic reaction to this in various attempts to bring about a more positive and natural outlook, such as work from British, American, and Japanese artists.

While the vagina is a separate part of the anatomy, it has often been used synonymously with vulva. The main structures of the vulva are: the mons pubis , the labia majora and labia minora , the external parts of the clitoris — the clitoral hood and the glans , the urinary meatus , the vaginal opening and hymen , and Bartholin's and Skene's vestibular glands.

The mons pubis is the soft mound of fatty tissue at the front of the vulva, in the pubic region covering the pubic bone. After puberty, the clitoral hood and the labia minora can protrude into the pudendal cleft in a variable degree.

The labia majora and the labia minora cover the vulval vestibule. They contain and protect the other structures of the vulva.

The grooves between the labia majora and labia minora are called the interlabial sulci , or interlabial folds. They have more color than the labia majora [3] and contain numerous sebaceous glands.

The labia minora meet again at the front of the vulva to form the clitoral hood, also known as the prepuce. The visible portion of the clitoris is the clitoral glans.

There is a great deal of variation in the appearance of female genitals. Though called the smaller lips they can often be of considerable size and may protrude outside the vagina or labia majora.

The casts taken from a large and varied group of women showed clearly that there is much variation. The area between the labia minora where the vaginal opening and the urinary meatus are located is called the vulval vestibule , or vestibule of the vagina.

The urinary meatus is below the clitoris and just in front of the vaginal opening which is near to the perineum. The term introitus is more technically correct than "opening", since the vagina is usually collapsed, with the opening closed.

The introitus is sometimes partly covered by a membrane called the hymen. The hymen will usually rupture during the first episode of vigorous sex, and the blood produced by this rupture has been seen to signify virginity.

However, the hymen may also rupture spontaneously during exercise or be stretched by normal activities such as the use of tampons and menstrual cups , or be so minor as to be unnoticeable, or be absent.

These glands secrete mucus and a vaginal and vulval lubricant. They are homologues of the male prostate gland and are also referred to as the female prostate.

Pelvic floor muscles help to support the vulvar structures. The voluntary, pubococcygeus muscle , part of the levator ani muscle partially constricts the vaginal opening.

The tissues of the vulva are highly vascularised and blood supply is provided by the three pudendal arteries. The ilioinguinal nerve originates from the first lumbar nerve and gives branches that include the anterior labial nerves which supply the skin of the mons pubis and the labia majora.

The point where the nerve circles the ischial spine is the location where a pudendal block of local anesthetic can be administered to inhibit sensation to the vulva.

The deep branch of the perineal nerve supplies the muscles of the perineum and a branch of this supplies the bulb of the vestibule. In week three of the development of the embryo , mesenchyme cells from the primitive streak migrate around the cloacal membrane.

This division creates two areas one surrounded by the urethral folds and the other by the anal folds. At the same time a pair of swellings on either side of the urethral folds known as the genital swellings develop into the labioscrotal swellings.

At this time the sexes still cannot be distinguished. The uterovaginal canal or genital canal, forms in the third month of the development of the urogenital system.

The lower part of the canal is blocked off by a plate of tissue, the vaginal plate. This tissue develops and lengthens during the third to fifth months and the lower part of the vaginal canal is formed by a process of desquamation or cell shedding.

The end of the vaginal canal is blocked off by an endodermal membrane which separates the opening from the vestibule. In the fifth month the membrane degenerates but leaves a remnant called the hymen.

Organs in the male and female with a shared common ancestry are said to be homologous. The newborn 's vulva may be swollen or enlarged as a result of having been exposed, via the placenta , to her mother's increased levels of hormones.

This condition is known as labial fusion and is rarely found after puberty when oestrogen production has increased.

Puberty is the onset of the ability to reproduce, and takes place over two to three years, producing a number of changes.

Pubic hair is much coarser than other body hair, and is considered a secondary sex characteristic. Premature pubarche may sometimes indicate a later metabolic - endocrine disorder seen at adolescence.

The disorder sometimes known as a polyendocrine disorder is marked by elevated levels of androgen , insulin , and lipids , and may originate in the fetus.

Instead of being seen as a normal variant it is proposed that premature pubarche may be seen as a marker for these later endocrine disorders.

Apocrine sweat glands secrete sweat into the pubic hair follicles. This is broken down by bacteria on the skin and produces an odor, [42] which some consider to act as an attractant sex pheromone.

This contributes to the maturation of the vulva with increases in the size of the mons pubis, and the labia majora and the enlargement of the labia minora.

In pregnancy the vulva and vagina take on a bluish colouring due to venous congestion. This appears between the eighth and twelfth week and continues to darken as the pregnancy continues.

The vaginal opening and the vagina are also enlarged. During menopause , hormone levels decrease, which causes changes in the vulva known as vulvovaginal atrophy.

This condition has been renamed by some bodies as the genitourinary syndrome of menopause as a more comprehensive term. The vulva has a major role to play in the reproductive system.

It provides entry to, and protection for the uterus, and the right conditions in terms of warmth and moisture that aids in its sexual and reproductive functions.

The external organs of the vulva are richly innervated and provide pleasure when properly stimulated. The mons pubis provides cushioning against the pubic bone during intercourse.

A number of different secretions are associated with the vulva, including urine from the urethral opening , sweat from the apocrine glands , menses leaving from the vagina , sebum from the sebaceous glands , alkaline fluid from the Bartholin's glands , mucus from the Skene's glands , vaginal lubrication from the vaginal wall and smegma.

It can cause discomfort during sexual activity as it can cause the clitoral glans to stick to the hood, and is easily removed by bathing.

Their fatty acid composition, and consequently their odor changes in relation to the stages of the menstrual cycle. The clitoris and the labia minora are both erogenous areas in the vulva.

Local stimulation can involve the clitoris, vagina and other perineal regions. The clitoris is the most sensitive. Sexual stimulation of the clitoris by a number of means can result in widespread sexual arousal , and if maintained can result in an orgasm.

Stimulation to orgasm is optimally achieved by a massaging sensation. Sexual arousal results in a number of physical changes in the vulva. During arousal vaginal lubrication increases.

Vulva tissue is highly vascularised ; arterioles dilate in response to sexual arousal and the smaller veins will compress after arousal, [31] [51] so that the clitoris and labia minora increase in size.

The clitoris becomes increasingly erect , and the glans moves towards the pubic bone , becoming concealed by the hood. The labia minora increase considerably in thickness.

The labia minora sometimes change considerably in color, going from pink to red in lighter skinned women who have not borne a child, or red to dark red in those that have.

Immediately prior to an orgasm , the clitoris becomes exceptionally engorged, causing the glans to appear to retract into the clitoral hood.

Rhythmic muscle contractions occur in the outer third of the vagina, as well as the uterus and anus. Contractions become less intense and more randomly spaced as the orgasm continues.

The number of contractions that accompany an orgasm vary depending on its intensity. An orgasm may be accompanied by female ejaculation , causing liquid from either the Skene's gland or bladder to be expelled through the urethra.

The pooled blood begins to dissipate, although at a much slower rate if an orgasm has not occurred.

The vagina and vaginal opening return to their normal relaxed state, and the rest of the vulva returns to its normal size, position and color.

Irritation and itching of the vulva is called pruritus vulvae. This can be a symptom of many disorders, some of which may be determined by a patch test.

The most common cause of irritation is thrush , a fungal infection. Vulvovaginal health measures can help to prevent many disorders including thrush.

A severe variant of this is vulvovaginal-gingival syndrome which can lead to narrowing of the vagina, [58] or vulva destruction. Vulvar organs and tissues can become affected by different infectious agents such as bacteria and viruses , or infested by parasites such as lice and mites.

Over thirty types of pathogen can be sexually transmitted , and many of these affect the genitals. Bacterial infections include: chancroid — characterised by genital ulcers known as chancres ; granuloma inguinale showing as inflammatory granulomas often described as nodules; syphilis —the primary stage classically presents with a single chancre, a firm, painless, non-itchy ulcer, but there may be multiple sores; [64] and gonorrhea that very often presents no symptoms but can result in discharge.

Parasitic infections include trichomoniasis , pediculosis pubis , and scabies. Trichomoniasis is transmitted by a parasitic protozoan and is the most common non-viral STI.

Many malignancies can develop in vulvar structures. Pelvic pain might also occur especially during urinating and sex. This procedure is usually performed as a last resort in certain cases of cancer , [76] vulvar dysplasia or vulvar intraepithelial neoplasia.

Labial fusion , also called labial adhesion , is the fusion of the labia minora. This affects a number of young girls and is not considered unduly problematic.

The condition can usually be treated using creams , or it may right itself with the release of hormones at the onset of puberty.

Vulvodynia is chronic pain in the vulvar region. There is no single identifiable cause. A number of skin disorders such as lichen sclerosus , and lichen simplex chronicus can affect the vulva.

Crohn's disease of the vulva is an uncommon form of metastatic Crohn's disease which manifests as a skin condition showing as hypertrophic lesions or vulvar abscesses.

Another more complex ulcerative condition is hidradenitis suppurativa which is characterised by painful cysts that can ulcerate, and recur, and can become chronic lasting for many years.

Dermatoscopy can distinguish this condition from genital warts. The vulvar region is at risk for trauma during childbirth. This can result in tears known as perineal tears in the vaginal opening, and other structures within the perineum.

A tear takes longer to heal than an incision. Genitoplasties are plastic surgeries that can be carried out to repair, restore or alter vulvar tissues, [92] particularly following damage caused by injury or cancer treatment.

These procedures include vaginoplasty which can also be performed as a cosmetic surgery. Other cosmetic surgeries to change the appearance of external structures include labiaplasties.

The use of cosmetic surgeries has been criticized by clinicians. They refer to the lack of data relevant to their safety and effectiveness and to the potential associated risks such as infection , altered sensation, dyspareunia , adhesions , and scarring.

In some cultural practices , particularly in the African Khoikhoi and Rwanda cultures, the labia minora are purposefully stretched by repeated pulling on them and sometimes by attaching weights.

In some cultures, including modern Western culture, women have shaved or otherwise removed the hair from part or all of the vulva.

When high-cut swimsuits became fashionable, women who wished to wear them would remove the hair on either side of their pubic triangles, to avoid exhibiting pubic hair.

The removal of hair from the vulva is a fairly recent phenomenon in the United States, Canada, and Western Europe, usually in the form of bikini waxing or Brazilian waxing , but has been prevalent in many Eastern European and Middle Eastern cultures for centuries, usually due to the idea that it may be more hygienic, or originating in prostitution and pornography.

Several forms of genital piercings can be made in the vulva, and include the Christina piercing , the Nefertiti piercing , the fourchette piercing , and labia piercings.

Piercings are usually performed for aesthetic purposes, but some forms like the clitoral hood piercing might also enhance pleasure during sex.

Though they are common in traditional cultures , intimate piercings are a fairly recent trend in Western society. Female genital surgery includes laser resurfacing of the labia to remove wrinkles, labiaplasty reducing the size of the labia and vaginoplasty.

In September , the American College of Obstetricians and Gynecologists ACOG issued a committee opinion on these and other female genital surgeries, including "vaginal rejuvenation", "designer vaginoplasty", "revirgination", and " G-spot amplification".

This opinion states that the safety of these procedures has not been documented. The ACOG and the ISSVD recommend that women seeking these surgeries need to be informed about the lack of data supporting these procedures and the potential associated risks such as infection, altered sensation, dyspareunia , adhesions , and scarring.

With the growing popularity of female cosmetic genital surgeries, the practice increasingly draws criticism from an opposition movement of cyberfeminist activist groups and platforms, called the labia pride movement.

The major point of contention is that heavy advertising for these procedures, in combination with a lack of public education, fosters body insecurities in women with larger labia in spite of the fact that there is normal and pronounced individual variation in the size of labia.

The preference for smaller labia is a matter of a fashion fad and is without clinical or functional significance.

The most prevalent form of non-consensual genital alteration is that of female genital mutilation. This mostly involves the partial or complete removal of genital organs.

The practices are also carried out globally among migrants from these areas. Female genital mutilation is claimed to be mostly carried out for cultural traditional reasons.

The word vulva is Latin for "womb". It derives from the s in referring to the womb and female sexual organs, from the earlier volvere meaning to turn, roll or revolve, with further derivatives such as used in volvox , and volvulus twisted bowel.

The examiner shown in the Obstetrical examination dated , is adopting the compromise procedure where the woman's genitals cannot be seen.

Also, the mons pubis in the region is supplied by blood through the inferior epigastric artery, which is a branch of the external iliac artery.

There are numerous sebaceous glands on the opposed surface of labia minora that do not contain any hair follicles. These are layered by stratified squamous epithelium on such surfaces.

There is mucus secreted by these glands and with the entire area of the vulval vestibule, they protect the labia minora from experiencing any mechanical irritation or dryness.

The labia minora is one of the most sensitive regions of the female vulva and hence it is open to numerous diseases and infections.

Also, this region is linked to a number of skin cells. For this reason, the ailments of labia minora might become unbearable and highly irritating.

Some of the common ailments of the labia minora are as follows:. This ailment of labia minora occurs due to use of cleansing lubricants and agents in an inappropriate way.

This problem may occur even due to an incorrect application of an agent that may cause extreme irritation and pain in the labia minora. If the pain and irritation are more, then you may need medical assistance.

Also, the lack of estrogen in females, particularly during puberty and accompanied by intense and regular rubbing results in the condition of Labial fusion.

If the fusion is high then it may also result in blocking of the urine passage. In most women, the labia minora is not balanced or symmetrical.

Just like there are variations in size, shape, length, and color, the symmetry of Labia minora also varies. This leads to a medical condition where the labia minora may be so long to labia majora that it may become painful and uncomfortable.

Also, in severe cases, the condition may lead to enlarged labia minora that is bulgingly visible through the clothing.

The labia minora is located in the path of excretion area where there are numerous traces of vaginal discharge, urine, feces, and smegma that may cause continuous and prolonged irritation of the Labia Minora.

Hence, this may lead to an inflammatory chronic infection known as vulvitis. A female undergoes numerous hormonal changes during her puberty and one major reason for this change is due to augmented estrogen levels, which is because of enlargement of labia minora.

Another major cause of problems in labia minora is due to the genes. Some women may have enlarged labia minora due to genetic reasons, and hence, experience complications because of the same.

In addition to this, some shock or trauma or even chronic infections can cause ailments of labia minora. Pregnancy is another major reason for the problem of labia minora in women.

It is because during pregnancy a large volume of blood rushes towards the genital region of the woman and may result in subsequent and heftiness of the labia minora.

This is a highly sensitive region and if women touch it regularly then this may cause the problem. In most situations, women experience pain and inflammation in labia minora during their periods.

This is mainly because during periods it becomes difficult for them to clean the surface well.

If any female has enlarged labia minora then this might lead to constant touching of the region. Hence, it may rub on the clothes and result in continuous friction leading to the irritated and inflamed skin.

If any woman performs stringent physical activities then there might be a pressure on the labia minora. This may result in discomfort and pain in the region.

This surgery is mainly performed to reduce the size of the labia minora and offer it with a new, comfortable shape. Another disease of labia minora, known as labial fusion is treatable when the inner lips are separated over time.

This is the minor case of the problem and heals with the topical application of estrogen-based creams. Gushing detail cropped. Gushing detail. Human vulva cropped.

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