Vaginal Looseness

In addition to being uncomfortable, vaginal laxity is also anatomically unsettling. Many women experience tears and laxity during vaginal delivery. This is also known as looseness of the vagina. With the vaginal canal widening a considerable amount while in labor, the vagina usually does not return to its pre-childbirth state. Most women notice the vaginal looseness during sex, with exercise, and pressure in the pelvic area with standing up.  

As a uro-gynecologist, Dr Tahery specializes in identifying damages to the vaginal structure and repairing them. Dr. Tahery has designed outpatient procedures to restore vaginal appearance and function under local anesthesia, that are minimally invasive with minimal down time. 

Stress Incontinence

Described as the unintentional loss of urine, stress incontinence involves leaking urine in response to sometimes even minimal physical activity. Laughing, sneezing, and coughing are prime examples. Not only urine loss and odor can be embarrassing, but it prevents women from being physically and sexually active in fear of urine loss. Vaginal rejuvenation procedures have proven wildly effective in remedying this issue. Dr Tahery designs individual treatment plans that are well tolerated, minimally invasive, and effective. 

RELATED: Postpartum Urinary Incontinence

Bloated, Gas, Constipation, and, Hemorrhoids

One of the most common complaints in women is abdomen bloating, gas, constipation, and hemorrhoids. Weakness in the wall between the vagina and rectum results in entrapment of stool. Inability to empty the stool results in gas, abdominal bloating, pressure in the rectum and vagina, and hemorrhoids. This is also called “outlet obstruction”. Identifying and repairing the weakness in most cases can resolve these most bothersome issues. 

Dry Vaginal Tissue

One of the most common physical changes in perimenopause and menopause is vaginal dryness. Vaginal rejuvenation surgery is touted as an effective treatment for this symptom of menopause. Vaginal dryness can make it difficult and painful to have sex, and it can also make women more susceptible to infection. Laser and radiofrequency vaginal rejuvenation procedures are effective in treating dryness, increasing the blood flow to the vagina, and restoring natural lubrication.

RELATED: Menopause and Bio-identical Hormones

To discuss your options and procedures recommended by Dr Tahery, book your personal appointment at either our Los Angeles or Glendale office. You can also explore before and after gallery to see the possibilities of  vaginal rejuvenation.

The post When Do You Need Vaginal Rejuvenation? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Investing in a vaginal rejuvenation procedure is a fantastic way to address those unwanted changes, reclaim your sexual health, and boost your self-confidence. But there’s one question you need to ask:

Which vaginal rejuvenation procedure is for you?

Here are a few common issues and the solutions Dr. Tahery can provide to solve them.

Uncomfortable or Insecure in Certain Clothing?

Many women experience discomfort wearing tight-fitting clothing due to the shape and size of the labia. Excess tissue can be a point of insecurity. Depending on the extent of the issue, the tissue might protrude. In some cases, women experience labial hypertrophy, creating noticeable asymmetry, discomfort during sex, and various other problems.

If that’s something you’re dealing with, labiaplasty might be for you. This vaginal rejuvenation procedure reshapes and reduces the vaginal lips. There are many approaches to labiaplasty. Dr. Tahery can perform several techniques, including laser labiaplasty, to address your unique needs.

Labiaplasty can be a life-changing procedure that addresses discomfort, improves the look of specific types of clothing, and significantly improves your self-confidence.

Does It Feel “Loose” Down There?

The vagina is an incredibly resilient part of your body. But major life events, such as childbirth,  and aging can make it lose its elasticity. While there are many myths and misconceptions about vaginal looseness, it’s most often a result of medical issues. Trauma from a vaginal birth, pelvic floor conditions, and menopause are all common causes of that loose feeling.

Luckily, vaginal tightening is an available solution. It’s a reconstructive vaginal rejuvenation procedure that addresses stretched tissue and weak pelvic floor muscles. The exact surgical techniques used will vary based on your needs. After a thorough examination, Dr. Tahery will develop the right approach to experience improved aesthetics, better sexual sensation, reduced dryness, and more.

RELATED: Facts and Myths About  Loose Vagina

Damaged Area Between the Vagina and Anus?

Vaginal childbirth can be a beautiful thing. But for many women, it can cause severe damage and discomfort. Obstetric tears are a common injury women face during childbirth.

When the vagina is overstretched during delivery, the result can be a partial or complete perineal tear. The perineum is the area between the anus and vaginal opening. While it looks simple, the perineum contains vital muscles and connective tissues that support the vagina.

Tears can cause vaginal looseness, frequent infections, discharge, unwanted pressure, bowel issues, and other related issues.

Dr. Tahery can perform a perineoplasty to address a torn perineum. This vaginal rejuvenation procedure repairs the muscles and tissue, resulting in better aesthetics and improved function.

Looser and Thinner Labia Majora?

If you’re experiencing thin vaginal lips, you’re not alone. Hormonal changes during pregnancy or menopause can cause the labia majora, or outer lips of the vulva, to become thin and loose.

Aesthetically, thin outer lips can cause the labia minora, or inner lips, to be more visible. It also causes laxity issues and sagging tissue.

Thinner lips reduce the cushioning effect of the lips, leading to pain during intercourse. Even physical activities like riding a bike, or horse, and sex can become a pain.

Labia puffing is an easy solution to these problems. The procedure engorges the tissue using injectable fillers or fat grafts. It’s a simple vaginal Rejuvenation procedure that can provide a more youthful appearance and more comfort.

RELATED: Trim Labiaplasty  Vs Wedge Labiaplasty

Torn Hymen?

The hymen is a thin membrane that surrounds the vaginal opening. The hymen is another sorely misunderstood part of the vagina. The tissue can vary in thickness and sensitivity. For some women, it’s thin and easily torn with light manipulation. But for others, it’s thick enough to remain intact even with penetrative intercourse.

Whatever the case, there are several reasons you might want to undergo a hymenoplasty. This procedure restores the hymen, addressing cultural, religious, or psychological needs.

Hyperpigmentation of Intimate Areas?

Are you dealing with hyperpigmentation and darker skin around the vagina or anus? Pigmentation is relatively common in intimate areas. Melanin and pigment-producing melanocytes can accumulate due to hormonal changes. Friction and scars from skin issues can cause noticeable color variation, too.

While not a medical issue, darkened skin can make many women self-conscious. If you fall into that category, genital bleaching might be for you.

This vaginal rejuvenation procedure uses topical treatments, chemical peels, or lasers to lighten the skin. With multiple lightening sessions, you can achieve a more attractive pink flesh tone and even pigmentation in intimate areas.

Those are just a handful of rejuvenating procedures that can transform your vagina. Whether you’re looking to achieve a more youthful appearance, address pain, or achieve better sexual gratification, these solutions can make it happen.

Reach out to the offices of Dr. Michael Tahery to learn more. Dr. Tahery has over two decades of experience performing these procedures and more. He’s ready to discuss your needs and help determine which vaginal rejuvenation procedure suits you. Call to schedule a consultation today!

The post Which Vaginal Rejuvenation Procedure Do I need? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

What is the Clitoral Hood?

The clitoral hood is a section of skin located at the top of the vulva. It forms the peak of the labia minora, resulting in a protective hood-like shape. As the name would imply, these tissue folds cover the clitoris to shield its tip and shaft.

The clitoris is home to over 15,000 nerve endings. The hood prevents irritation and excessive stimulation during daily life. When the clitoris engorges during sexual arousal, it moves the tissue aside for direct stimulation.

Like other parts of the vagina, the exact size and shape of the clitoral hood are different from woman to woman. There is no “normal” but rather a wide range of aesthetic appearances.

Who is a Candidate for Clitoral Hood Reduction?

Clitoral hood reduction surgery aims to alter the physical appearance of the tissue covering the clitoris. Despite its importance in protecting the clitoris, the hood can present issues during sexual intercourse.

Ideal candidates for this procedure are women who experience decreased sensation due to excess tissue around the clitoral hood. Extra skin can prevent full retraction during intercourse, resulting in a lack of proper stimulation and inability to climax.

Women who are unhappy with the aesthetics of the clitoral hood can benefit from this procedure as well. Many women choose to pair clitoral hood reduction with a labiaplasty, which focuses on the size and shape of the vaginal lips. Because the clitoral hood is an extension of the labia minora, surgeons can improve the overall look of the vulva through these two procedures.

Women of all ages can benefit from a clitoral hood reduction surgery.

RELATED: Answers To Your Questions About Labiaplasty

The Clitoral Hood Reduction Procedure

Clitoral hood reduction surgery is delicate but relatively straightforward. That said, knowing what to expect can help you better understand what this operation entails.

1. Before the Procedure

The Hoodectomy process starts with a detailed consultation. Clitoral hood reduction is a gynecological cosmetic procedure. How your surgeon will proceed depends entirely on your unique needs and desires.

During the consultation, you can speak with your surgeon about the issues you want to address. From there, you will have an examination of your clitoral hood as a component of the whole vulvar/clitoral balance, and develop a course of action. Alternative procedures will be considered and discussed in order to achieve the desired cosmetic goal. 

Before your scheduled operation date, Dr. Tahery will provide specific instructions for pre and post-operative care. Generally, they include medications, restrictions in activity, and follow-up. 

2. During the Procedure

Clitoral hood reduction surgery is an outpatient procedure that occurs under local anesthesia. Every case is different, and the length of surgery will depend on the level of correction needed.

In most cases, the surgery takes less than an hour to complete. Surgical time may increase if pairing the Hoodectomy with a Labiaplasty.

Local anesthesia is usually sufficient for most women. As a result, the risks of unwanted side effects that come with general anesthesia are non-existent.

Once numb and comfortable, your surgeon will use horizontal incisions to alter the size and projection of the tissue. Exact techniques vary based on aesthetic goals. After removing sufficient tissue, surgeons close the wound with dissolvable sutures and apply bandages for healing.

3. Recovery

Immediate recovery from clitoral hood reduction surgery on average requires a few days. Plan to avoid activities that require pressure on and irritation of the operative area. During this time, reduce daily activities to promote healing and reduce the chances of complications. Take things easy and avoid physical strain.

Dr. Tahery will provide detailed post-op instructions, which go into wound cleaning and general care. Instructions include cleaning, medication, what is normal and not usually expected. Moderate levels of discomfort are standard as well. Dr. Tahery is available for any concerns you may have post-operatively. 

Full recovery will require 6 weeks. Avoid rigorous physical contact for at least a month. By the four to six-week mark, you should start to see the final results of the procedure. 

If you’re interested in learning more about clitoral hood reduction surgery, give the offices of Dr. Tahery a call. A urogynecologist for more than 20 years, Dr. Michael Tahery has the experience to perform this procedure and many other cosmetic and functional vaginal repairs such as labiaplasty, hymenoplasty, and perineoplasty. We’re more than happy to answer your questions and discuss treatment options to meet your needs

The post What Is Clitoral Hood Reduction Or Hoodectomy? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Despite the more open discussions surrounding women’s sexual health, procedures like labiaplasty still come with many questions. One of the most common concerns regarding labiaplasty is its effects on pregnancy and giving birth. Is it better to get a labiaplasty before or after pregnancy? The right choice for you depends entirely on your needs and goals.

Labiaplasty Before Pregnancy

Interest in labiaplasty timing is reasonable considering how it affects the vagina. Labiaplasty is typically an elective procedure that seeks to correct cosmetic concerns involving the vaginal lips. For most women, it addresses inconsistent sizing, excess skin, and discomfort among other issues.

Vaginal aesthetics is a nuanced topic, so details of the procedure depend entirely on your needs. While mostly about appearance, many women also experience functional benefits like reduced pain during sexual intercourse and more comfort when wearing tight-fitting clothing.

No matter your goals for labiaplasty, there’s no denying that the procedure results in physical changes to the tissue. But does it affect pregnancy?

You’ll be happy to know that labiaplasty doesn’t present any inherent risk for women who want to get pregnant in the future. It does not stop you from conceiving or giving birth.

The vagina is resilient and adaptable. After a surgical procedure like labiaplasty, the essential functions of the vagina remain intact. As a result, it’s perfectly safe to get labiaplasty before pregnancy. In fact, many women can benefit from the procedure.

Cases of labial hypertrophy and enlarged tissue can be painful for many women. The discomfort can lead to issues during intercourse. Pair that with the impact on one’s self-esteem, and aesthetic issues could negatively influence your sexual health.=

In those cases, labiaplasty before pregnancy is worth considering. There’s no simple answer to whether you should wait to start a family or not. However, choosing to get labiaplasty before pregnancy will not affect your ability to conceive or give birth in the future.

RELATED: Will Insurance Cover Labiaplasty? 

Labiaplasty After Pregnancy

Generally, surgeons will encourage women to get labiaplasty after pregnancy. There are a couple of reasons for this.

First, your labia minora and labia majora could change during pregnancy. Every woman’s body responds differently to the biological processes that occur during the miracle of life. However, many experience significant labial growth. It occurs mostly during the final stages of gestation when the body experiences a flood of hormonal changes. While labial swelling can reduce a bit, it can also be permanent.

If you get a labiaplasty before pregnancy, the results could change after giving birth and essentially reverse the work. For this reason alone, many women choose to seek further treatment to address those additional cosmetic changes.

Another benefit of waiting to get labiaplasty after pregnancy is that you can pair it with other surgeries. Vaginal delivery can damage the bladder and the rectal walls in the vagina and can be repaired at the same time as a labiaplasty. 

Many women choose to get labiaplasty in conjunction with perineoplasty. Perineoplasty addresses obstetric tears between the vagina and anus. The procedure repairs the tissue to restore anatomy and normal function. Perineoplasty restores the appearance of the opening of the vagina as well as vaginal tightness during intercourse.

In addition to perineoplasty, you can pair labiaplasty with vaginal tightening. Some surgeons can include labiaplasty as part of a more comprehensive “Mommy Makeover” package as well..

The exact timing will vary. However, women usually have to recover three to six months after giving birth before considering a labiaplasty or any other vaginal repair.

There’s no right or wrong choice as to whether you should get labiaplasty after pregnancy or before. The procedure does not affect your ability to get pregnant whatsoever. So if you’re experiencing significant discomfort or self-consciousness, it may benefit you now.

Contact the offices of Dr. Tahery today to schedule a consultation  and learn more about labiaplasty. An experienced urogynecologistt in Los Angeles, Dr. Tahery is ready to listen to your concerns and discuss potential options to help you make the right decision for your unique needs.

The post Labiaplasty and Pregnancy | What You Should Know appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Also known as myomas, fibroids are complex structures that can grow in many different ways. How they develop within the uterus ultimately affects how they impact your health and comfort. Fibroids have the potential to interfere with your menstrual cycle, cause pain during intercourse, and more. They can also present risks during pregnancy.

Fortunately, there are many ways to address symptoms. Contrary to popular belief, invasive surgery isn’t the only solution available. Non surgical fibroid treatment options can manage symptoms and provide relief.

Uterine Fibroid Embolization

Uterine Fibroid Embolization, also known as UFE, is a unique procedure that usually requires minimal downtime. In many cases, it’s an outpatient procedure that requires only moderate sedation. However, exact techniques can vary from case to case.

Either way, the goal of embolization is not to remove the fibroids. Instead, UFE aims to reduce the size of problematic growths. The goal is to provide relief from issues like heavy uterine bleeding and pain. Fibroid embolization can cut off the fibroid’s blood supply, which may prevent future development and spread.

To perform this non surgical fibroid treatment, your doctor will create a small incision in the groin to insert a flexible catheter into an artery on the leg. The catheter is carefully guided to the blood vessels of the uterus. There, your doctor can inject an embolic agent to block the blood flow that feeds the fibroids. This process essentially starves the fibroids and deprives them of the nutrient supply they need to grow.

Slowly but surely, the fibroids shrink by 30 to 50 percent. While results can vary, many women notice their menstrual cycle returning to normal after two to three months.

RELATED: Diagnosis of Fibroids

Fibroid Radiofrequency Ablation

Here’s another non surgical fibroid treatment option that utilizes tiny incisions on the abdomen to gain access to the uterus. Like the previous fibroid embolization technique, this procedure reduces a fibroid’s size rather than removing it. However, fibroid radiofrequency ablation utilizes heat to provide near-instant change.

Using traditional laparoscopic techniques, your doctor will locate the fibroids and attack them with targeted energy. The energy generates heat through a minute needle array. Thanks to the small size of the tools, your doctor can strategically heat the fibroids while sparing the surrounding uterine tissue.

The heat causes the fibroid to shrink immediately. Fibroids continue to decrease in size in the following months as well. Tissue from the growths are reabsorbed into the body, so the recovery process typically doesn’t involve passing anything. Many women will experience relief from symptoms shortly after recovery. However, the most significant benefits usually come three to six months later.

RELATED: Advantages Of Laparoscopic Myomectomy

Fibroid Hormone Therapy Treatment

This non surgical fibroid treatment option targets the hormones that govern your menstrual cycle. There are many approaches to fibroid hormone therapy, and your physician can make recommendations based on your unique needs.

If your most prominent fibroid symptoms are pelvic pressure and heavy bleeding, a progestin-releasing intrauterine device might be a suitable solution. An IUD doesn’t affect the fibroid directly, but it can provide relief from excessive bleeding and pain.

One of the most common non surgical fibroid treatment methods is to use gonadotropin-releasing hormone agonists, also known as GnRHa.

GnRHa medications target the same hormones that trigger your ovaries to produce estrogen and progesterone. However, it has the opposite effect as the body’s natural hormones. The GnRHa works to decrease estrogen and progesterone. This process can stop the menstruation cycle entirely, which will cause the fibroids to shrink over several months. Furthermore, red blood cell counts can slowly recover. 

GnRHa medication is a temporary measure, but hormone therapy can buy time and prepare the fibroids for other treatments.

If your fibroids produce symptoms that interfere with your health and everyday life, contact Dr. Michael Tahery. Urogynecologist serving women in Los Angeles and the surrounding areas, Dr. Tahery is well-versed in the complexities of fibroid treatment. Call us today to schedule an appointment and learn more about your non surgical fibroid treatment options.

The post Minimally Invasive and Non Surgical Fibroid Treatment Options appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Labiaplasty is a potentially life-changing procedure that can help women feel confident in their bodies. It addresses excess skin and labial tissue, resulting in a more uniform and visually appealing appearance. In many cases, Labiaplasty can also provide benefits that go beyond aesthetics.

While it was once a niche procedure, Labiaplasty is more widespread than ever. It’s now, reportedly, among the top five most popular cosmetic procedures in the United States.

With interest at an all-time high, women are starting to wonder:

Does insurance cover Labiaplasty and Vaginal Rejuvenation?

Coverage can vary based on the details of your policy and your condition. Like other procedures that tiptoe the line between cosmetic and medically necessary, Labiaplasty and vaginal rejuvenation coverage also depends on the reasons for getting it.

Cosmetic Reasons for Labiaplasty & Vaginal Rejuvenation

For most women, the cosmetic reasons for Labiaplasty and vaginal rejuvenation are the biggest draw. Labial Hypertrophy and other aesthetic concerns can be a significant source of embarrassment or self-consciousness in women. Asymmetry can impact self-confidence during intimate moments. Meanwhile, protruding tissue often prevents women from wearing tight-fitting clothing.

Vaginal aesthetics are complex and heavily nuanced. There are no “standard” vaginal sizes, and every woman is different. When it comes to cosmetic reasons for getting Labiaplasty and vaginal rejuvenation, the goal depends on a woman’s unique needs.

Labiaplasty can reduce the size of the lips, take care of discoloration, and more. Because excess tissue is removed, many women also experience increased sensitivity. Surgeons can utilize one of many surgical techniques to achieve the desires look. They can also pair it with other procedures like clitoral hood reduction.

Does insurance cover Labiaplasty for cosmetic reasons?

Insurance companies do not provide coverage for cosmetic procedures. Cosmetic surgery is defined as the act of reshaping or improving “normal” biological structures. It’s done for physical enhancement and self-esteem. As a result, insurance providers don’t deem these procedures as medically necessary. Those looking to invest in Labia Reduction solely for anything other than medical reasons will need to pay out of pocket.

RELATED: Recovery After Labiaplasty Surgery

Medical Reasons for Labiaplasty & Vaginal Rejuvenation

Labiaplasty or vaginal rejuvenation is primarily classified as a form of cosmetic plastic surgery. However, surgeons can recommend the procedure to address benign or malignant tumors of the labia and vulva. For example, it’s a standard treatment for vulvar cancer.

Precancerous lesions, extensive condyloma, or other lesions of the vulva involving the labia that can not be treated medically are also indications for partial or complete labiaplasty.

These medical issues do not require to be life-threatening, but they can significantly impact one’s health.

RELATED: Will Labiaplasty Affect Sensation?

Labiaplasty in Los Angeles

Will your insurance cover Labiaplasty and vaginal rejuvenation? Turn to the offices of Dr. Tahery to learn more about your options. 

No matter your reasoning for getting this procedure, Dr. Michael Tahery is here to provide the expert care you deserve. As a urogynecologist specializing in women’s health and urology, Dr. Tahery is well-versed in Labiaplasty and other available treatments.

To get more information about this procedure, call our offices today and schedule your consultation

The post Will Insurance Cover Labiaplasty? 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.

Like facial features and skin color, the physical appearance of the vagina varies from one person to the next. Contrary to popular belief, there’s no “standard” or “normal” aesthetics. However, some women have distinct differences they might want to address.

Labial hypertrophy is a common condition that refers to the size of the labia or vaginal lips. It’s a term that describes noticeable vaginal asymmetry. While the labia aren’t perfectly symmetrical in most women, hypertrophy is when one or both lips are more prominent than usual. This form of hypertrophy is usually not a serious issue. 

Symptoms of Labial Hypertrophy

Vaginal aesthetics are a nuanced topic, and symptoms can vary from one woman to the next. That said, most hypertrophy issues are apparent with a brief visual inspection. As a result, it’s often a source of self-consciousness for many women.

Hypertrophy is possible on both the labia minor and the labia majora. However, it’s most likely to change the appearance of the labia minora or inner lips. The tissue becomes noticeably enlarged or thickened. In some cases, the tissue can protrude and create a visible bulge through clothing.

Beyond the cosmetic side of things, hypertrophy can cause severe irritation or discomfort. Tenderness is worse with an enlarged labia minora, as the inner lips are more sensitive than the protective outer lips.

The excess tissue can rub on clothing, leading to sensitivity due to prolonged friction. Meanwhile, the enlarged lips can cause uncomfortable pressure on the genitals during physical exercise or sexual activity.

With extra skin and folds to contend with, some women even suffer from hygiene problems. Hypertrophy often leads to frequent bacterial and yeast infections.

RELATED: Answers To Your Questions About Labiaplasty

Causes of Labial Hypertrophy

There are many potential causes for hypertrophied labia. The reason why these physical changes occur is unknown. Like the transformation of breast size and shape, it’s the body’s way of evolving with age and shifts in hormone production.

Many women experience hypertrophy as they get older. The tissue may elongate as estrogen production dips as they approach menopause. The same goes for those going through puberty. Several biological changes occur with hormonal fluctuations, and the growth of the vaginal tissue is one of them.

Pregnancy can cause hypertrophy, too. More blood flow to the vagina sometimes results in enlargement and overall heaviness.

If it’s not a product of biological changes from within, hypertrophy could be down to genetics. It’s not uncommon for women to have enlarged tissue from birth. In those cases, hypertrophy is usually evident long before puberty.

RELATED: Facts And Myths About A Loose Vagina

Labial Hypertrophy Treatment

It’s important to remember that labial aesthetics are entirely subjective. There are no “standards” to compare to or special tests to perform. No official measurements to diagnose a hypertrophied labia exists. Every woman’s vagina is different, and some degree of asymmetry is standard.

Excess tissue is typically not harmful to your overall health or well-being.

That said, there are several options for those who want treatment for discomfort or cosmetic reasons. Doctors will diagnose hypertrophy with nothing more than a physical examination. Again, matters of aesthetics are up to personal preference. While hypertrophy might not be a medical issue, whether or not it’s something worth addressing is between you and your doctor.

The most common way to treat hypertrophy is with labiaplasty. During a labiaplasty, surgeons work to remove excess tissue and achieve the desired look.

There are a couple of different types of labiaplasty procedures. The first is the trim technique. Surgeons utilize a linear cut to reduce the size of the labia while also removing any hyperpigmentation along its edge. The final result is petite tissue with a more youthful shape and color.

The second option is the wedge technique. To remove tissue, surgeons make a triangular keyhole-shaped cut in the center of the labia. The unique incision leaves two cut edges that tighten and shrink the tissue when sutured together. The wedge technique offers a smooth transition to the clitoral hood without altering the natural contours of the labia.

Both labiaplasty procedures can address hypertrophy. The proper course of action depends entirely on the characteristics of the tissue and your needs.

RELATED: Will Labiaplasty Affect Sensation? Urogynecologist’s Advice

As a urogynecologist with more than two decades of experience helping women in Los Angeles and the surrounding areas, Dr. Michael Tahery is very familiar with labial hypertrophy and the available treatments. To learn more and go over your options, give Dr. Tahery’s office a call and schedule a consultation.

The post What is Labial Hypertrophy? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

A standard menstrual cycle can range from 21 to 35 days. Meanwhile, the period itself lasts four to seven days. Every woman’s biological process is different. However, most women know what to expect and when.

If things do not proceed as expected, it’s a cause for concern. Abnormal Uterine Bleeding includes everything from unusually light or heavy menstrual cycles and unorthodox timeframes to missing periods and unexpected pain.

Due to your menstrual cycle’s impact, there are many potential explanations for irregularities. Some are benign and easily remedied. However, others are far more pressing. Here are four of the most common causes for irregular periods.

Perimenopause

Perimenopause is a transitional period that can start several years before the last period. During this time, the body goes through many significant changes. While the effects aren’t as noticeable as menopause itself, perimenopause can influence the menstrual cycle. It turns once-regular periods into unpredictable occurrences.

Before entering perimenopause, hormonal fluctuations are relatively stable. Estrogen and progesterone levels rise and fall consistently with a woman’s cycle.

But during perimenopause, things become unpredictable. Hormones become more turbulent, which leads to irregular periods. Many women experience heavy menstrual cycles of varying lengths. Some also encounter sporadic timing that’s not consistent with their regular cycles.

On top of all that, perimenopause can cause additional symptoms. Some of the most common include hot flashes, mood changes, vaginal dryness, and sleeping difficulties.

RELATED: Are you experiencing perimenopause symptoms?

Polycystic ovary syndrome (PCOS)

PCOS is a hormonal disorder that can affect women of reproductive age. The exact cause of PCOS is unknown. However, research shows that genetics, insulin resistance, and inflammation come into play.

Women with PCOS produce higher levels of androgen, the “male hormone.” The excess androgen disrupts the menstrual cycle, resulting in irregular periods. It causes infrequency while also making it difficult for women to get pregnant.

Furthermore, the condition causes tiny fluid-filled sacs to develop in the ovaries. The sacs contain immature eggs that never reach maturity to trigger ovulation.

The condition causes a slew of symptoms. In addition to missed periods, it often causes heavy menstrual cycles due to the buildup of the uterine lining. Some women can also suffer from excessive hair growth, male pattern baldness, and acne.

Fibroids

Uterine fibroids are more common than most think. Approximately 70 percent of women in Los Angeles and beyond have fibroids.

Generally, fibroids are non-cancerous growths. There’s less than one percent chance of malignancy. Nonetheless, these tumors can cause several issues. The severity of a fibroid depends on its location and size. They can be less than an inch in diameter. However, some are capable of growing closer to the size of a grapefruit.

In addition to causing irregular periods, fibroids can cause lower back pain, leg pain, and discomfort during sex. Larger fibroids can also complicate pregnancies and impact fetal growth.

Endometriosis

Endometriosis is another widespread condition. This one affects approximately one out of every ten women. It can cause debilitating menstrual cramps and gastrointestinal pain. In many cases, it’s also to blame for heavy menstrual cycles and bleeding between periods.

The exact symptoms can vary from one woman to the next. It all depends on its severity and spread.

This health condition revolves around the endometrium, which is the tissue that lines the uterus and sheds with a regular period. When endometriosis occurs, that lining starts to develop outside the uterine cavity. It can grow around the fallopian tubes, on the intestines, and around other organs in the lower digestive tract.

Misplaced endometrium can wreak havoc on the body in many different ways. While there’s no permanent cure for endometriosis, it is manageable with some professional guidance.

RELATED: Endometriosis Diet: What To Eat and What to Avoid

If you’re experiencing irregular periods, seeking professional care is paramount. While not all causes are severe, heavy menstrual cycles, unusual timing, and unexpected pain could be a sign of trouble. The only way to know for sure is to visit a urogynecologist like Dr. Tahery.

Give the offices of Dr. Michael Tahery a call to schedule a consultation today. Dr. Tahery is a urogynecologist with more than 20 years of experience providing women’s health and wellness services to the Los Angeles area.

The post 4 Common Reasons You Might Be Experiencing Irregular Periods appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Labiaplasty surgery is highly personalized, catering to your needs and desires. Contrary to popular belief, it’s not a one-size-fits-all treatment. Every woman’s vagina is different, calling for different methods to achieve the desired result.

There are two primary surgical approaches available. These include trim and wedge techniques.

Trim Labiaplasty

Trim labiaplasty is the most common of the two. It’s the method of choice when addressing a myriad of cosmetic concerns.

The trim procedure is relatively straightforward. Surgeons create a linear cut along the outer edge of the labia. It’s particularly effective at reducing the size of the labia minora. The process involves removing excess tissue to achieve a more petite look. Once healed, the labia minora becomes less prominent as it sits inside the natural folds of the labia majora

There are a couple of advantages to trim labiaplasty. The first is a drastic reduction in length and size. Trimming can instantly remove excess length, which addresses cosmetic issues and discomfort.

Secondly, the trim technique removes dark pigmentation on the tissue’s edge. Hyperpigmentation is quite common in this area. Removing it leaves healthy pink tissue on the labia’s edge, which is more desirable for most women. 

Due to the nature of the incision, the clitoral hood is not affected. Surgeons can address clitoral hood tightening within the same procedure, but the trim technique alone will not achieve those results. This type of labiaplasty may also require more finesse around the tissue near the clitoris. If left untouched, the tissue may form an extra tab of skin that doesn’t follow the labia’s natural contours.

RELATED: What is Labial Hypertrophy?

Wedge Labiaplasty

Wedge labiaplasty is a little more complex. It serves similar purposes to the previous trim method. However, it achieves slightly different results.

As the name would imply, this method involves removing a wedge of tissue. Surgeons cut a v-shaped section of tissue from the center of the labia. This results in a triangular “keyhole” shape with two cut edges. Stitching the edges together tightens the entire labia.

The wedge technique can address asymmetry between the two sides and excess length in the central third of the labia.

Not only that, but it helps to achieve a smooth transition from the labia to the clitoral hood but does not treat excess clitoral hood skin. Unlike the trim technique, the wedge method does not alter the natural contours of the lips. 

Now, because most of the edge is not touched, it does leave behind the hyperpigmentation that the trim technique removes. Surgeons may use other techniques to care for that concern, but it is not part of the standard wedge labiaplasty.

RELATED:  Recovery After Labiaplasty Surgery 

Which Labiaplasty Technique is Right for You?

The right surgical approach for you will depend entirely on your cosmetic, comfort, and vaginal health needs. Generally, trim labiaplasty is ideal for those who are prioritizing cosmetic issues like excess tissue and hyperpigmentation. Meanwhile, wedge labiaplasty is best for women who want natural tightening and minimal scarring.

Ultimately, your goals will dictate which procedure your surgeon utilizes.

Contact the offices of Dr. Michael Tahery today to schedule your consultation. Dr. Tahery is a urogynecologist in Los Angeles who is an expert in both labiaplasty techniques. He will work closely with you to determine the best course of action for your needs.

The post Trim Labiaplasty Vs Wedge Labiaplasty appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.