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.

Innie vs Outie Vagina Differences

No two vaginas are the same. There are thousands of “micro” differences between vaginas that help to make each one unique. However, women will either have an innie or an outie vagina based on the configuration of the vulva. The term vulva refers to the visible portion of the vagina consisting of the outer lips (labia majora) and inner lips (labia minora). There’s no “right” or “better” type of vagina to have. In fact, a study published in 2017 found that around 56% of vaginas could be classified as “outies” based on the fact that they have visible labia. That means that it’s essentially just as common to have one or the other.

Innie Vagina

An innie vagina is characterized by inner lips that are shorter than the outer lips. The labia minora are essentially “tucked” away out of sight. In general, innie vaginas don’t pose risks for discomfort or infection. However, some women with innie vaginas still seek treatments for asymmetry and volume loss stemming from childbirth, aging, or genetics.

Outtie Vagina

As shared above, an outie vagina refers to a vagina with inner lips that are visible from the outside. Typically, this means that the inner lips are longer than the outer lips. As a result, the inner lips can actually be felt or seen from the outer labia. Outtie vaginas can vary drastically in shape. Despite the fact that an outie vagina is considered perfectly normal and healthy, some women feel self-conscious about their visible inner lips. They may feel uncomfortable wearing bathing suits or tight-fitting pants because they fear that their inner vaginal lips will be visible through clothing.

In addition to making a woman feel self-conscious, lips that protrude can potentially cause discomfort or pose health risks. In cases where the inner lips are disproportionately longer and larger compared to the inner lips, women may experience decreased quality of life and sexual health. Risks include pain during sports or physical activity, irritation and chafing, increased likelihood of infection, and difficulty with keeping the labia properly cleaned.

RELATED: Will Labiaplasty Get Rid Of Camel Toe?

Innie and Outtie Vagina Treatments

While no woman should feel self-conscious about her own vagina when comparing innie vs outie vagina, the truth is that there’s also no need to feel like you’re stuck with a vagina style that makes you feel embarrassed or self-conscious. There are many surgical and non invasive treatments that can improve the shape and appearance of your vagina to help you step into a more comfortable way of being. One of the most popular outie vagina treatments is labiaplasty. During this surgical procedure, the size of the labia can be increased or decreased. Unwanted tissue can be removed via laser or scalpel in order to create more “hidden” inner lips. Labiaplasty is commonly chosen by women who struggle with difficulty with exercise and hygiene due to having outie vaginas. It can also help if you are struggling with sexual health or urinary tract infections. 

A popular innie vagina treatment is labia puffing. The goal of labia puffing is to enhance the outer folds of skin surrounding the vaginal opening. “Plumping” can be achieved through filler or fat transfer. If you have an innie vagina that appears thin, lax, or asymmetrical, this procedure can help to add volume and rejuvenation. 

While you’re feeling self-conscious about your vagina because it looks different from what you assumed was a “normal” vagina, you may simply be like most women who have unrealistic standards for what a vagina should look because the differences between an innie vagina and outie vagina simply aren’t shared with women enough. In reality, there should never be a beauty standard for vaginas. However, there are many surgical and laser vaginal rejuvenation treatments available that can help you feel comfortable and confident in your own skin.

Dr. Michael Tahery is an obstetrician-gynecologist (OB-GYN) and urogynecologist in Los Angeles and Glendale specializing in labiaplasty and vaginal rejuvenation. He has spent the last 20 years helping women discover treatments for enhancing sexual health. Contact Dr. Tahery today to discuss any of your concerns regarding an innie or outie vagina.

The post Innie Vagina Vs Outie Vagina | Which One is Normal? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

How Does Menopause Affect Your Sex Life?

Menopause is a natural part of life. It should be looked at as something to be managed with grace and confidence instead of something to be “cured.” However, there’s no denying that some menopause symptoms can cause pain and stress for many women. Understanding why these symptoms happen is an important part of feeling empowered in your menopause journey. Here’s a look at some of the ways that menopause can alter sexual health.

Low Libido

During menopause and perimenopause, estrogen and testosterone production dips significantly. For most women, this signals dramatic changes in sexual function. In addition to lowering desire, estrogen dips can make it difficult to become aroused when engaging sexually. In fact, more than 30% of perimenopausal or postmenopausal women report having sexual struggles that range from lack of sexual desire to orgasm difficulties.

Vaginal Dryness

In addition to reducing overall sexual desire for many women, the estrogen and testosterone dip that occurs during menopause, and decreased sexual activity can also cause vaginal dryness. Sometimes referred to as vaginal atrophy or atrophic vaginitis, vaginal dryness caused by reduced estrogen levels actually results in shrinkage of the vaginal wall. As this happens, the vaginal lining can become smooth and dry. Dryness is often accompanied by sensations of burning, itching, and tightening that can cause extreme discomfort. Of course, any vaginal itching or discomfort shouldn’t be dismissed as normal menopausal symptoms even if you are of menopausal age. Be sure to book an appointment with a gynecologist to rule out infections or other conditions that could be causing pain or discomfort.

Pain or Discomfort During Intercourse

Dyspareunia is the term for painful vaginal sex. According to research, up to 30% of postmenopausal who are not being treated hormonally experience this condition. Dyspareunia is actually divided into three different categories based on the type of pain that is experienced. These categories are superficial pain upon penetration, deep pain, or a combination of both. Dyspareunia can produce a sharp, burning pain that either persists or fades as intercourse goes on.

Like other symptoms that can make enjoying sex after menopause challenging, pain and discomfort during intercourse are largely caused by reduced estrogen and testosterone levels. In addition to leaving vaginal tissue more fragile, reduced estrogen can also cause urinary and bladder issues that make sex feel uncomfortable.

Not all painful sex after menopause is strictly hormone-related. Some women experience pain caused by childbirth, pelvic trauma, pelvic surgery, and other underlying conditions. Even stress, fear of intimacy, or insecurity about a changing postmenopausal body can make enjoying sex feel like a challenge. Some common medications prescribed for depression and high blood pressure are linked with excessive vaginal dryness.

Reduced Elasticity

Another common cause of painful or uncomfortable sex after menopause is reduced elasticity. Reduced estrogen levels can cause vaginal tissue to lose its elasticity. In addition to being tender, vaginal tissue can be more vulnerable to tearing and bleeding.

RELATED: What is Labial Hypertrophy?

Improving Your Sex Life After Menopause

Countless women have gone from believing that sex could never be pleasurable again to enjoying sex after menopause. The key to restoring sexual health is getting a proper diagnosis that gets to the root of why you are experiencing pain, lack of desire, or other common symptoms that show up in women after ages 40, 50, and beyond. Here’s a look at common treatments for menopausal sexual health.

Hormone Therapy

With reduced estrogen being at the core of so many negative symptoms that affect sex after menopause, hormone therapy is generally the most common treatment. However, hormone therapy is never a one-size-fits-all solution. Natural hormone therapies that are tailored to the needs of an individual patient can include levels of estrogen, progesterone, and testosterone that can often restore sexual function. These therapies can also be important for improving heart and bone health. Vaginal estrogen and lubricants can also help increase blood flow to promote natural lubrication and responsiveness.

Non-Hormonal Therapy

Radiofrequency and laser technology has also been helpful in alleviating dryness, increasing lubrication, improved blood flow to the vagina and clitoral area, as well as increasing the collagen deposit in the genitalia. These methods of treatment are safe and can be applied in conjunction with other modalities or by themselves and have been shown to be very safe and effective. 

Vaginal Rejuvenation

Vaginal rejuvenation is increasingly becoming popular among women who want to restore the function and appearance of the internal and external genitalia. Rejuvenation actually refers to a collection of treatments that can either be performed independently or together as part of a plan to repair and restore damaged or atrophied tissue. Options include:

•  Laser and radiofrequency vaginal rejuvenation
•  Surgical rejuvenation
•  Perineoplasty
•  Vaginal tightening
• Labiaplasty and clitoral hood reduction
• Labial Puff
• G Spot Injection

In addition to restoring cosmetic appearance, vaginal rejuvenation can correct a weakened pelvic floor to improve overall health and quality of life. It can also help to enhance sexual pleasure. In many cases, rejuvenation treatments allow women to correct ongoing muscle, tissue, and nerve injuries that they have lived with for years following childbirth.

Would you like to learn more about treatments that are available to help you enjoy sex after menopause? Our offices in Glendale and Los Angeles provide an array of minimally surgical treatments, nonsurgical treatments, hormonal treatments, and exercise-based therapies to help our patients with rejuvenation, restoration, and restored pleasure. Dr. Michael Tahery has been helping women manage perimenopause and menopause symptoms for more than 20 years. Contact our office today to book an appointment.

The post Sex After Menopause | What Should You Know? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

SYMPTOMS AND DIAGNOSIS OF VAGINA ATROPHY

How can you know if the symptoms you’re experiencing are caused by vaginal atrophy? It’s actually quite common to confuse symptoms of vaginal atrophy with symptoms of a yeast infection. Treatments for yeast infections won’t work for vaginal atrophy because this condition is caused by a lack of estrogen instead of a fungal infection. Of course, it’s always important to rule out a yeast infection with help from a medical provider before assuming that your symptoms are caused by vaginal atrophy. Here’s a look at vaginal atrophy symptoms:

• Vaginal dryness.
• Vaginal burning.
• Burning during urination.
• A sense of urgency during urination.
• Changes in vaginal discharge.
• Genital itching
• Recurrent urinary tract infections (UTIs).
• Light bleeding after intercourse.
• Painful or uncomfortable intercourse.
• Decreased vaginal lubrication during sexual activity.
• Tightening of the vaginal canal.

RELATED: Why Is My Labia Shrinking?

It’s not necessary to experience all symptoms to be diagnosed with vaginal atrophy. In many cases, women only experience the symptoms of burning, dryness, and itching. A pelvic exam is generally needed to confirm a diagnosis of vaginal atrophy. During your examination, your healthcare provider will be looking for signs of swelling, redness, vulvar lesions, lacerations near the vaginal opening, sparse pubic hair, narrowing of the vagina, and other telltale signs that you’re in a state of decreasing estrogen levels. Urine and fluid analysis may also be used.

VAGINAL ATROPHY TREATMENT

Many women never talk to their care providers about vaginal atrophy because they assume that nothing can be done to mitigate the age-related effects of diminishing estrogen levels. In reality, there are several treatment options available to help restore comfort and function. Speaking to your care provider as soon as you notice symptoms of vaginal atrophy is important because early treatment can prevent your vaginal atrophy from worsening. Vaginal dryness increases as the body goes without estrogen. This means that your condition is likely to get worse with time. In some cases, atrophy becomes so severe that the vaginal opening narrows dramatically. Trying to correct atrophy one significant symptoms are present can be much more challenging than treating early symptoms. Next, take a look at the three most common treatments for vaginal atrophy.

Hormone Therapy

A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. Your care provider will discuss the pros and cons of various hormonal therapies based on your age, symptoms, and health history.

Laser Treatment

Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. Lasers stimulate circulation, cellular activity, and healing that help to restore vaginal tissue to original levels. This non-invasive, surgery-free option triggers vaginal tissue’s self-healing, self-restorative properties.

RELATED: Frequently Asked Questions About Labia Majoras Puffing

Lifestyle Changes

Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. Here are some tips:

• Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. Kegels can be especially effective for women suffering from urinary symptoms associated with the condition. These simple exercises involve repetitive tightening and loosening of pelvic floor muscles.
• Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina.
• Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels.
• Regular exercise can be helpful for keeping blood flow in the genital area high.

If you’re struggling with symptoms of vaginal atrophy, reach out to the offices of Dr. Tahery to learn about vaginal atrophy treatment options that can help you feel like yourself again. Located in Los Angeles, Dr. Michael Tahery is a board-certified OB/GYN and female hormone specialist offering patients more than two decades of experience. Our office can address your unique needs to help you develop a vaginal atrophy treatment plan that allows you to live without pain and discomfort. Call today to schedule an appointment!

The post What Are The Vaginal Atrophy Treatment Options? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The concept of having a loose vagina is one that’s been around for centuries. But the truth is that vaginal elasticity is complex. It’s surprisingly resilient. However, it can change throughout your life due to hormonal fluctuations, major life events, and more.

Here’s the truth about some common myths about a loose vagina.

Vagina Looseness and Sex

Everyone’s heard this myth and all of its associated jokes before. Contrary to popular belief, the vagina doesn’t become loose after having “too much” penetrative sex. No matter how much a woman has sex, the vagina can bounce back. It’s an incredibly elastic organ that adjusts for sexual activity.

Sure, the tissue becomes more relaxed before, during, and after sex. However, this “looseness” is no different than your mouth opening wide to eat or yawn! No matter how many times you stretch your mouth, it always rebounds back to its original shape. The same applies to the vagina.

Another misconception is that the hymen causes the feeling of a tight vagina. Despite the myth of virgins and broken hymens, this thin tissue doesn’t totally cover the vaginal opening. It merely surrounds the opening. After penetrative sex, the hymen can stretch and make the vagina feel more open. However, it doesn’t always tear or impact sensation.

Women with vaginal looseness are likely experiencing other issues. It’s not a product of too much penetrative sex.

The good news is that there are several ways to address tightness concerns. Vaginal tightening encompasses surgical procedures, laser treatments, and more. Tightening can improve elasticity to increase sensation for both partners.

RELATED: Does Sex Cause Elongated Labia?

Childbirth Causing Loose Vagina

The female body goes through some extreme changes during pregnancy and after delivery. While many believe that childbirth can loosen a tight vagina, the reality is a little more complicated than that.

The vagina is a powerhouse of elasticity that can stretch to accommodate a baby during birth. The tissue does loosen as the muscles relax to make way for the baby. However, the tissue usually shrinks back down to its pre-pregnancy state with time.

So, why do many women report changes to vaginal elasticity and sensation after birth?

In many cases, it’s because of damage to skin, tissue, and muscles.

The pelvic floor muscles are particularly prone to damage after giving birth multiple times or a difficult vaginal delivery. In addition to changes in sensation, pelvic floor issues can lead to a host of health problems in the future. The same goes for damage to connective tissue. Vaginal changes are common after giving birth.

Fortunately, vaginal tightening is available to address them. A Vaginoplasty can repair the pelvic floor and walls for a tightening effect. Meanwhile, a Perineoplasty can repair the muscular and connective tissue that supports the opening of the vagina.

RELATED: Pelvic Floor Disorder Symptoms in Women

Aging and Hormonal Changes

The most common cause for a loose vagina is aging. As a woman nears the end of her reproductive life, hormone production starts to wane. During perimenopause, the transitional phase before menopause, estrogen levels drop significantly. The decline directly impacts an otherwise tight vagina.

The vaginal lining can become dry, resulting in less tightness. During intercourse, the vagina will produce less natural lubrication as well. Overall, the tissue becomes less elastic as it loses resiliency.

Many of those changes are manageable with treatment, but some changes are expected as women approach menopause.

RELATED: Are You Experiencing Perimenopause Symptoms?

Loose vagina myths have created a lot of confusion in the women’s health sphere. While most of the misconceptions about the vagina have no basis in fact, there are instances in which women can benefit from tightening procedures.

Dr. Michael Tahery is a urogynecologist that provides vaginal tightening services to women in Los Angeles and the surrounding areas. If you’re looking to increase sensation or address elasticity issues, give us a call. Dr. Tahery can perform a consultation and see if you’re a good candidate for one of the many available procedures

The post Facts And Myths About A Loose Vagina appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Not to be confused with premenopause, perimenopause affects all women differently. Some will notice changes in their 30s. However, others may go through this stage for only a few months before reaching menopause.

Either way, the body’s production of estrogen rises and falls unevenly. As a result, women experience a wide range of perimenopause symptoms. Fortunately, treatment options are available to ease the transition. Here are some of the most common symptoms women can experience:

Irregular Periods

Erratic periods are standard during perimenopause. Ovulation becomes more unpredictable, leading to changes in the flow and length of periods. The space between periods can vary as well.

The changes can be so significant that some women assume they have entered menopause. Despite the drop in fertility, it’s still possible to get pregnant during perimenopause. It’s only when a period doesn’t occur for 12 months that doctors typically diagnose full menopause.

A specialist may recommend treatment options if symptoms begin to interfere with daily life. These may include hormone therapy, lifestyle changes, and more.

RELATED: 4 Common Reasons You Might Be Experiencing Irregular Periods

Hot Flashes

Hot flashes are an infamous sign of menopause. However, these bouts of sudden body heat can occur during perimenopause, too. They’re one of the most common symptoms, affecting more than two-thirds of women heading into menopause.

Characterized by an intense wave of heat over the face, neck, and chest, hot flashes can result in profuse sweating and sleeping issues. The frequency and severity of hot flashes vary based on the hormonal changes within.

Luckily, a specialist can help manage hot flashes with hormone treatments like birth control, patches, gels, and more.

Mood Swings

Not all perimenopause symptoms are physical. In many cases, the transitional period causes noticeable emotional instability. Sometimes called “Perimenopause Rage,” these mood swings differ from standard anger or frustration.

Some women describe it as a sudden shift to intense irritation, resentment, or a lack of patience.

Mood swings occur for a variety of reasons. They could be a product of sleep disruption from hot flashes or outside factors. Internally, there’s a chemical reason for the emotional shift.

Estrogen impacts the release of serotonin, the body’s mood regulator hormone. With erratic estrogen production, serotonin levels become unstable. With time lost symptoms improve as the body adjusts to a low hormonal environment.

RELATED: Menopause and Brain Fog

Weight Gain

Weight fluctuations are prevalent in perimenopausal women. Studies suggest that lower estrogen levels change how the body stores fat. Throughout the reproductive stage, women store fat in the hips and thighs. It’s subcutaneous fat, which is usually harmless and doesn’t increase one’s risk of disease.

However, during perimenopause, the dip in estrogen causes the body to store fat in the belly area. It takes the form of visceral fat. Unfortunately, visceral fat comes with higher risks of heart disease, insulin resistance, and a range of health problems.

Of all the perimenopause symptoms, this is one that many women overlook. A crucial part of treatment is to adopt a healthier lifestyle to combat weight gain.

RELATED: Weight management in Los Angeles

Vaginal Dryness

The vaginal tissue can suffer significantly during perimenopause. Estrogen is a vital hormone that governs vaginal elasticity and natural lubrication. When this hormone’s presence in the body decreases, dryness occurs, and vaginal tissue thins. 

The dehydration is not just limited to the vaginal tissue. Many women experience it on the face and other parts of the body as well. However, vaginal dryness can affect sexual health and comfort. Furthermore, a lack of moisture and resilience may make women more vulnerable to vaginal and bladder infections. 

Vaginal dryness is one of those perimenopause symptoms that many women don’t bring up to their specialist. But, there are plenty of treatment options to stave off the effects of hormonal changes.

If you notice any of these perimenopause symptoms, go to a specialist like Dr. Tahery for professional care. Dr. Michael Tahery is a urogynecologist who specializes in both women’s health and urology. He’s spent the last two decades helping women in the Los Angeles area manage this life change. Call us today to schedule an appointment.

The post Are You Experiencing Perimenopause Symptoms? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.