Labiaplasty has become one of the most commonly requested cosmetic gynecology procedures in recent years. Women of different ages seek labiaplasty for both physical comfort and personal confidence. Increased awareness, advances in surgical techniques, and reduced stigma around women’s intimate health have all contributed to its growing popularity.

According to Dr. Michael Tahery, a board-certified OB-GYN and urogynecologist in Los Angeles and Glendale, California, many patients considering labiaplasty have lived with discomfort or self-consciousness for years before discussing it with a physician.

“Most women don’t come in impulsively,” says Dr. Tahery. “They’ve usually thought about their concerns for a long time before scheduling a consultation.”

GROWING AWARENESS OF LABIAPLASTY AND WOMEN’S HEALTH

Open discussions about women’s health have become far more common. Topics that were once avoided, such as changes after puberty, childbirth, weight loss, hormonal shifts, and aging, are now openly discussed in medical settings. This cultural shift has made it easier for women to ask about labiaplasty and understand whether it may help address their symptoms.

In Dr. Tahery’s practice, women most often inquire about labiaplasty due to irritation, discomfort with clothing, difficulty exercising, or concerns about symmetry. Cosmetic appearance may be part of the discussion, but comfort and quality of life are often the primary motivators.

ADVANCES IN LABIAPLASTY TECHNIQUES

Modern surgical techniques have played a major role in the increased interest in labiaplasty. Earlier approaches were more invasive and often required longer recovery times. Today, refined methods allow for precise tissue reshaping while preserving natural anatomy.

Dr. Michael Tahery explains that most labiaplasty procedures are now performed as outpatient surgeries. Many patients undergo the procedure under local anesthesia and return home the same day. Improved surgical tools and planning help reduce swelling, limit discomfort, and support predictable healing.

These advances make labiaplasty more accessible to women who balance work, family, and daily responsibilities.

HIGH PATIENT SATISFACTION AFTER LABIAPLASTY

Patient satisfaction is one of the strongest drivers behind labiaplasty’s popularity. When patients receive clear education and realistic expectations before surgery, outcomes are often very positive.

After healing, many patients report improved comfort during walking, exercise, and daily activities. Clothing irritation is often reduced, and some women feel more confident in intimate settings. Dr. Tahery notes that relief from physical discomfort can have a meaningful impact on overall well-being.

“When a chronic source of irritation is resolved, patients often feel a sense of relief that affects many aspects of daily life,” he says.

REDUCED STIGMA AROUND GENITAL HEALTH

The stigma surrounding women’s genital health has decreased significantly. Physicians now encourage open, respectful conversations about anatomy, symptoms, and personal concerns. Education plays an important role in helping patients understand that labial appearance varies widely and that there is no single “normal.”

At the same time, Dr. Tahery emphasizes that concerns should not be dismissed when anatomy causes ongoing discomfort or emotional distress. A supportive consultation allows patients to make informed decisions based on personal needs rather than embarrassment or outside pressure.

RELATED: Will Insurance Cover Labiaplasty?

WHO CONSIDERS LABIAPLASTY?

Women consider labiaplasty at many stages of life. Some notice concerns during adolescence, while others experience changes after childbirth, significant weight loss, hormone therapy, or menopause. Genetics also influence labial size and symmetry.

According to Dr. Tahery, age alone rarely determines candidacy. Overall health, anatomy, and goals are far more important. A thorough consultation helps determine whether labiaplasty is appropriate and which surgical approach would be most beneficial.

PERSONALIZED LABIAPLASTY TREATMENT

Labiaplasty is not a one-size-fits-all procedure. Each surgery is customized to the patient’s anatomy and symptoms. Some women seek reduction of excess tissue, others desire improved symmetry, and some focus primarily on reducing irritation.

Dr. Michael Tahery works closely with each patient to develop an individualized treatment plan. Preoperative counseling, recovery planning, and follow-up care are essential parts of achieving natural-appearing, comfortable results.

LABIAPLASTY WITH DR. MICHAEL TAHERY IN LOS ANGELES

The rising popularity of labiaplasty reflects progress in women’s healthcare. Better education, safer surgical options, and open communication allow women to address concerns that affect both comfort and confidence.

Dr. Michael Tahery, OB-GYN and UroGynecologist in Los Angeles and Glendale, provides patient-centered labiaplasty care with a focus on function, comfort, and natural results.

The post Why Is Labiaplasty So Popular? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

CANDIDATES FOR VAGINAL PROBIOTICS

Vaginal probiotics are not meant to replace an exam, diagnostic testing, or prescription treatment when an infection is present. However, they may be helpful for women who feel that their vaginal health is easily thrown off or who want extra support during menopause or medical treatments.

Women With Recurrent BV or Yeast Infections

Bacterial vaginosis, or BV, occurs when bad bacteria overtake the good Lactobacillus bacteria in the vagina. Many women mistakenly believe BV is a sexually transmitted infection. While sexual activity can lead to imbalance, there are other possible causes, including antibiotics, smoking, IUDs, and scented soap. BV doesn’t always cause symptoms, but you may notice unusual vaginal discharge or odors. You may notice irritation and itching.

A yeast infection occurs when Candida yeast becomes overgrown in the vagina. When you have a yeast infection, you may notice intense itching and burning. Your vaginal discharge may develop a texture like cottage cheese. It may also have an unusual smell.

Both bacterial vaginosis and yeast infections can be persistent, recurring problems. Even though treatments can improve the symptoms, you may find that the condition returns weeks or months later. In this case, your underlying vaginal microbiome may still be off balance. Vaginal probiotics may help support the return of beneficial bacteria. Some research suggests that consistent use may help lower the risk of recurrence, particularly when probiotics are used after standard treatment.

Women With Hormonal Shifts

Women experience many hormonal changes throughout life. Menstrual cycles, puberty, the postpartum period, perimenopause, and menopause can all change the vagina’s microbiome. Hormonal shifts can affect vaginal tissue, pH, and bacterial growth. As estrogen levels decline in perimenopause and menopause, Lactobacillus levels may decline as well. Some women notice more dryness, irritation, or odor. Probiotics can help support the vaginal microbiome during hormonally sensitive periods.

Preventative Support During and After Antibiotics

Antibiotics are sometimes necessary, but they do not differentiate between harmful bacteria and beneficial ones. As a result, Lactobacillus levels may drop during or after treatment. This disruption can leave the vaginal environment more vulnerable, which helps explain why BV or yeast symptoms sometimes follow antibiotic use.

Experiencing Foul Odor

A sour or fishy vaginal odor can be a warning sign that you have bacterial vaginosis. It can also indicate other conditions, such as a yeast infection, trichomoniasis, or a urinary tract infection. If you are diagnosed with BV, vaginal probiotics may help with your recovery. These specially formulated probiotics can help create a healthier balance of vaginal bacteria.

BENEFITS OF VAGINAL PROBIOTICS

Vaginal probiotics can boost the healthy bacteria in the vaginal microbiome rather than simply mask symptoms. Probiotics can offer both preventative and supportive benefits for overall vaginal health.

pH Balance

Lactobacillus bacteria help maintain the acidic pH that supports vaginal health. When your pH rises, anaerobic bacteria are more likely to thrive. Supporting Lactobacillus levels may help encourage a pH range that promotes comfort and stability over time.

Bacterial Vaginosis (BV) Prevention and Treatment

Bacterial vaginosis occurs when an overgrowth of harmful bacteria changes the vaginal microbiome. Prescription medications are the standard treatment for BV, but this condition can return if the microbiome isn’t rebalanced.

Vaginal probiotics can encourage the return of Lactobacillus-dominant flora. Probiotics may also reduce the likelihood of a recurrence in some women. The results depend on the type and formula of probiotics.

For women who experience recurrent BV, this rebuilding phase matters. Feeling better does not always mean the vaginal microbiome has fully stabilized.

Alleviate Menopause Symptoms

During perimenopause and menopause, estrogen levels drop. Many women notice discomfort from vaginal dryness, thinning tissue, and irritation. During this time, some women find that mild symptoms improve with the help of vaginal probiotics.

Yeast Infection Prevention and Treatment

Antibiotic use, hormonal changes, and stress can all lead to Candida overgrowth. Vaginal probiotics can help you maintain a pH level that is less favorable to yeast overgrowth.

Supports Reproductive Health

A stable vaginal microbiome supports the health of vaginal and cervical tissue. This can be especially important for women trying to conceive or preparing for gynecologic procedures. Supporting Lactobacillus dominance is one way to promote overall reproductive wellness.

Lowers the Risk of Urinary Tract Infections

The health of your vagina and urinary tract is closely connected. When harmful bacteria throw off the vaginal microbiome, these bacteria can enter the urinary tract, leading to a urinary tract infection. Maintaining a healthier vaginal environment may help reduce this risk in women who are prone to recurrent issues.

Related: Management Of Recurrent UTIs in Women

TYPES OF VAGINAL PROBIOTICS

Some vaginal probiotics focus on delivering a single strain of helpful bacteria to the vagina. Other probiotics combine multiple strains of bacteria or add prebiotics to support multiple systems. Depending on the type of probiotics you choose, they may be available as an oral capsule or vaginal suppository.

Lactobacillus

Lactobacillus bacteria are the foundation of a healthy vaginal microbiome. This bacterium creates a mildly acidic environment that limits the growth of harmful bacteria. Most probiotics for the vagina help boost Lactobacillus to maintain a healthy vagina.

Bifidobacterium

Bifidobacterium is more commonly associated with gut health but may be included in certain vaginal probiotic blends. It is typically used as part of a broader, multi-strain approach rather than on its own.

Blended Probiotics

Blended probiotics have multiple strains of bacteria. If you have mixed symptoms or recurrent episodes of BV, you may want to try a blended probiotic. These probiotics can help balance your system from multiple angles.

CAN YOU INSERT VAGINAL PROBIOTICS?

Vaginal Probiotic suppositories for insertion

Yes, vaginal probiotics can be inserted if the probiotics are labelled as safe for vaginal insertion. Vaginal suppositories are often the better choice for vaginal health because they provide direct support for most vaginal issues. You should never insert oral probiotic capsules in your vagina.

If you are pregnant or experiencing persistent symptoms like odor, discharge changes, burning, or irritation, you should schedule a doctor’s appointment before starting probiotics. Contact us for our medical-grade probiotics, research-based and designed to restore vaginal health and balance.

The post Vaginal Probiotics! Should You Be Taking Them? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

WHAT ARE KEGEL EXERCISES?

Kegel exercises were developed as a nonsurgical treatment for urinary incontinence in the 1940s by a gynecologist named Dr. Arnold H. Kegel. These exercises were designed around the findings that strengthening the pelvic floor, vaginal wall, and surrounding supportive systems could prevent urinary incontinence and genital organ prolapse.

While Kegel exercises are generally considered very easy to do, it’s essential to locate the right set of muscles to exercise in order to get results. Experts recommend that women utilize the techniques of pretending they are trying to avoid passing gas or pretending to tighten the vagina around a tampon in order to identify the muscles that need to be engaged during Kegels.

To do a Kegel, contract your pelvic floor muscles for three to five seconds before relaxing for three to five seconds. For best results, repeat the contract-relax cycle 10 times per session. While engaging pelvic muscles, it’s important to keep abdominal, leg, and buttocks muscles relaxed. The pelvis should not be visibly moving during Kegel routines.

BENEFITS OF STRONG PELVIC FLOOR MUSCLES

Kegel muscles help to strengthen the muscles that support the bladder, uterus, small intestine, and rectum. In addition to preventing incontinence, this type of pelvic floor muscle training can also improve quality of life.

Improved Bladder Control

Kegel exercises are ideal for people struggling with something called stress incontinence. Stress incontinence occurs when a few drops of urine leak as a result of coughing, laughing, sneezing, or bending to stretch or lift heavy objects. Kegels can also help to reduce the strong, sudden urge to urinate called urge incontinence that can also result in small urine leaks.

Better Sexual Function

Using Kegel exercises to strengthen the pelvic floor muscles can lead to improved sexual function and greater sexual satisfaction. For women, stronger pelvic floor muscles can improve sexual arousal and increase orgasm intensity. In addition, Kegels also increase blood flow to the pelvic area to boost overall arousal and sensitivity.

Faster Postpartum Recovery

After getting clearance from your doctor, beginning Kegel exercises a few days or weeks following vaginal or C-section delivery can help to speed up recovery. During pregnancy, a combination of the increased weight of a growing baby, hormonal changes that soften pelvic ligaments, and an expanding uterus will generally weaken the pelvic muscles. Kegel exercises can help to strengthen muscles that have stretched or become weak during pregnancy and delivery.

Better Bowel Control

Kegels can help with improving bowel control and stopping fecal incontinence. By contracting and relaxing sphincter muscles, Kegels can make it easier to hold in stool and gas. In addition, strengthening pelvic floor muscles provides better support for the rectum.

Related: When Do You Need Vaginal Rejuvenation?

Pelvic Floor Muscles

FASTER ALTERNATIVES TO KEGEL EXERCISES

Kegel results can vary depending on a person’s muscle strength, how consistent they are with exercises, and the severity of the pelvic floor damage. While Kegels are considered ideal for minor incontinence, they may not work as effectively or quickly enough to produce the results someone suffering with more extreme incontinence or muscle weakness would like to achieve. Several surgical and laser procedures are available for more extreme situations.

Vaginoplasty

Vaginoplasty is any surgical procedure used for the construction of the vagina. Vaginoplasty is commonly used to repair pelvic organ prolapse. It can also be used to repair stretching and looseness following childbirth, restore shape and appearance following radiation or other medical treatments, or correct congenital abnormalities affecting the function or appearance of the vagina.

Vaginal Rejuvenation

Vaginal rejuvenation refers to a number of procedures that improve appearance, function, or comfort. In many cases, several rejuvenation procedures are combined. This might include labiaplasty or surgical hood reduction. There are even options for noninvasive vaginal laser rejuvenation. For example, laser treatments that trigger collagen production, radiofrequency (RF) vaginal rejuvenation that uses RF waves to heat and tighten tissue, and platelet-rich plasma (PRP) injections that use platelets from a patient’s own blood to promote tissue healing.

Perineoplasty

Perineoplasty is a surgical procedure that’s commonly used to repair damage done by childbirth or trauma. This procedure repairs and tightens muscles and tissue in the area between the vagina and anus that’s known as the perineum. In addition to restoring the appearance of the perineum, perineoplasty can help to reduce urinary incontinence and restore sexual function.

Are you interested in learning more about Kegel exercises and other options for tightening the pelvic floor? For more than two decades, Dr. Michael Tahery has been a leading obstetrician-gynecologist (OB-GYN) and urogynecologist serving the Los Angeles and Glendale areas. Dr. Tahery offers the latest in surgical and laser procedures. Contact Dr. Tahery’s office for a consultation today.

The post Kegel Exercises For Pelvic Floor Muscles appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

While research is still emerging on the relationships between GLP-1 medications and birth control, fertility, and pregnancy, manufacturers of these popular weight-loss drugs have provided recommendations for women who are currently taking oral contraceptives to avoid pregnancy.

WHAT EXACTLY ARE GLP-1 MEDICATIONS?

Glucagon-like peptide-1 (GLP-1) receptor agonists are medications that have been used to treat type 2 diabetes for years. More recently, they gained approval for the treatment of obesity. GLP-1 medications work by mimicking the body’s natural GLP-1 hormones that regulate blood sugar, insulin release, digestion, and appetite. GLP-1 medications are commonly prescribed under the brand names of Ozempic, Wegovy, Mounjaro, Trulicity, and Zepbound. Within the past few years, GLP-1 prescriptions for non-diabetes patients have risen by more than 700%.

INTERACTION BETWEEN GLP-1 AND BIRTH CONTROL PILLS

Can GLP-1 medications make birth control less effective? There’s some evidence to suggest that popular weight-loss medications can affect how oral birth control works. For example, one study found evidence that a GLP-1 medicine called tirzepatide, that is sold under the brand name of Mounjaro had a greater impact on absorption of oral hormonal contraceptives than other GLP-1 medications. The study found that patients taking Mounjaro and oral contraceptives together resulted in a 20% decrease in overall exposure to oral contraceptives. Currently, there is no evidence suggesting that GLP-1 medications reduce effectives of non-oral contraception.

In response to findings on GLP-1 medications and birth control, manufacturers have put out usage recommendations for women taking oral contraceptives. Due to risks for decreased bioavailability of birth control pills, the manufacturer of Mounjaro (tirzepatide) recommends that patients either use barrier contraception for four weeks after initiation or dosage increase or switch to a non-oral contraceptive. Due to risks for diminished therapeutic effects of oral birth control pills, the manufacturer of Bydureon (exenatide) recommends taking birth control at least one hour prior to exenatide. The manufacturer of Adlyxin (lixisenatide) recommends taking oral birth control at least one hour prior or 11 hours after lixisenatide for the same reason. Currently, all other manufacturers of GLP-1 agonists assert that their products have no effect on the bioavailability of oral contraceptive pills.

Related: Ozempic Vagina: What Are The Side Effects Of Semaglutide?

ALTERNATIVES TO BIRTH CONTROL PILLS

Patients concerned about interactions between GLP-1 medications and birth control should talk to their care providers to make sense of manufacturer recommendations and learn about alternatives to oral contraceptives. Non-oral forms of contraception that bypass the digestive system are not believed to be affected by GLP-1 medications. This includes options like intrauterine devices (IUDs), injections, implants, rings, and patches. Patients should also be aware of the potential for increased fertility that stems from the weight loss and general health changes that many people experience after beginning GLP-1 medications. For women who have had difficulty conceiving due to obesity, it may be important to speak with your doctor about the potential for an unexpected pregnancy if birth control has not been a part of the equation due to perceived or assumed low risk for pregnancy.

GLP-1 WHILE PREGNANT

The simple answer is that women should not take GLP-1 while pregnant or attempting to conceive. Currently, there is a lack of long-term data on the safety of GLP-1 medications while pregnant. Recent studies show that exposure to GLP1-RA in the first trimester is not associated with a risk of major birth defects when compared with diabetes or obesity. While these findings offer reassurance in cases of inadvertent exposure to GLP-1 medications during the first trimester of pregnancy, larger trials are needed for more conclusive results. Additionally, animal studies have found that exposure to glucagon-like peptide-1 receptor agonists in pregnancy resulted in adverse outcomes for offspring that included decreased fetal growth, skeletal and visceral anomalies, and embryonic death.

The Food and Drug Administration (FDA) currently advises women to stop taking GLP-1 medications like Ozempic at least two months prior to trying to conceive. While the amount of time it takes the body to metabolize medication can vary by person, it takes an average of six weeks for most GLP-1 medications to be gone from the body in healthy, non-pregnant women. Patients who discover that they are pregnant while still taking a prescription GLP-1 medication should contact their care providers right away.

If you’re looking for more information on interactions between GLP-1 medications and birth control or how taking weight-loss medications may impact your fertility, Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist serving the Los Angeles and Glendale areas. Book a consultation today.

The post GLP-1 Medications and Birth Control Pills | How Do They Interact? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

TYPES OF LABIA

The vulva (external genitalia) is made up of two types of labia called the labia majora and labia minora. The labia help to protect the vagina and urethra.

Labia Majora

Also known as the outer lips, the labia majora are folds located on the outside of the vulva. They are often covered in pubic hair.

Labia Minora

Also known as the inner lips, the labia minora are folds closer to the vagina that extend from the clitoris to the vaginal opening.

Related: What Are The Vaginal Atrophy Treatment Options?

COMMON LABIA SHAPES

Labia come in a wide range of shapes, sizes, and types. In some cases, labia simply have characteristics that might make them stand out or look different from the average. In other cases, factors like pregnancy, childbirth, aging, hormonal changes, or injury can alter the appearance of different types of labia.

Asymmetrical Labia

It’s fairly common for one side of the labia minora to be longer than the other. When this occurs, a woman may notice that one side appears to hang beyond the boundary of the labia majora. While common, asymmetrical labia shapes can sometimes lead to physical discomfort or self-consciousness.

Dangling Outer Labia

When outer lips are prominent enough to spill over to hang outside the underwear, these types of labia are often described as dangling outer labia. With this situation, the inner lips become more exposed. Many women also find that wearing fitted clothing becomes more challenging.

Prominent Labia Minora

Prominent inner lips extend below the labia majora. In addition to leaving the inner lips more exposed and vulnerable to irritation and infection, these types of labia can make it difficult to wear fitted clothing or bathing suits without fear of the inner labia becoming visible.

Prominent Labia Majora

When outer lips are thick or puffy, this can create a visible mounded look under fitted clothing or bathing suits. When outer lips appear puffed or oversized, this can create the effect of shrinking or hiding the labia minora.

Curved Labia

Curved labia shapes are actually caused by a curved vulva with outer lips that are molded into something that resembles a horseshoe. When the outer lips are curved, the inner lips will be pushed to peek through the front. In some cases, the labia minora will extend past the labia majora to be visible and prominent. In others, they will remain tucked under the labia majora.

Thin or Wrinkled Labia

In general, thinning or shrinking of the labia will occur with aging and hormonal changes. As women approach perimenopause and menopause, decreased collagen production and reduced blood supply to the genitalia cause skin to lose collagen and elasticity. It’s not much different from the way women may also experience thinning skin on the face or neck due to hormonal changes with age. As tissue in the labia thins, it also becomes more vulnerable to damage and trauma that can exacerbate visible wrinkling.

LABIAPLASTY FOR LABIA CORRECTION

Whether you have concerns about the appearance of the labia or asymmetry and prominence are creating discomfort and irritation, labiaplasty is an option that can help to reshape the labia. Labiaplasty is a surgical procedure that alters the appearance or size of the inner and outer vaginal lips. During a procedure, a doctor reshapes or resizes the inner lips, outer lips, or both to create symmetry, restore or decrease volume, and correct other concerns.

The term labiaplasty actually encompasses many different procedures for different labia shapes. These procedures can involve removing tissue to reduce size or prominence of labia, reconstructing labia using tissue from other areas, or injecting filler material to plump up labia. While labiaplasty is often thought of as a cosmetic procedure, many women choose it for hygiene reasons. Excess labia tissue or profound asymmetry can make cleaning more difficult. By undergoing labiaplasty, you may be able to reduce your risks for urinary tract infections (UTIs) and other dangerous bacterial infections.

Are you interested in learning more about labiaplasty procedures for different types of labia? Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist who has spent the past two decades providing gynecology, urogynecology, and cosmetic care to patients throughout the Los Angeles and Glendale areas. Contact Dr. Tahery to book a consultation today.

The post Understanding The Different Types Of Labia and Shapes appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

THE LABIAPLASTY PROCEDURE

While there was a time when labiaplasty meant traditional surgery, patients today can choose between surgical and scalpel-free laser labiaplasty procedures to achieve their desired results.

Surgical Labiaplasty

Labiaplasty surgery can vary based on whether a patient’s goal is labia reduction or enlargement. When shortening the labia minora, a surgeon will trim excess tissue from the edge of the labia or remove a wedge-shaped piece of tissue. For enlargement procedures, small amounts of fat are taken from another part of the body during a liposuction procedure in order to be injected into the labia for shaping and plumping. Generally, the fat is taken from the thigh, abdomen, or other area with available reserves. For some procedures, a common filler material called hyaluronic acid (HA) is injected in place of fat. Depending on whether a patient is addressing overall volume loss or seeking to balance unevenly sized labia, injections may either be done on one or both sides of the vaginal lips.

Depending on the specifics of the procedure, either local anesthesia or general anesthesia will be used. Recovery time for labiaplasty surgery is typically six to eight weeks. It can take up to six months for swelling to reduce to the point that patients can see full results.

Laser Labiaplasty

Laser labiaplasty is a gentler procedure that utilizes laser technology to reduce or reshape the labial minora and/or labia majora. Today’s lasers are capable of trimming, realigning, and reshaping labia without the need for a scalpel. Like traditional labia surgery, laser labiaplasty requires either local or general anesthesia. Next, laser heat is used to precisely cut and remove labia tissue. Depending on the type of laser used and the specifics of the procedure, recovery generally takes two to four weeks.

Related: When Do You Need Vaginal Rejuvenation?

SIGNS YOU NEED LABIAPLASTY

Labiaplasty can dramatically improve confidence levels and quality of life for patients. While some seek labiaplasty for aesthetic reasons, these procedures can also offer benefits for hygiene, sexual health, and more.

Labia Appearance

When the inner labia extend lower than the outer labia, they are often visible under clothing. Labiaplasty is commonly used to address oversized or larger-than-normal inner vaginal lips that are visible through certain types of paints, skirts, and dresses. While it’s normal for labia to be visible to some degree when wearing sheer or tight-fitting clothing, oversized or protruding labia are often visible even when wearing thick jeans or adding multiple layers for concealment.

Discomfort Wearing Certain Clothes

Large or protruding labia can make wearing many different types of clothing a challenge. For example, fitted items like leggings and bicycle shorts may cause tugging and chaffing. In addition, most types of underwear can cause pain and discomfort.

Discomfort During Physical Activities (Sex or Exercise)

Excess labia tissue can get twisted, tugged, pulled, and pinched during any kind of physical activity. When labia are enlarged or protruding, this can make certain types of exercise feel awkward or painful. For example, participating in cycling classes or riding a bicycle can cause tension and irritation because the labia will come into contact with the seat. Running, jogging, and other forms of exercise can also cause rubbing and chaffing. It’s even possible to experience painful chafing and irritation simply when walking. Many women feel self-conscious when they need to make constant adjustments while working out.

Large or uneven labia can also make sexual activity painful or unpleasant. Excess tissue often causes soreness and chafing during intercourse. In addition, excess labia tissue can make maintaining good hygiene more difficult. This can lead to urinary tract infections (UTIs) and other bacterial infections that can make sex feel painful and impact sexual health.

Are you interested in learning more about labiaplasty procedures? Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist serving the Los Angeles and Glendale areas. With more than two decades of experience in gynecology, urogynecology, and cosmetic care, Dr. Tahery offers the latest in surgical and laser labiaplasty procedures. Contact Dr. Tahery to book a consultation today.

The post What Is Labiaplasty? And What Are The Signs You Need It? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Morning Light Exposure

• Why it matters: Exposure to natural sunlight in the morning helps regulate your circadian rhythm, which governs hormone production, including cortisol and melatonin.

• Action step: Spend 10–15 minutes outdoors shortly after waking, allowing sunlight to reach your eyes (without sunglasses) to signal your body that it’s time to start the day.

Nutrient-Dense Meals

• Why it matters: Consuming balanced meals rich in protein, healthy fats, and fiber stabilizes blood sugar levels and supports hormone production.

• Action step: Incorporate foods like eggs, leafy greens, avocados, and whole grains into your meals. For example, a breakfast of scrambled eggs with spinach and whole-grain toast provides a solid foundation.

Mindful Movement

• Why it matters: Engaging in moderate physical activity reduces stress hormones and enhances insulin sensitivity.

• Action step: Participate in activities like yoga, walking, or cycling for at least 30 minutes. These exercises promote hormonal balance without overtaxing your system.

 Prioritize Sleep

• Why it matters: Adequate sleep is crucial for hormone regulation, including those that control appetite and stress responses.

• Action step: Aim for 7–9 hours of quality sleep. Establish a calming bedtime routine, such as reading or taking a warm bath, and maintain a consistent sleep schedule.

Stay Hydrated

• Why it matters: Proper hydration supports metabolic processes and the elimination of toxins that can disrupt hormonal balance.

• Action step: Drink at least 8 glasses of water daily. Adding a slice of lemon can enhance flavor and provide additional benefits.

Stress Management

• Why it matters: Chronic stress elevates cortisol levels, which can interfere with other hormones.

• Action step: Incorporate stress-reducing practices such as deep breathing exercises, meditation, or journaling into your weekend routine.

 Consider Natural Supplements

• Why it matters: Certain supplements, like inositol and folic acid, have been shown to support hormonal health, particularly in conditions like PCOS and during perimenopause.

• Action step: Discuss with your healthcare provider the possibility of integrating supplements like OVARIAN BOOST, which combines these ingredients, into your regimen.

The post Weekend Reset: Natural Strategies to Balance Hormones and Boost Energy appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The reality is, PCOS is one of the most prevalent yet frequently misunderstood hormonal disorders affecting women today. Its symptoms often mimic other conditions or are dismissed as normal variations, making diagnosis a complex and confusing journey.

In this blog, we’ll delve into the key features of PCOS, explore its various phenotypes, and discuss the importance of early recognition and management. Understanding these aspects can empower you to take proactive steps toward better health and well-being.

Key Diagnostic Features of PCOS

Diagnosing Polycystic Ovary Syndrome (PCOS) can be complex due to its varied presentation. The most widely accepted criteria for diagnosis are the Rotterdam Criteria, which require the presence of at least two of the following three features:

1. Hyperandrogenism (Elevated Androgen Levels)

• Clinical Signs: Excess hair growth (hirsutism), acne, and scalp hair thinning.

• Biochemical Evidence: Elevated levels of androgens, such as testosterone, in blood tests.

2. Ovulatory Dysfunction

• Irregular Menstrual Cycles: Infrequent (oligomenorrhea) or absent (amenorrhea) periods, indicating irregular ovulation.

• Anovulation: Lack of ovulation leading to fertility issues.

3. Polycystic Ovarian Morphology (PCOM)

• Ultrasound Findings: Ovaries containing 12 or more follicles measuring 2–9 mm in diameter or increased ovarian volume (>10 cm³).

• Appearance: “String of pearls” pattern observed in transvaginal ultrasound imaging.

It’s essential to rule out other conditions that may mimic PCOS symptoms before confirming the diagnosis.

Understanding the Four Phenotypes of PCOS

PCOS can present in various phenotypes based on the combination of diagnostic criteria met:

1. Phenotype A (Classic PCOS)

• Hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

• Often associated with more severe symptoms and metabolic disturbances.

2. Phenotype B

• Hyperandrogenism and ovulatory dysfunction without polycystic ovaries.

• Symptoms include menstrual irregularities and signs of androgen excess.

3. Phenotype C

• Hyperandrogenism and polycystic ovaries with regular ovulation.

• May have milder symptoms but still at risk for metabolic issues.

4. Phenotype D

• Ovulatory dysfunction and polycystic ovaries without hyperandrogenism.

• Typically presents with menstrual irregularities and polycystic ovarian morphology.

Identifying your specific phenotype can aid in tailoring treatment and management strategies.

Importance of Early Recognition and Management

Early identification of PCOS is vital, especially for young women, as it can:

• Facilitate Weight Management: Early intervention can help in adopting lifestyle changes that promote healthy weight, which is often challenging due to insulin resistance associated with PCOS.

• Address Skin Concerns: Timely treatment can alleviate acne, a common symptom resulting from elevated androgen levels.

• Prevent Hair Loss: Managing hormone levels early can reduce the risk of androgenic alopecia, characterized by thinning hair on the scalp.

• Reduce Excess Hair Growth: Early treatment can mitigate hirsutism, which involves unwanted hair growth on the face and body.

Moreover, early diagnosis and treatment can lower the risk of long-term complications such as type 2 diabetes, heart disease, and infertility.

If you’re experiencing symptoms like irregular periods, acne, hair thinning, or unwanted hair growth, I encourage you to schedule a consultation. Together, we can work towards a comprehensive approach to manage PCOS and enhance your quality of life.

The post Do I Have PCOS? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The Role Of Testosterone in Women

Testosterone, commonly associated with male physiology, is also produced in women’s ovaries and adrenal glands. It plays a significant role in:

• Sexual Health: Enhancing libido, sexual arousal, and satisfaction.
• Mood and Cognitive Function: Contributing to emotional well-being and mental clarity.
• Muscle and Bone Strength: Supporting muscle mass and bone density, reducing the risk of osteoporosis.
• Energy Levels: Influencing overall vitality, energy and stamina.

Testosterone levels naturally decline with age, and imbalances can lead to symptoms such as decreased libido, fatigue, and mood disturbances. In certain cases, testosterone therapy may be considered to alleviate these symptoms.

Estrogen: The Conerstone Of Female Health

Estrogen is pivotal in regulating the menstrual cycle and reproductive system. Its functions include:

• Reproductive Health: Controlling the menstrual cycle and supporting pregnancy.
• Bone Density: Maintaining strong bones and preventing osteoporosis.
• Cardiovascular Health: Promoting healthy blood vessels and heart function.
• Skin and Hair: Influencing skin elasticity and hair growth.

During perimenopause and menopause, declining estrogen levels can lead to symptoms like hot flashes, night sweats, and vaginal dryness. HRT can help mitigate these effects.

Progesterone: The Harmonizer

Progesterone works in tandem with estrogen to regulate the menstrual cycle and maintain pregnancy. Its roles encompass:

• Menstrual Regulation: Balancing estrogen’s effects and preparing the uterus for pregnancy.
• Mood Stabilization: Exerting calming effects and supporting sleep quality.
• Bone Health: Contributing to bone strength alongside estrogen.

In HRT, progesterone is often combined with estrogen to protect the uterus from potential risks associated with estrogen-only therapy.

Taking Hormonal Changes Across Life Stages

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

• Puberty and premenopause (ages 10-40): Hormone levels fluctuate during the menstrual cycle, affecting mood, energy, and reproductive health.
• Perimenopause (ages 40-50): Hormonal shifts can lead to irregular periods, mood swings, and sleep disturbances.
• Menopause (ages 50 and up): Significant declines in estrogen, progesterone, and testosterone can result in various symptoms, including hot flashes, decreased libido, and bone density loss.

Understanding these changes is crucial for managing symptoms and maintaining quality of life.

Conclusion

Testosterone, estrogen, and progesterone each play integral roles in women’s health. Recognizing the importance of testosterone alongside the other hormones is essential for a comprehensive approach to well-being. If you’re experiencing symptoms related to hormonal imbalances, consult with a healthcare provider specializing in HRT to explore personalized treatment options.

The post Breaking The Cycle: Transforming Fatigue into Energy with Hormonal Insight appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

As an OB/GYN specializing in hormone replacement therapy (HRT), I often hear from patients who are concerned about a decline in their sexual desire. It’s important to understand that fluctuations in libido are common and can result from a combination of physical, emotional, and hormonal factors.

Understanding the Causes

Several factors can contribute to a decrease in sexual desire:

• Hormonal Changes: Fluctuations in estrogen and testosterone levels, especially during perimenopause and menopause, can impact libido.

• Psychological Factors: Stress, anxiety, depression, and past traumas can affect sexual desire.

• Physical Health: Chronic illnesses, fatigue, and certain medications, including antidepressants and hormonal contraceptives, may lower libido.

• Relationship Dynamics: Emotional closeness, unresolved conflicts, and communication issues with a partner can influence sexual interest.

Exploring Solutions

Addressing low libido often involves a multifaceted approach:

• Medical Evaluation: Consulting a healthcare provider can help identify underlying medical or hormonal issues contributing to decreased sexual desire.

• Therapy and Counseling: Engaging in individual or couples therapy can address psychological factors and improve relationship dynamics.

• Lifestyle Modifications: Regular exercise, adequate sleep, stress management, and a balanced diet can positively affect libido.

• Medications: In some cases, medications like flibanserin (Addyi) or bremelanotide (Vyleesi) may be prescribed for premenopausal women experiencing hypoactive sexual desire disorder.

Hormone Replacement Therapy (HRT)

For women experiencing low libido due to hormonal changes, HRT can be an effective treatment option:

• Estrogen Therapy: Helps alleviate vaginal dryness and discomfort during intercourse, enhancing sexual satisfaction.

• Testosterone Therapy: Though not FDA-approved for women in the U.S., low-dose testosterone therapy has been shown to improve sexual desire in postmenopausal women.

It’s crucial to discuss the potential benefits and risks of HRT with your healthcare provider to determine the most appropriate treatment for your individual needs.

Taking the Next Step

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

The post What Happened To My Sex Drive? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.