INFLAMMATORY PCOS

Inflammatory PCOS is a broad form of PCOS that can include widespread chronic inflammation throughout the body that’s accompanied by classic PCOS symptoms. The underlying issue is that ovaries are producing excess amounts of testosterone.

Many people with inflammatory PCOS experience general inflammation-related pain that can include headaches and joint pain. There could also be digestive and bowel issues related to food sensitivities and irritable bowel syndrome (IBS). Inflammatory PCOS symptoms may even manifest as skin rashes and eczema. Fatigue is also common. Inflammatory PCOS symptoms can be present across all types of PCOS.

Lifestyle changes and anti-inflammatory diets can be beneficial for treating inflammatory PCOS. For example, cutting out refined carbohydrates, dairy, processed meats, alcohol, and specific food preservatives help many women to tame symptoms. Exercise has also been proven beneficial for improving ovarian function.

INSULIN-RESISTANT PCOS

Roughly 70% of women with PCOS have insulin-resistant PCOS. Insulin-resistant PCOS occurs when higher-than-normal amounts of insulin released by the pancreas trigger the body to drive up production of androgens.

Common symptoms of insulin-resistant PCOS include weight gain, stubborn excess fat in the abdomen and midsection, brain, fog, and sugar cravings. It’s also common to experience irregular or absent periods. Elevated androgen production can also produce excess hair growth, hair loss, darkening of the skin, and acne.

With insulin-resistant PCOS, getting blood-sugar levels under control is key. In fact, glucose testing to get a read on fasting insulin levels is commonly used to confirm insulin-resistant PCOS. Adopting a low-sugar, low-carb diet is often beneficial for managing symptoms. Exercise can also be beneficial. Certain supplements can also be used to aid in glucose metabolism. In cases where fertility is a concern, doctors often prescribe a medication called metformin that helps to regulate insulin levels to help restore regular periods and ovulation.

POST-PILL PCOS

Pill-induced PCOS symptoms begin after hormonal birth control methods are stopped. In some cases, pill-induced PCOS is caused by a surge in androgens that occurs as the body readjusts. Unlike other PCOS types, this form doesn’t involve insulin resistance. It may also resolve on its own after a few months. In other cases of pill-induced PCOS, symptoms may appear to come on out of the blue because hormonal birth control was actually hiding PCOS symptoms.

Like other types of PCOS, post-pill PCOS can cause irregular periods, excess hair growth, oily skin, weight gain, and acne. It’s also possible to experience enlarged ovaries or ovarian cysts that were not present before beginning birth control.

Treatment of post-pill PCOS varies based on the symptoms and underlying origins. Diet, exercise, and stress management can all be important for helping to stabilize hormone levels after coming off of hormonal birth control. Supplementation and medications may also be useful in balancing excessive androgens.

Related: 4 Common Reasons You Might Be Experiencing Irregular Periods

ADRENAL PCOS

Adrenal PCOS is also known as stress-induced PCOS. Unlike other types of PCOS, adrenal PCOS doesn’t actually start in the reproductive system. It’s caused by the excessive release of adrenaline, caused by an abnormal stress response. Overactive adrenal glands are responsible for the overproduction of androgens that create PCOS symptoms. With other types of PCOS, the ovaries produce excess androgens.

The most common adrenal PCOS symptoms include weight gain, hair loss, excess hair growth, and acne. Changes in the menstrual cycle are also common. Absent or inconsistent periods are considered telltale signs. However, it’s also possible that adrenal PCOS can cause heavier or more frequent periods.

Stress management is even more important for adrenal PCOS than other types of PCOS. It can be helpful to mitigate stressors using mindfulness or meditation exercises. In general, any mental or physical practices that support the nervous system can also benefit stress-induced PCOS. While exercise is recommended, excessive exercise or high-intensity workouts can actually tax the body’s stress response and adrenals. Lifestyle changes that include limiting caffeine and sugar may also be helpful. A provider may also recommend supplementing with vitamins, minerals, and botanicals that support and balance the nervous system.PCOS can signal a serious hormonal imbalance that is linked with insulin resistance or adrenal overload. Regardless of whether or not you are planning to become pregnant, PCOS should be treated. Dr. Michael Tahery is a Los Angeles obstetrician-gynecologist (OB-GYN) and urogynecologist specializing in women’s health. Dr. Tahery and his team offer several approaches for diagnosing and treating PCOS. Book a consultation today.

The post What Are The 4 Types Of PCOS? Their Symptoms and Treatments appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

WHY PLUMP THE LABIA?

Getting a plump or full labia Is generally a matter of personal preference. Some women are unhappy with changes that don’t make them feel like themselves. Others want plump labia after a lifetime of dissatisfaction. For better results, always talk to your doctor about your reasons for wanting this procedure. The most common reasons for wanting a plump labia are regaining a youthful appearance, concerns about the sudden loss of labia volume, the saggy appearance of the vagina, and labia being asymmetrical.

Youthful Appearance

Like the rest of the soft tissue throughout the body, labia can lose the plumpness and suppleness that we associate with vitality and youthfulness. For many, visual changes to the labia simply represent unwanted signs of aging.

Loss of Labia Volume

As fleshy folds, labia protect the vagina. They also contribute to sexual stimulation and lubrication. Thinning labia could cause irritation and discomfort.

Saggy Appearance

It can be jarring to discover that your formerly puffed labia now appear deflated or stretched. As estrogen and collagen levels dip with age, the labia can undergo noticeable sagging.

Asymmetrical Labia

There’s no “right” size or shape for labia. While minor asymmetry of the inner and outer lips of the vagina is relatively common, noticeable differences in size, shape, or position from one side to the other can make you feel self-conscious. If one side of the labia is severely inflated, this is known as labial hypertrophy. In many cases, asymmetry or enlargement on one side of the labia has been present since birth. However, most women only notice asymmetry when the labia increase in size during puberty.

In addition to creating cosmetic concerns, labia asymmetry can cause irritation or pain when wearing underwear or snug-fitting pants if one side of the labia is much larger. Some women also experience discomfort when riding bikes, horseback riding, exercising, or engaging in sexual activity.

LABIA PLUMPING CANDIDATES

Anyone who is unsatisfied with the appearance of their labia or simply desires plump labia is a candidate. However, most don’t even consider the procedure until they notice changes at key points in life. Most women will consider labia plumping during an after menopause, after giving birth, and when they see noticeable signs of aging.

During and After Menopause

Decreasing estrogen levels that occur both leading up to and after menopause can turn formerly plump labia saggy. During menopause, estrogen decline causes some degree of vaginal atrophy for most women. When this occurs, the labia thin out and lose elasticity. In addition to shrinking, the lips can also appear loose or wrinkled.

After Giving Birth

Pregnancy hormones and the birthing process can both dramatically change the appearance of the labia. It’s common to experience stretching and loosening of the labia minora (inner lips) or labia majora (outer lips) following childbirth. Additionally, tearing or an episiotomy during labor can lead to scarring and visual changes to the labia.

Aging Women

With age, hormonal changes and decreased blood flow to the labia can create dramatic changes. The most common complaints are labia thinning and reduced fullness. Meanwhile, the body’s natural slowdown in collagen production after age 30 can make the labia lose firmness and begin to wrinkle. In some cases, the inner folds of the labia may actually begin to atrophy to further reduce volume and definition of the outer vaginal lips.

Related: What Are The Vaginal Atrophy Treatment Options?

WHAT IS A LABIA FILLER?

Like the injectables that are used to volumize and plump the face, labia filler or vaginal filler is a treatment that plumps and rejuvenates the labia. This cosmetic procedure adds fullness and improves the symmetry of the labia majora (outer lips). Patients enjoy enhanced aesthetic appeal and improved body confidence. For more dramatic and longer-lasting results, some patients prefer fat transfers to the labia.

Hyaluronic Acid Filler

This is the most common option for achieving plump labia. During treatment, a dermal filler made with hyaluronic acid (HA) is injected into the labia majora. People who’ve had facial fillers will recognize that HA is the same ingredient used in many name-brand fillers. HA is a gel-like substance that boosts volume and fills in wrinkles while also triggering the body’s own natural collagen production. Prior to injection, anesthetia is applied to the outer labia. Next, labia filler injections are made in strategic areas of the labia using a fine needle. No downtime is needed. Results from labia filler typically last 6 to 12 months.

Silicone Fillers

Silicone fillers are no longer recommended for labia puffing due to potential risks and complications.

Fat Grafting Labia Filler

A labia fat transfer volumizes the labia by borrowing your own fat cells from other parts of your body. Benefits include a more natural feel and lower risk of allergic reaction and rejection. Fat grafting also offers results that can last for years. Fat grafting to plump labia is more invasive than using injectable labia filler. Fat cells are extracted from the thigh, buttocks, or other area of the body using liposuction. Following extraction, fat cells are injected into the labia.

Would you like to learn more about labia puffing procedures? Dr. Michael Tahery is a leading board-certified obstetrician-gynecologist (OB/GYN) and urogynecologist serving the Los Angeles area. Dr. Tahery and his team offer a variety of noninvasive treatment options. Book your consultation today.

The post Getting A Plump Labia With Labia Filler appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

WHAT EXACTLY IS A QUEEF?

A queef is simply air moving out of the vagina. The sound made by a queef is the sound of trapped air being released. One of the reasons why so many people find queefing embarrassing is that they mistake it for passing gas. Unlike farts, queefs are odorless because they are not passing through the digestive system before exiting.

WHAT CAUSES QUEEFING?

Queefing is caused by any activity that can cause air to become trapped within the vaginal canal. In everyday life, things like exercising, sitting with your legs crossed, or removing a tampon or menstrual cup can all trigger queefing. There’s generally no cause for alarm if you experience occasional queefing with any of these activities. However, there are some underlying issues that could be causing chronic queefing.

Weak Pelvic Floor

Weak pelvic floor muscles can increase vaginal flatulence. The pelvic floor consists of muscles and connective tissue that hold and support the bladder, large intestine, and internal reproductive organs. Things like pregnancy, injury, and age can all weaken the pelvic floor. It’s not uncommon to experience an increase in queefing following pregnancy and childbirth. Declining estrogen levels during menopause that decrease the pelvic floor’s elasticity and strength can also increase queefing frequency.

Hormonal Changes

As estrogen declines during menopause, it often reduces blood supply and collagen production in the vaginal canal and surrounding tissue. The loss of muscle strength that accompanies this can allow gas to slip through more frequently. It’s common for increased queefing to be just one of many symptoms when dipping estrogen levels begin affecting sexual health. The other two main ones are urinary incontinence and vaginal dryness. Queefing can also become more common due to hormonal changes that take place during pregnancy. Even normal hormonal shifts that occur during ovulation and menstruation that loosen the vaginal muscles can also increase queefing.

Prolapse

Vaginal prolapse happens when the vagina slips out of position. While most common following multiple vaginal deliveries, prolapse can occur whenever pelvic tissues and muscles are overstretched and weakened. Causes can include repeatedly lifting heavy objects as part of your job, undergoing a hysterectomy, and aging. When the top portion of the vagina shifts from its normal position, the organs it was supporting also shift out of place. In most cases, prolapse is accompanied by a lump or bulging sensation. The reason why queefing often becomes more frequent following vaginal prolapse is that the shifting of the vagina creates gaps that can make it easier for air to become trapped in the vagina.

Movements Positions During Exercise or Sex

Frequent queefing isn’t always caused by medical conditions or physiological changes. Most of the time, queefing is simply the result of air becoming trapped during physical movement. Your love of exercise could be behind the persistent queefing you’re experiencing. During running, yoga, and other common exercises, pressure changes make it easier for air to be pulled into the vagina. Rapid changes in position during exercises make it easy for the air to escape.

Queefing during sex is both common and normal. Vaginal contractions that occur during sex can cause queefing. Additionally, air is often pushed inside the vagina whenever something is inserted into the vagina during sex. When the object is removed, the air can make an audible sound as it is also pushed out. Air can also become trapped in the vagina when moving positions.

Related: How Much Does Vaginoplasty Cost?

PREVENTION AND TREATMENT OF QUEEFING

In general, there’s no need to take measures to prevent occasional queefing that happens as a result of exercise or sexual activity. This is considered a perfectly normal biological response to trapped air! Overall, having a healthy pelvic floor is the best way to minimize spontaneous queefing. However, there are several things you can do if you’re concerned about frequent or disruptive queefing.

Vaginoplasty

Also known as vaginal tightening surgery, vaginoplasty is a procedure to restore the look and function of the vagina. It is commonly used to treat vaginal prolapse or weakened pelvic floor muscles. In addition to reducing persistent vaginal gas, vaginoplasty can help to restore comfort and sexual satisfaction.

Kegel Exercises

The most common way to control queefing is to do Kegel exercises. Also known as pelvic floor exercises, Kegels are like workouts for the pelvic floor muscles. They consist of slowly tightening and releasing the muscles in the pelvic floor. To do a Kegel exercise, simply lift, hold, and relax the pelvic floor muscles. Each hold should last for up to five seconds. It’s recommended to try to consistently do at least three sets of 10 Kegels per day.

Laser Rejuvenation Of The Vagina

Nonsurgical vaginal rejuvenation with lasers can help to restore the elasticity and strength of vaginal tissue without the need for recovery or downtime. These procedures can be done during short office visits. Laser rejuvenation tightens and tones the vaginal area. It can also increase collagen production to make vaginal tissue firmer and more resilient.

Dr. Michael Tahery is a leading board-certified obstetrician-gynecologist (OB/GYN) and urogynecologist in the Los Angeles area. Dr. Tahery is happy to answer all of your questions! If weak pelvic floor muscles or hormonal issues are causing excessive vaginal flatulence, Dr. Tahery and his team can recommend a variety of surgical and noninvasive treatment options. Book an appointment today.

The post Why Do I Queef? Everything You Need To Know About Queefing appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

CAUSES AND RISK FACTORS

A clitoral adhesion happens when the protective fold that conceals the clitoris becomes stuck to the exposed portion of the clitoris. Known as the clitoral hood, this fold protects the tender, delicate flesh of the clitoris from exposure to friction and bacteria. Here’s a rundown of the factors that can cause the hood to become stuck to the clitoris.

Lichen Sclerosus and Lichen Planus

Both lichen sclerosus and lichen planus belong to a family of noncommunicable inflammatory skin conditions. People with these conditions generally experienced thick, stiff, or “leathery” skin. The primary symptom with lichen planus is a rash-like presentation anywhere on the body. The rash can even occur in the genitals. Meanwhile, lichen sclerosus exclusively affects the genitals and anal area. We also know that postmenopausal women are at higher risk for developing lichen sclerosus.

Lichen sclerosus and lichen planus contribute to clitoral adhesions by thinning and scarring skin on the clitoral hood. The underlying cause for these conditions isn’t fully known. However, factors ranging from genetics to immune response are believed to be in play.

Hormonal Changes

Hormonal changes that occur with age or changes in sexual health can contribute to clitoral adhesions. This may be why adhesions are often seen in women during menopause. In these situations, dipping estrogen is the key driver of adhesions because of the loss of natural moisture and elasticity.

Trauma

Scarring caused by surgery, illness, or a traumatic injury can increase your vulnerability to clitoral adhesions. When vaginal tissue is damaged, the scar tissue that forms can be rough or irregular in nature. Scar tissue is also more likely to “fuse together” as it heals.

Bad Hygiene

Hygiene habits can irritate or inflame the skin of the clitoral hood and clitoris. Poor hygiene practices or infrequent bathing could allow for stool contamination that causes infection or inflammation of clitoral tissue. Even women who are vigilant about their personal hygiene could inadvertently increase their risk for adhesions by using products containing harsh additives or fragrances that irritate sensitive vaginal tissue.

DO I HAVE CLITORAL ADHESIONS?

Clitoral adhesions have been found in up to 22% of women seeking evaluation for sexual dysfunction. If you suspect adhesions, an in-person exam with a care provider is the only way to confirm your diagnosis. Here are some telltale signs that should prompt you to book an exam.

Pain

Pain and discomfort are the top symptoms of clitoral adhesions. In addition to acute pain, you may experience hypersensitivity or irritation. It’s also common for the dry, thick scar tissue connecting the hood and clitoris to be itchy.

Discomfort During Sex

Pain during sexual intercourse or other activities that stimulate the clitoris is also common. The clitoris is likely to feel raw and tender.

Inability to Fully Expose the Clitoris

When an adhesion is present, it often becomes impossible to retract the clitoral hood to expose the clitoris. In addition, the entire area may be too swollen for you to retract the hood.

Increased or Decreased Sensitivity

Many women with adhesions experience dulled sensation during clitoral stimulation. This can greatly decrease both arousal and the ability to achieve orgasm. In other cases, hypersensitivity that increases clitoral sensitivity can make sexual contact overstimulating.

RELATED: What is Vulvar Vestibulitis? Symptoms, Causes, Misdiagnosis, and Treatment

TREATMENT OPTIONS FOR CLITORAL ADHESIONS

Many minimally invasive options can be used to heal clitoral adhesions. However, severe adhesions may require surgical separation.

Nonsurgical Lysis

In many cases, adhesions can be separated without the need for surgery. Using nonsurgical lysis, your doctor will use specialized forceps to separate the hood and clitoris after applying a topical numbing agent. Once separated, the hood will be gently stretched to knead out adhesions. Research on nonsurgical lysis for treating adhesions shows that 93% of participants would recommend this procedure to a friend with the same condition.

Hormonal Therapy

Hormonal therapy that boosts estrogen levels can be used to restore natural vaginal lubrication. In some cases, addressing dryness and “thinning” of vaginal tissue can be enough to heal adhesions.

Shockwave Therapy

Shockwave therapy has long been used for scar and wound healing throughout the body. It works by increasing blood flow to scar tissue that is starved of the nutrients needed for cell turnover. With repeated shockwave treatments, increased blood flow helps to promote cellular regeneration that helps to break up adhesions.

Topical Creams

With mild to moderate adhesions, topical creams can help to soothe and moisturize scar tissue that has turned dry and scaly. By softening the clitoral hood, creams allow you to gently separate the hood from the clitoris without tearing. Additionally, topical treatments can help to moisturize the hood to reduce the likelihood of future adhesions.

Surgery

Surgical lysis to remove adhesions is often recommended for more severe cases. During this procedure, adhesions are surgically separated. Any scar tissue that is still attached to the clitoris and hood is cleaned away. Depending on the extent of the scar tissue present, an incision may be made in the hood to clear out scarring in order to reduce the likelihood of a future adhesion.

Living with painful adhesions dramatically reduces quality of life and sexual satisfaction. Treating adhesions before they worsen is important. If you suspect that scarring is the cause of the discomfort, pain, or unexplained decrease in sexual satisfaction you’re experiencing, speak with Dr. Michael Tahery about treatment options. Specializing in women’s health and offering noninvasive surgical options, Dr. Tahery is an esteemed Los Angeles obstetrician-gynecologist (OB-GYN) and urogynecologist with more than 21 years of experience. Book an appointment today.

The post What Are Clitoral Adhesions? Symptoms and Treatment appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

THE VULVA (EXTERNAL GENITALIA)

Vulva refers to the visible outer genitalia that is most commonly referred to as the vagina. This includes the labia majora, labia minora, clitoris, and the vaginal opening. The vulva is where most of the changes can be easily noticed as you age.

The Labia

The labia majora and labia minora are folds of skin surrounding the vaginal opening. While the labia majora are the more visible outer lips, the labia minora are the interior lips under the opening of the vagina. The labia can be smooth, short, long, or wrinkled at any age. However, some women notice that they can become longer, darker, and more pronounced as time goes on. There are many simple aesthetic options for changing the appearance of the labia. For example, many women who experience dryness or “wrinkling” with time opt for labia puffing procedures that involve injecting fillers or grafting fat into the labia for a plumping effect. In addition, genital bleaching can reverse darkening or “greying” of the skin of the labia.

The Clitoris

While the clitoris does not go away with age, many women notice that this portion of vulva anatomy begins to shrink or become less prominent during menopause. The hormonal effect of menopause on women commonly leads to something called urogenital atrophy that actually shrinks the clitoris. For women who are dissatisfied due to aesthetic or arousal issues, a procedure called a clitoral hood reduction can remove excess tissue from the clitoral hood to leave more of the clitoris exposed. Another option for reviving the clitoris is a G-spot injection. This procedure injects platelet-rich plasma (PRP) from your own blood into the clitoris and G spot to promote cell and tissue regeneration.

The Vaginal Opening

Many women experience vaginal laxity within the vulva anatomy after giving birth. It’s also common for laxity to begin as a result of hormonal changes during and after menopause. In addition to decreasing sexual satisfaction, vaginal laxity can create an uncomfortable feeling of looseness and lead to urinary incontinence. For women struggling with vaginal laxity, vaginal tightening procedures can help to restore comfort and enjoyment.

Depending on the level of invasiveness you’re comfortable with when choosing a procedure, your doctor can offer everything from vaginal exercises to surgery. A vaginoplasty is a surgical option that restores vagina anatomy by repairing muscles and soft tissue. It is often preferred by women because of its long-lasting results and ability to improve sexual response and sensitivity. If you are more interested in exploring nonsurgical vaginal rejuvenation options, radiofrequency or laser treatments can be used to trigger collagen production in the tissue within the vagina anatomy. Unlike surgery that instantly repairs tissue, laser options promote the gradual rebuilding of new cells. If you don’t feel ready to commit to a procedure, your doctor can recommend Kegel exercises and other movements designed to strengthen the pelvic floor muscles.

RELATED: What is Labial Hypertrophy

THE VAGINA (INTERNAL ANATOMY)

The vaginal canal is the muscle tissue that is about 5 inches and connects the vulva or external genitalia to the uterus. The vaginal walls are elastic, with a lot of blood vessels, and very absorbent, hence why medication is sometimes administered intravaginally. 

The Vagina

Over time, the interior vaginal walls can thin out. You may experience dryness, drooping, or a noticeable decrease in the number of contoured folds within the walls. Additionally, you may feel a reduction in muscle tone within the vaginal walls that leads to decreased sensation. These changes are largely due to estrogen dips that occur with age. In many cases, hormone therapy in the form of a patch or cream can be used to balance estrogen levels. Additionally, vaginal laser rejuvenation can offer a noninvasive way to encourage the restoration of collagen in vaginal tissue to begin “building up” the vaginal walls once more.

The Cervix

The cervix is located at the lower end of the uterus. In addition to allowing menstrual blood and other fluids to flow from the uterus to the vagina, the cervix widens during childbirth. Some women experience cervical discomfort and irritation following childbirth. These issues can generally be resolved with pelvic-floor exercises. If discomfort persists, it’s crucial to speak with a doctor about having an examination called a colposcopy performed to look for abnormal cells. If something looks suspicious, a loop electrosurgical excision procedure (LEEP) can be performed to remove irregular cervical tissue.

Uterus

Located between the rectum and bladder, the uterus is a pear-shaped organ where conception and gestation take place. Pregnancy isn’t the only time when the uterus undergoes major changes. During menopause, it’s common for the uterus to shrink substantially in size. The uterus can also change due to adhesions caused by surgery or various gynecological diseases.

Ovaries

The ovaries are almond-sized glands located on either side of the uterus in the lower abdomen that produce eggs and reproductive hormones. With age, ovaries begin to produce lower amounts of estrogen and progesterone as they shrink in size. Women who experience primary ovarian insufficiency (POI) may benefit from hormone replacement therapy (HRT) and supplementation.

Do you have questions about your reproductive health? Dr. Michael Tahery is a leading board-certified obstetrician-gynecologist (OB/GYN) and urogynecologist in the Los Angeles area. Book an appointment today.

The post The Vagina Anatomy And How It Changes Over Time appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Vulvar Vestibulitis Symptoms

Pain is the primary vulvar vestibulitis symptom. Pain generally radiates in the vulva and opening of the vagina. However, pain location and intensity aren’t necessarily universal for all women with VSS. Pain can either be broad or localized. Certain activities may also trigger more pain and discomfort than others. Here’s a look at vulvar vestibulitis symptoms:

•  Burning, stinging, and irritation
•  Rawness or soreness
• Strong, sharp knife-life pain
• Aching and throbbing pain
• Swelling
• Pain triggered by biking or sitting for long periods of time
• Pain from tight clothing
• Pain from workouts or physical activity
• Pain when trying to use a tampon
• Pain during sex
• A sensation that you need to pee suddenly
• Unusual vaginal discharge
• Red blotches around the opening of the vagina

Vulvar vestibulitis symptoms are constant for some women. They may experience pain and swelling to some degree around the clock. For others, symptoms may only flare up when the vulva is irritated by touch, rigorous activity, or wearing ill-fitting clothing.

Causes of Vulvar Vestibulitis

Causes of vulvar vestibulitis aren’t fully known. However, there are several factors that are believed to play roles in VVS. For example, one school of thought is that some women simply have more nerves in the vulva area. This results in heightened sensitivity caused by nerves that send pleasure and pain signals through the nervous system to the brain.

Women may be at higher risk for developing VVS if they have a history of infections in the vagina. Past injury and irritation involving the nerves of the vulva can also increase risks. A sudden onset of VVS could potentially be an allergic reaction to fabrics or detergents. Finally, VVS could be caused by weakened pelvic floor muscles caused by childbirth, surgery, or physical injury.

Vulvar Vestibulitis Misdiagnosed as Vaginismus or Vulvodynia

VVS is sometimes misdiagnosed as a condition called vaginismus that’s characterized by involuntary muscle spasms that interfere with vaginal intercourse or penetration. While vaginal pain is a shared symptom of both, the pain experienced with vaginismus is caused by the tightening of pelvic floor muscles. Meanwhile, VVS specifically involves provoked or unprovoked pain of the vulva. Vulvar vestibulitis and vulvodynia are quite similar. VVS is technically a subset of vulvodynia. However, vulvodynia is a much broader diagnosis that refers to pain that can be experienced in the clitoris, labia majora, labia minora, urethra opening, vestibular bulbs and vestibule, urethra opening, vaginal opening, Bartholin’s gland, and more.

RELATED: Sex After Menopause | What Should You Know?

Treatment for Vulvar Vestibulitis

Due to the fact that VVS can have different underlying causes and triggers, treatment for vulvar vestibulitis is handled on a patient-by-patient basis. Once your care provider has established a VSS diagnosis, they may work with you to identify potential causes of vulvar vestibulitis that apply for you. Potential vulvar vestibulitis treatment options can include:

• Medications that treat inflammation and atrophy
• Switching to hypoallergenic detergents and soaps
• Avoiding some fabrics
• Avoiding tight-fitting pants and shorts
• Pelvic floor exercises or physical therapy
• Diet modification to reduce inflammation
• Injection therapies
• Laser therapies
• Surgery

Finally, it’s important to know that itching is not a sign of VVS. If you’re experiencing itching that’s accompanied by pain and other VVS symptoms, it’s so important to rule out infection or illness with the help of a care provider.

If you’re interested in learning more about treatment for vulvar vestibulitis, Dr. Michael Tahery is here to help you understand this diagnosis better. Dr. Tahery is an Obstetrician-Gynecologist (OB-GYN) and Urogynecologist in Los Angeles and Glendale, CA with more than 25 years of experience. Dr. Tahery and his staff are leaders in gynecology, urogynecology, and cosmetic care here in the Los Angeles area. Book an appointment today!

The post What is Vulvar Vestibulitis? Symptoms, Causes, Misdiagnosis, and Treatment appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Having a dark vaginal area usually isn’t a health concern. It’s normal for women of all complexions to experience darkening around the vulva and other intimate areas. However, the extent of the darkening varies, and the color change can worsen over time.

Causes of Dark Vaginal Area 

While this issue is normal, there are several potential reasons why women develop a dark vaginal area. Biologically, it’s a form of hyperpigmentation. It’s typically a byproduct of increased melanin production and accumulation in the area. There are a few common reasons why this occurs.

Friction

Friction can lead to skin-darkening on any part of the body, but it’s particularly common around the genital area. Increased friction often leads to hyperactivity in melanocytes, the cells that produce melanin pigment. When the melanocytes produce more pigment, it accumulates in the area and causes a darkening effect.

Women can experience daily friction in many ways. Sometimes, it’s due to ill-fitting underwear or tight clothing. In other cases, walking, running, and exercising can cause friction on the inner thighs and vulva. Even sexual activity can lead to increased friction that ultimately causes hyperpigmentation.

Shaving

Shaving can also be a source of a dark vaginal area. Using a razor on sensitive body parts often leads to irritation and an inflammatory response. When that occurs, you may experience post-inflammatory hyperpigmentation. It’s the same type of darkening that can occur after a pimple heals.

Some women also experience irritation and inflammation as new growth comes in. There’s also a risk that chemicals in shaving creams or lotions exacerbate the skin’s response.

Hormones

Hormonal changes may be to blame for developing a dark vaginal area, too. While your entire body has pigment-producing melanocytes, those around the vulva can be particularly sensitive to hormones. The same goes for other sensitive areas around the nipple and anus.

Melanin production can kick into overdrive whenever your body experiences an increase in estrogen and progesterone. This change may occur during pregnancy or menopause. Many also experience skin changes when they’re on birth control.

Aging

Finally, skin darkening is common with aging. Skin throughout your entire body changes the older you get. Its tone, texture and elasticity will evolve. Those changes aren’t limited to your face, arms and décolletage. The same occurs with the skin in the vaginal area. Pair that with more repeated friction-based trauma and the hormonal changes that happen with menopause, and darkening becomes more common with age.

RELATED: Vagial Atrophy Treatment Options

Dark Vaginal Area Lightening

Developing a dark vaginal area is normal for women of all ages, but that doesn’t mean you have to settle for it. Despite its prevalence, discoloration can become a source of shame and make many self-conscious about their bodies. For that reason, genital bleaching and lightening treatments are becoming more common.

Genital lightening is a safe way to address skin darkening, and many options are available. Because discoloration can vary in intensity, it’s important to consult an expert like Dr. Tahery to determine the best course of action. 

One of the most common treatments is topical bleaching. It’s a gradual process that can be effective for many women. Prescription products in varying strengths reduce melanin in the skin while blocking biological processes that cause further hyperpigmentation. 

Dr Tahery has developed bleaching creams that are designed to treat the most delicate and sensitive parts of the body. These special bleach creams are safe and highly effective for most skin types and regions of the body.

Other options include peels and lasers. Laser treatments use high-intensity light pulses that penetrate the skin and target melanin.

When you’re ready to discuss your options and finally address your dark vaginal area, turn to Dr. Michael Tahery. Dr. Tahery has over 25 years of experience helping women like you in and around Los Angeles. As a urogynecologist, board-certified OB/GYN, and a recognized expert in cosmetic vaginal surgery, Dr. Tahery has the expertise to find a solution for your unique needs. Dr. Tahery provides individualized care and employs multiple techniques for genital skin lightening, helping you get the results you’re after regardless of your skin tone. Reach out to our offices today to schedule your consultation and learn more with Dr. Tahery.

The post Why is The Vaginal Area Dark? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

According to Dr. Tahery, an expert in diagnosis and treatment of vulvar and vaginal disorders, one lesser-known condition that can affect women of all ages is lichen sclerosus. This relatively rare condition can occur throughout the body, but it’s most common in the genital and vaginal areas.

Lichen sclerosus is a non-STD inflammatory condition that can severely impact a woman’s quality of life. Once it develops, lichen sclerosus can cause itchy and painful patches of thin, wrinkled, and discolored skin to develop. The lichen sclerosus symptoms can change the appearance of the labia while causing significant pain during intercourse and when urinating. While lichen sclerosus is chronic, many treatments are available to relieve symptoms.

Signs and Symptoms of Lichen Sclerosus

This condition can affect any body part, including the back, upper shoulders, breasts, and arms. However, it most commonly affects the genitals and anal regions. Lichen sclerosus symptoms can be mild, and many people don’t realize they have the condition for years because they don’t show any symptoms. But when they develop, the symptoms can worsen over time.

The first symptoms to appear are typically small, pink, or white lesions. However, those lesions can graduate to larger patches of white, wrinkly, tissue-like skin. As the skin worsens, those patches can get itchy and painful. Due to the skin’s delicate texture and sensitive location, even mild scratching can cause bleeding.

Other lichen sclerosus symptoms include:

• Soreness
• Burning sensations
• Bruising
• Blotchy skin coloring
• Bleeding or blistering sores
• Changes in urination
• Discomfort during urination
• Pain during sex

Women may also experience physical changes. For example, lichen sclerosus symptoms often include skin thinning, tightening, and shrinkage around the labia. It can make the labia appear flat or cause the vaginal opening to appear smaller. Those symptoms can result in significant pain and may change urine flow.

RELATED: Will Labiaplasty Get Rid Of Camel Toe

What Causes Lichen Sclerosus?

Unfortunately, there are no clear lichen sclerosus causes. The medical field is still learning about the condition, but several studies show a few potential links. Contrary to popular belief and first reactions, sexually transmitted diseases are not among the possible lichen sclerosus causes. Instead, researchers believe it could be a byproduct of genetics, hormonal changes, immune system response, and other factors.

Some studies suggest that people have a genetic predisposition to lichen sclerosus. In those cases, researchers believe that trauma or injury to the affected area can trigger the condition to develop.

It could also be the effects of an autoimmune disorder. In those cases, the immune system attacks healthy skin cells, resulting in lichen sclerosus symptoms.

Hormonal imbalances may also be among the potential lichen sclerosus causes. The link between lichen sclerosus and hormones isn’t well-known, but some theories suggest that low estrogen levels could be to blame.

The reason for that theory comes down to who it affects most. Men and women of all ages can develop lichen sclerosus. However, estimates say it affects up to ten times as many women as it does men. And the age group that deals with lichen sclerosus symptoms most are postmenopausal women.

RELATED: Why is my Labia Shrinking?

Lichen Sclerosus Diagnosis and Treatment

No matter the lichen sclerosus causes, there are treatments available. This condition is chronic. Once it develops, it often affects women for the rest of their lives. The good news is that lichen sclerosus treatment can help keep symptoms under control while addressing pain and discomfort.

Before treatment, a doctor must diagnose lichen sclerosus. This typically occurs through a physical examination. Healthcare providers may also order a biopsy.

Once confirmed, doctors can work with patients to determine the best course of action. Topical medications are a viable lichen sclerosus treatment. Doctors may prescribe topical steroids that reduce inflammation and itching. Steroids are usually the first-choice treatment. Other topical medications to treat this condition include Calcineurin inhibitors and retinol. Retinol is a form of Vitamin A that encourages skin cell turnover. Meanwhile, Calcineurin inhibitors suppress the immune system’s response to the area to treat inflammation.

An alternative to topical lichen sclerosus treatment options is oral medications and phototherapy. Oral retinol and immunosuppressants may help to keep inflammation and pain under control. Phototherapy may do the same via exposure to ultraviolet light at safe wavelengths.

Besides the itching, pain, and discomfort, if untreated lichen sclerosis can cause cancer of the genitalia in some patients. 

If you’re dealing with the effects of lichen sclerosus, don’t hesitate to reach out to the offices of Dr. Michael Tahery. Dr. Tahery is a board-certified OB/GYN and one of the most active urogynecological surgeons in the Los Angeles area. Dr. Tahery has over two decades of experience helping women by treating a wide array of vaginal and reproductive conditions. Contact our offices to schedule your appointment with Dr. Tahery today and explore possible lichen sclerosus treatment options.

The post What is Lichen Sclerosus? Causes, Symptoms, and Treatment appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The vaginal canal can be of different shapes and sizes. In fact, it can change throughout the day. But when the vagina is shallower than normal, you can experience pain during intercourse, menstruation, and more. But what is a shallow vagina, and how do you know if you have one?

What is a Shallow Vagina?

The average length of the vaginal canal is usually between three and six inches. That’s roughly the length of your hand. Every woman can have different shapes and sizes, and your vagina will undergo many changes from puberty to menopause. But even still, it stays within that normal range.

If you have a vagina that’s less than three inches, it’s considered shallow. That means that it doesn’t have the depth to accommodate much penetration.

Do I Have a Shallow Vagina?

Women asking themselves, “Do I have a shallow vagina?” must consider their experiences and sensations to determine the answer. There are a few telltale signs that your vagina might be shallower than normal.

The most obvious symptom is pain during intercourse. Because there’s not enough depth, you may feel:

• Resistance upon insertion
• Throbbing pain during intercourse
• Burning sensations in the groin area
• Increased and persistent discomfort
• Deep pain with movement

Similar symptoms may arise when inserting tampons. Some women also experience major issues without an element of penetration. For example, a shallow vagina can prevent normal menstruation or make natural vaginal childbirth impossible.

RELATED: What Are The Vaginal Atrophy Treatment Options?

Causes of a Shallow Vagina

There are many potential causes of a shallow vagina, and the exact reason for this issue could be difficult to pinpoint. In many cases, it’s something women are born with. It’s a matter of genetics. Conditions like a tilted vagina can also be to blame.

However, it can also be a byproduct of injury or underlying medical conditions.

Women who have tearing from prior surgery or childbirth may develop scar tissue that affects the vaginal canal. Hormones can be the culprit, too. Changing hormones due to pregnancy or menopause can cause the vaginal tissue to shrink as it becomes become dryer and thinner, making it feel as if the vagina is shallower than it used to be.

Various medical conditions can be among the causes of a shallow vagina. Infections and radiation therapy can cause vaginal stenosis, which causes tough scar tissue to form. Fibroids, the non-cancerous tumors that affect an estimated 80 percent of women, can cause issues by bulging into the wall of the vaginal canal. Women can also develop involuntary tensions, a problem referred to as Vaginismus.

Shallow Vagina Treatment

It’s important to seek guidance from a gynecologist whenever you encounter pain or accompanying symptoms of a shallow vagina. Regardless of the cause, there are treatment options available. What’s right for you will depend on the root cause of the issue, but here are a few common methods for treating a shallow vagina.

Vaginal Rejuvenation

Vaginal rejuvenation is one of the best shallow vagina treatment options available. It’s versatile, and a seasoned vaginal surgeon like Dr. Michael Tahery can take different approaches to address your unique issues. Depending on the cause of your shallow vagina, your doctor can perform procedures to counteract dryness, repair or remove tissue, and more.

Pelvic Floor Exercises

Pelvic floor exercises, or Kegels, are effective shallow vagina treatments. The vaginal canal is a tube-shaped muscle. Like any other muscle, exercises can keep it healthy. For those with shallow vaginas, an ongoing routine may elongate the vagina while strengthening pelvic floor muscles.

Hormone Therapy

This therapy can address causes of a shallow vagina that revolve around hormonal issues. It’s a great option for those dealing with discomfort and vaginal dryness as they go through perimenopause or menopause. Hormone therapy can increase vaginal moisture, reversing the shrinkage that makes the vagina feel shallower than it used to be.

Are you dealing with pain and asking, “Do I have a shallow vagina?” If so, don’t hesitate to reach out to the office of Dr. Michael Tahery. Individualized treatment that caters to your needs is key, and Dr. Tahery has the experience to find the shallow vagina treatment that’s right for you. A board-certified OB/GYN with over 20 years of helping women in Los Angeles and the surrounding areas, Dr. Tahery has the knowledge and expertise to help you. To learn more and discuss your concerns, contact our offices today to schedule your appointment.

The post Shallow Vagina Symptoms, Causes, and Treatments appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Your body produces testosterone in many places. Testosterone in young women originates from the ovaries, the adrenal glands, and even fat and skin cells. Like boys, girls experience an influx of testosterone during puberty, and it plays a significant role in helping your body mature into adulthood. A women’s body continues to produce testosterone alongside other androgens, giving the body plenty to convert into female sex hormones. Levels can naturally decrease with age, but testosterone in young women usually stays in a healthy range.

But what happens when your body doesn’t have enough of this crucial hormone? Young women with abnormally low testosterone levels can experience several mental, physical, and biological issues, requiring immediate intervention through testosterone therapy.

Signs of Low Testosterone in Young Women

Most young women don’t consider low testosterone a significant issue, but it can create many unwanted problems. Ideally, women should have at least 15 nanograms of testosterone per decimeter of blood. The upper end of the “normal” range is 70 nanograms. If levels decrease below 15 nanograms, your body can experience many symptoms.

In female bodies, testosterone is responsible for growing and maintaining reproductive tissue. It can also contribute to tissue repair after injury, help maintain muscle mass, keep bone density in good shape, and more. The hormone even influences vaginal and menstrual health.

Physically, abnormal levels of testosterone in young women can result in:

• Muscle weakness
• Fatigue and sluggish behavior
• Weight gain
• Changes in breast tissue
• Vaginal dryness
• Decreased libido

RELATED: 3 Signs You Might Have a Hormone Imbalance

Internally, low testosterone levels can wreak havoc on your reproductive and musculoskeletal health. Common symptoms include:

• Irregular menstrual cycles
• Fertility issues
• Muscle atrophy
• Decreased bone mass

On top of all that, you’re likely to experience constant fatigue, dramatically reduced sex drive, changes in sexual satisfaction, and even sleep disturbances.

Many of these symptoms coincide with other health problems. As a result, many women brush them off or mistake them as signs of another underlying medical condition. It’s not until a blood test that the true culprit of low testosterone in young women comes to light.

Causes of Low Testosterone in Young Women

Testosterone in young women is usually relatively stable. In healthy women, it’s not until approaching perimenopause that testosterone levels start to wane.

Many conditions result in a lack of testosterone in young women. The most common is using birth control pills. Birth control pills work by shutting down ovarian hormone production. Since ovaries are a source of testosterone production it results in low testosterone. 

Stress and being overweight may be other reasons for low testosterone production. 

Oophorectomy, or surgical removal of the ovaries, or early menopause will also result in low testosterone production. Because the ovaries are one of the most prominent sources of testosterone, their absence can cause issues.

Other potential causes of low testosterone in young women include hypopituitarism, a deficiency of pituitary hormones, or insufficient adrenal gland performance. The adrenal glands are another source of testosterone in the female body. Therefore, insufficiency can have a significant impact on testosterone levels.

Some experts also believe that genetics come into play. More specifically, genetic conditions that influence the production of testosterone precursors DHEA and DHEA-S could create lower-than-normal hormone levels.

RELATED: Hormones in Perimenopausal and Menopausal Women

Testosterone Therapy in Young Women

Ignoring low levels of testosterone in young women could lead to decreased libido, a slower metabolism, eventual weight gain, and an increased risk for physical injury, among other concerns. Fortunately, there are treatment options available.

Removing an external cause of ovarian suppression is important. For example, changing birth control pills or using a different method of birth control that does not involve ovarian suppression. 

Testosterone therapy is another easy way to increase testosterone in young women safely. There are a few approaches available, but compounded bioidentical testosterone in the form of a pellet or cream is the most effective. Bioidentical testosterone treatments restore testosterone levels without worrying about adverse side effects. Creams and pellets absorb through the skin or fatty tissue and don’t involve the liver. As a result, doesn’t come with the same risks as alternatives. It’s safe, efficient, and easier to implement into your daily life.

While some women are wary of testosterone therapy due to the perceived risk of virilization, those effects are unlikely with proper doctor supervision. Bioidentical testosterone is specially formulated to regulate hormone levels and keep them at the appropriate range.

If you’re grappling with the effects of lower testosterone, reach out to the offices of Dr. Tahery. Dr. Michael Tahery is a board-certified OB/GYN and female hormone specialist with more than two decades of experience helping women throughout Los Angeles and its surrounding areas. He’s ready to address your unique needs and develop a treatment plan that alleviates symptoms and restores your sexual health. Call us today to schedule an appointment and see if testosterone therapy is right for you.

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