A Minimal Invasive Clitoral Hoodoplasty Technique with J-Plasma
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The Cyclist's Vulva
The Cyclist’s Vulva Dr. Chimsom T. Oleka, MD FACOG Board Certified OBGYN Fellowship Trained Pediatric and Adolescent Gynecologist National Medical Network –USOPC Houston, TX DEPARTMENT NAME DISCLOSURES None [email protected] DEPARTMENT NAME PRONOUNS The use of “female” and “woman” in this talk, as well as in the highlighted studies refer to cis gender females with vulvas DEPARTMENT NAME GOALS To highlight an issue To discuss why this issue matters To inspire future research and exploration To normalize the conversation DEPARTMENT NAME The consensus is that when you first start cycling on your good‐as‐new, unbruised foof, it is going to hurt. After a “breaking‐in” period, the pain‐to‐numbness ratio becomes favourable. As long as you protect against infection, wear padded shorts with a generous layer of chamois cream, no underwear and make regular offerings to the ingrown hair goddess, things are manageable. This is wrong. Hannah Dines British T2 trike rider who competed at the 2016 Summer Paralympics DEPARTMENT NAME MY INTRODUCTION TO CYCLING Childhood Adolescence Adult Life DEPARTMENT NAME THE CYCLIST’S VULVA The Issue Vulva Anatomy Vulva Trauma Prevention DEPARTMENT NAME CYCLING HAS POSITIVE BENEFITS Popular Means of Exercise Has gained popularity among Ideal nonimpact women in the past aerobic exercise decade Increases Lowers all cause cardiorespiratory mortality risks fitness DEPARTMENT NAME Hermans TJN, Wijn RPWF, Winkens B, et al. Urogenital and Sexual complaints in female club cyclists‐a cross‐sectional study. J Sex Med 2016 CYCLING ALSO PREDISPOSES TO VULVAR TRAUMA • Significant decreases in pudendal nerve sensory function in women cyclists • Similar to men, women cyclists suffer from compression injuries that compromise normal function of the main neurovascular bundle of the vulva • Buller et al. -
Sexual Assault
Sexual Assault Victimization Across the Life Span A Color Atlas Barbara W. Girardin, RN, PhD Forensic Health Care Palomar Pomerado Health Escondido, California Diana K. Faugno, RN, BSN, CPN, FAAFS, SANE-A District Director Pediatrics/Nicu Forensic Health Service Palomar Pomerado Health Escondido, California Mary J. Spencer, MD Clinical Professor of Pediatrics University of California San Diego School of Medicine Medical Director Child Abuse Prevention and Sexual Assault Response Team Palomar Pomerado Health Escondido, California Angelo P. Giardino, MD, PhD Associate Chair - Pediatrics Associate Physician-in-Chief St. Christopher's Hospital for Children Associate Professor in Pediatrics Drexel University College of Medicine Philadelphia, Pennsylvania G.W. Medical Publishing, Inc. St. Louis FOREWORD Whether in the pediatric emergency room, the adult sexual assault clinic, the nursing home or even the morgue, high quality photography of visible lesions remains an essential documentation and investigation tool. The value of photographic documentation cannot be overstated. Indeed, all medical providers who evaluate sexual assault victims should be familiar with the basic principles and techniques of clinical photography and should assure adequate photographic documentation of visible lesions. Such images, whether still or video, may be used in court, although less commonly than photographs of physical abuse (sometimes judges and juries have a hard time understanding the significance of, for example, a subtle hymenal tear). Photographs are also important for peer review, peer consultation and teaching. Perhaps most significantly, photographs may allow a second opinion by opposing council experts without subjecting the victim to a repeat examination. The evolution in photodocumentation techniques in sexual assault has often followed, sometimes paralleled, and even sometimes led the evolution in the medical examination and interpretation of sexual assault injuries. -
Aesthetic Surgery of the Female Genitalia
Aesthetic Surgery of the Female Genitalia Julie M.L.C.L. Dobbeleir, M.D.,1 Koenraad Van Landuyt, M.D., Ph.D.,2 and Stan J. Monstrey, M.D., Ph.D.2 ABSTRACT Aesthetic genital surgery seems to have become a fashionable issue nowadays. Many procedures and techniques have been described these last years, but very few long- term results or follow up studies are available. The novelty of this aspect of plastic surgery and the lack of evidence-based interventions, have led to a comparison with female genital mutilation. In this article, the authors provide an overview of the possible surgical procedures as well as the general principles of aesthetic surgery of the female genitalia. KEYWORDS:Genital surgery, genital cutting, labioplasty, vaginal tightening Aesthetic surgery of the female genitalia is a rium, many questions have been raised, regarding tech- much discussed topic in the popular press as well as the nical issues, indications, and—not in the least–ethics, scientific journals. It seems to be fashionable for men but few scientific answers are available. and women of today’s world to have their genitals As for every new specialty, guidelines need to be altered. set up and long-term studies are a necessity. Complicat- Although it might strike as a new trend quickly ing the issue even more is the fact that genital beauty is arising in all layers of society, it has been around for ages. very culturally defined. The same template and indica- The genital ideal may differ historically and cross- tions cannot be used cross-culturally. -
The Mythical G-Spot: Past, Present and Future by Dr
Global Journal of Medical research: E Gynecology and Obstetrics Volume 14 Issue 2 Version 1.0 Year 2014 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Inc. (USA) Online ISSN: 2249-4618 & Print ISSN: 0975-5888 The Mythical G-Spot: Past, Present and Future By Dr. Franklin J. Espitia De La Hoz & Dra. Lilian Orozco Santiago Universidad Militar Nueva Granada, Colombia Summary- The so-called point Gräfenberg popularly known as "G-spot" corresponds to a vaginal area 1-2 cm wide, behind the pubis in intimate relationship with the anterior vaginal wall and around the urethra (complex clitoral) that when the woman is aroused becomes more sensitive than the rest of the vagina. Some women report that it is an erogenous area which, once stimulated, can lead to strong sexual arousal, intense orgasms and female ejaculation. Although the G-spot has been studied since the 40s, disagreement persists regarding the translation, localization and its existence as a distinct structure. Objective: Understand the operation and establish the anatomical points where the point G from embryology to adulthood. Methodology: A literature search in the electronic databases PubMed, Ovid, Elsevier, Interscience, EBSCO, Scopus, SciELO was performed. Results: descriptive articles and observational studies were reviewed which showed a significant number of patients. Conclusion: Sexual pleasure is a right we all have, and women must find a way to feel or experience orgasm as a possible experience of their sexuality, which necessitates effective stimulation. Keywords: G Spot; vaginal anatomy; clitoris; skene’s glands. GJMR-E Classification : NLMC Code: WP 250 TheMythicalG-SpotPastPresentandFuture Strictly as per the compliance and regulations of: © 2014. -
FGM – Female Genital Mutilation Kvinnlig Könsstympning
Trollhättan, 17+18/11 2016 Senior FGM – Female Genital Mutilation Kvinnlig Könsstympning Dr. med. Johannes Leidinger, MD., MPH. Senior Consultant in Gynaecology and Obstetrics Överläkare på Kvinnokliniken Södersjukhuset Stockholm & Mälarsjukhuset Eskilstuna Lehrbeauftragter/Dozent der Ludwig-Maximilians-Universität München 16 days of activism 2016 From 25 November, the International Day for the Elimination of Violence against Women, to 10 December, Human Rights Day, the 16 Days of Activism against Gender-Based Violence Campaign is a time to galvanize action to end violence against women and girls around the world. http://www.unwomen.org/en/what-we-do/ending-violence-against-women/ take-action/16-days-of-activism#sthash.zXvSzU8E.dpuf Sexual Violence: ¨ Rape ¨ Indecent Assault ¨ Forced Marriage ¨ Sexual Slavery http://www.eldis.org ¨ FGM (Female Genital Mutilation) ¨ Forced Pregnancy ¨ Forced Abortion ¨ Sexual Harassment WHO: FGM ¨ „FGM comprises all procedures that involve altering or injuring the female genitalia for non medical reasons - , and is recognized internationally as a violation of the human rights of girls and women. It reflects deep-rooted inequality between the sexes, and constitutes an extreme form of discrimination against women and girls.“ Program 18 Nov 2016, 9-12 am ¨ Nomenklatur ¨ Klassifikation ¨ Global Prevalens ¨ Förklaringsmodeller ¨ Medicinska komplikationer ¨ Nationell & internationell Lagstiftning ¨ Vård i Sverige – AMEL-mottagning – Operativa rekonstruktioner – Desert Flower Scandinavia ¨ Global perspektiv – Internationella strategier (WHO och NGOs) – Medicalization of FGM Terminology ¨ The expression ”Female Genital Mutilation" gained growing support from the late 1970s. The word ”mutilation” establishes a clear linguistic distinction from male circumcision, and emphasizes the gravity and harm of the act. ¨ In 1990, this term was adopted at the ”3rd Conference of the Inter-African Committee on Traditional Practices Affecting the Health of Women and Children”, in Addis Ababa, Ethiopia. -
Advanced-Pelvic-Exams1.Pdf
8/3/2014 Describe at least two techniques for performing pelvic examination with a patient who has Jacki Witt, JD, MSN, WHNP-BC, SANE-A, FAANP experienced sexual assault/abuse Caroline Hewitt, DNS, RN, NP Practice at least two new pelvic examination techniques with a standardized patient Select appropriate screening and diagnostic testing for women with specific pelvic organ symptoms Jacki Witt Watson Pharmaceuticals – Honorarium – Advisory Board Agile Pharmaceuticals – Honorarium – Advisory WHO Afaxus Pharmaceuticals – Honorarium – Advisory Committee Bayer Pharmaceuticals – Honorarium – Advisory Board WHAT WHEN Caroline Hewitt WHERE Prior to February 5, 2014 disclosures: Watson Pharmaceuticals – Honorarium-Advisory Board HOW After February 5, 2014: Nothing to disclose WHY Identify the indications for a pelvic examination -Lithotomy common in US Describe at least two techniques for performing -Some patients pelvic examination with an obese patient find it disempowering, Describe at least two techniques for performing abusive & humiliating pelvic examination with a patient who has Haar, et al 1997 signs/symptoms of decreased estrogen stimulation -Patient’s have to vaginal tissues described metal Describe at least two techniques for performing stirrups as ‘cold’ pelvic examination with a & ‘hard’; say their use developmentally/cognitively disabled person is impersonal, sterile or degrading Olson 1981 1 8/3/2014 • 197 adult women having routine cervical cytology • Patients reported less discomfort and feelings of vulnerability if: PLASTIC : direct lamp connection, • Semi-reclining vs. supine transparency facilitates visualization, • No stirrup method used audible and sensible clicks distressing and • No significant differences in quality of cyto specimen considered not ‘green’ (but study not powered to definitively look at this outcome) • Routine in UK, Australia, N. -
Reproductive and Sexual Anatomy Hassan S
ogy: iol Cu ys r h re P n t & R y e s Anatomy & Physiology: Current m e o a t r a c n h A Research Abduljabbar, Anat Physiol 2015, 5:S5 ISSN: 2161-0940 DOI: 10.4172/2161-0940.S5-002 Short Communication Open Access Reproductive and Sexual Anatomy Hassan S. Abduljabbar* Medical College, King Abdulaziz University, Kingdom of Saudi Arabia *Corresponding author: Hassan S. Abduljabbar, Department of Anatomy, Medical College, King Abdulaziz University, P.O.Box 80215 Jeddah 21452, Kingdom of Saudi Arabia; Tel: +966 12 6408310; E-mail: [email protected] Rec date: Apr 27, 2015; Acc date: Jul 16, 2015; Pub date: July 20, 2015 Copyright: © 2015 Abduljabbar HS. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords: Reproductive; Vagina anatomy; Sexual organs; Birth might suffer from what is known as Green sickness or female hysteria. canal Midwifes tried to alleviate this condition by rubbing the vaginal wall either digitally or by objects like a dilator. Vagina Anatomy The Vagina and Sexual Intercourse The sexual and reproductive anatomy is variable from one woman to another. This includes the externally visible genitals (e.g. Labia It is easy to recognize male orgasm by erection and ejaculation, but majora) as well as the internal reproductive and sexual organs (e.g. in females it is difficult to detect. Intercourse is for reproduction and vagina, uterus). pleasure. Most women obtain sexual information from magazines, sex therapists, gynecologists and most recently social media. -
Labiaplasty Brochure
· LABIAPLASTY· · TESTIMONIAL · · OTHER TREATMENTS THAT FURTHER REJUVENATE THE LABIA AND VAGINA · "I have been contemplating labiaplasty for some time now. I only have one child and my issues with my labia were not due to childbirth. Obviously, this · PRP INJECTION THERAPY- Your own growth particular subject matter could even make the most self-assured a bit factors provide for the most healthy tissue uncomfortable. Yet, there was never a moment that I felt judged in any way by growth and best healing. Dr. Bloy or anyone in his oce. Everyone ...across the board... was supportive · JULIET FEMININE LASER- Laser treatment for and reassuring. The procedure was done under local anesthesia which made the choice easier for me. I did not even require medication to calm me down or the labia (outside) or vagina (inside) tightens, sedate me, so I was able to drive myself to and from the appointment. The restores function and increases collagen. procedure was pain-free. I was in and out in under two hours with my brand · LABIAL PUFFING- Dermal fillers are used to new and pretty vagina! I cannot begin to say enough times how highly I plump the tissue creating more youthful labia. recommend Dr. Bloy and his oce in Ft. Myers, Florida. They did everything but · LASER HAIR REMOVAL- Permanent hair jump through hoops for me to make the experience streamlined and eortless. reduction delivers smooth, soft skin free of Dr. Bloy's years of experience and caring heart will put you at ease every step of the way." razor bumps, irritation, and without time - Actual 48-Year-Old CHC Patient consuming waxing or shaving. -
Vulvas and Vaginas
Vulvas and Vaginas 2 An Introduction to: Vulvas and Vaginas What is a Vulva? The Vulva is the entire external female genitalia – inner and outer labia, clitoris, clitoral hood, mons, vestibule and urethral and vagina openings. This part of the anatomy gets called lots of funny names: vajayjay, muff, coochie, crotch, “down there,” and often it gets confused with the vagina – the stretchable passage that leads to the cervix and uterus and is involved in menstruation, intercourse, pregnancy and delivery. Because the vulva and vagina are hidden, they can seem mysterious, confusing and even shameful. Let’s eliminate the mystery. Your vulva and vagina can be the source of much pleasure and it is a good idea to get to know them and all their wonders. Don’t be shy! Get to know your body! Look at your Vulva! Stand or sit over a mirror and take a good look. Examining the Vulva is healthy; it gets you familiar and comfortable with your unique body and all its parts. Labia: The word labia means lips in Latin. The outer labia are two folds of skin and fatty tissue which are the colour of your skin or a bit darker. They are covered in pubic hair after puberty and surround the rest of the vulva. They can be large or small, short or long and, like breasts, can be two different sizes. They swell during arousal and are often very sensitive. The inner labia are also sensitive and swell during arousal. These are the folds of skin that go from the clitoral hood to below the vaginal opening. -
Lichen Sclerosus
Lichen Sclerosus Lichen sclerosus (LS) is an inflammatory skin disorder of the vulva. It can occur in any age group, although more commonly seen in the middle-aged, Caucasian population. The cause of lichen sclerosus is unknown but no infectious, genetic, environmental, hormonal or immunologic etiology has been identified. Lichen sclerosus is characterized by small white areas on the dry skin of the vulva. These patches often give the skin the appearance of being thin, transparent and crinkly. Often these changes are symmetrical. Most women have intense itching associated with LS and thus the vulva can become secondarily red, irritated, thickend, ulcerated and inflamed. Other common symptoms are pain, burning and irritation. Affected skin may involve the entire vulva, perineal body (skin between vaginal and anal openings), peri-anal skin, and gluteal folds. As the skin changes progress, there is loss of normal vulvar architecture. These changes include fusion of the labia minora with the labia majora, agglutination of the labia at the midline (phimosis), and loss of mobility of the clitoral hood. The vaginal opening can become smaller, interfering with intercourse. Defecation can become painful when the inflamed, scarred skin splits and bleeds with each bowel movement. A biopsy is necessary to secure the diagnosis of lichen sclerosus, and physical exam is often supportive. Lichen sclerosus is a chronic skin condition. Symptoms can be managed, not cured. The goal of treatment is to eliminate symptoms and protect the skin from damage and progression. Commonly, the anatomic changes of LS will not reverse despite persistent and aggressive treatment. Due to the chronic nature of the disease, diligence to treatment is important to prevent further skin changes and preserve normal integrity of the skin. -
Female Reproductive System
Female Reproductive System Professor Barry O'Reilly's Website Patients' Leaflets Female Reproductive System 1. The vulva's functions and structures Situated in a woman's pubic region, the vulva is part of the female external genitalia. It is actually a name for a collection of structures, that work as a team to support both urination and sexual reproduction. Veneris/mon publis: The veneris or mon pubis covers the female pubic bone, acting in the role of cushion during intercourse. It is formed like a soft small hill made up of fatty tissue. Labia: The female reproductive system contains two labia: the labia majora and labia minora (major and minor). The minora is contained within the majora which protects it. The function of both labia are to protect the vulva's vestibule. Clitoris: Made up of clitoral glans, the clitoris contains numerous nerve endings, making it extremely sensitive. The clitoral hood, which can be likened to the male foreskin, covers the clitoris. Vestibule: The vestibule is home to the vaginal opening and the urinary meatus, which contains the urethral opening. Introitus: The introitus is the vaginal opening. Mostly this is covered by the hymen, which is a membrane that most females are born with, which ruptures during the woman's first act of sexual intercourse. There are a small number of cases when baby girls are born, who don't have hymens. Bartholin's glands: The greater vestibular glands, also known as the Bartholin's glands are located on the vaginal opening, at the back. On the back part of the vaginal opening is the Bartholin´s glands (greater vestibular glands). -
Female Genital Cosmetic Surgery: a Review of Techniques and Outcomes
Int Urogynecol J (2013) 24:1997–2009 DOI 10.1007/s00192-013-2117-8 REVIEW ARTICLE Female genital cosmetic surgery: a review of techniques and outcomes Cheryl B. Iglesia & Ladin Yurteri-Kaplan & Red Alinsod Received: 15 April 2013 /Accepted: 18 April 2013 /Published online: 22 May 2013 # The International Urogynecological Association 2013 Abstract The aesthetic and functional procedures that com- Keyword Female genital cosmetic surgery . Cosmetic prise female genital cosmetic surgery (FGCS) include tradi- gynecology . Vaginal rejuvenation . Labiaplasty . tional vaginal prolapse procedures as well as cosmetic Vaginoplasty vulvar and labial procedures. The line between cosmetic and medically indicated surgical procedures is blurred, and today many operations are performed for both purposes. The Introduction contributions of gynecologists and reconstructive pelvic surgeons are crucial in this debate. Aesthetic vaginal sur- Consumer marketing and media hype have spawned the con- geons may unintentionally blur legitimate female pelvic siderable controversy over female genital cosmetic surgery floor disorders with other aesthetic conditions. In the ab- (FGCS). FGCS articles first appeared in North American sence of quality outcome data, the value of FGCS in im- journals in 1978, and the first technical article appeared in proving sexual function remains uncertain. Women seeking 1984 [1, 2]. This review describes the techniques and outcome FGCS need to be educated about the range and variation of data of labiaplasty, vaginoplasty, and other cosmetic gyneco- labia widths and genital appearance, and should be evaluat- logical procedures. ed for true pelvic support disorders such as pelvic organ prolapse and stress urinary incontinence. Women seeking FGCS should also be screened for psychological conditions Female genital perceptions and should act autonomously without coercion from part- ners or surgeons with proprietary conflicts of interest.