What is it?
Genital imperfections are anatomical and sometimes functional imperfections that affect the female external genitalia, altering what is considered the "normal" genital anatomy and creating discomfort, with consequences on the intimate and personal sphere of patients.
This condition includes all congenital genital anatomical variations, but also changes that occur as a result of ageing, pregnancy, childbirth or as a result of surgery.
The most frequent genital imperfections include hypertrophy of the labia minora, hypotrophy and loss of firmness of the labia majora and the mound of Venus, hypotonicity of the vaginal muscles and atrophy of the mucous membranes. In addition, patients with post-partum anatomical changes due to spontaneous lacerations or episiotomies with suboptimal healing, and genital abnormalities after female genital mutilation surgery should also be considered.
Which are the symptoms?
Symptoms related to the presence of genital imperfections include physical complaints such as vaginal dryness and pain during intercourse, but especially psychological disorders related to the discomfort caused by anatomical imperfections that affect the intimate and sexual sphere.
- Pain during sexual intercourse
- Vaginal dryness
- Sensation of genital discomfort
- Decreased self-esteem
- Social impact
How is it diagnosed?
The diagnosis of genital imperfection is basically clinical and is based on the combination of an objective evaluation performed by a specialist gynecologist and a subjective assessment of the patient on the impact of these disorders.
Regarding symptoms such as dyspareunia and vaginal dryness, there are validated questionnaires useful for the evaluation of their severity. Moreover, considering the predominant role of the psychological component of this condition, it is important to integrate the diagnosis with a specific psychological evaluation.
How is it treated?
Vaginal laser: The treatment with fractionated CO2 laser represents an effective therapy for the treatment of vulvo-vaginal atrophy symptoms, thanks to its regenerative action on tissues. Although it is a non-invasive treatment, it is able to ensure a significant improvement in the appearance of genital tissues and their functionality.
Surgical treatment: among the most practiced surgical alternatives there is the vulvar labioplasty for the correction of hypertrophy of the labia minora, which can also be performed with laser equipment. For the hypotrophy of labia majora and mons Veneris, instead, it is possible to propose a lipofillig with autologous adipose tissue graft, which can be performed under local anesthesia or an injection of hyaluronic acid. The suboptimal healing of episiotomies or lacerations of high degree during childbirth is addressed through an operation of colpoperineoplasty, performed vaginally under local anesthesia. Finally, the correction of surgical results from female genital mutilation is achieved through vestibular and/or clitoral plastic surgery, which aims to correct the anatomy and ensure better sexual function.
Psychological therapy: the specific treatment of genital anatomy and function is integrated with a psychological evaluation, aimed at improving the aspect of personal and social discomfort that frequently accompanies these disorders.
Where do we treat it?
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