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Clarification Re: "labial trimming"From: John Robertson (jgmr@unixg.ubc.ca)Thu Jun 19 08:58:31 1997
At 01:26 PM 6/18/97 -0500, you wrote: >In message <Pine.GSO.3.95q.970617155853.4789B-100000@interchg.ubc.ca>, >"John G. M. Robertson MD" <jgmr@unixg.ubc.ca> writes >> About two weeks ago I had a patient in who claimed that her labia >>majora (her words) were too large and they were embarrasing her and >>interfering with her sex life. I have seen a similar request before when >>in residency. Once the attending refused sayin it would do more harm than >>good and that the pain and scaring from the surgery could cause permanent >>problems for intercourse. The other time the attending consented and the >>lady had her surgery done. I know that the second lady was not happy with >>her result, and since then I have taken the first approach. Does anyone >>else have experience in this area? >> >Proceed cautiously in this area, one certainly must not reinforce >distorted self-image of the woman's genitalia. If they're normal it >vital to say so. > >I have come across some women ( three in 2.5 years ) with very genuine >symptoms and worries about excessive labia minora ( usually unilateral [ >at least in 2 out of 3 ] ! ). > >I have operated on two with good results. The third most recent was >offered surgery but warned of risks and has for the time being accepted >her condition. >Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Thank you all for your responses. I suppose I am guilty of holding back. This lady did say labia majora, but when I emphasized that they were likley a variant of normal and that it would be unlikely to operate on her she was dissatisfied with my responses. Although I did offer to examine her to confirm or refute this, she refused. Although I am sure that theissue was her labia minora, I cannot confirm or deny this. I was also forwarned by her family doctor that she was also interested in rhinoplasty (or a "nose job" as it was actually stated) and that she appeared to have several issues surronding body image. I must admit that I was supprised when I actually saw the patient. From my point of view she had no need for any concern. J.G.M. Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988, Fax 793-9987 e-mail jgmr@unixg.ubc.ca
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