most doctors even OBGYNs aren’t taught to discuss genital comfort function and
to discuss genital comfort function and
to discuss genital comfort function and appearance and to top it off most
appearance and to top it off most
appearance and to top it off most insurance companies won’t cover costs
insurance companies won’t cover costs
insurance companies won’t cover costs they deem cosmetic even if function is
they deem cosmetic even if function is
they deem cosmetic even if function is affected let’s begin with that awkward
affected let’s begin with that awkward
affected let’s begin with that awkward thing that we’ve all been through which
thing that we’ve all been through which
thing that we’ve all been through which is puberty okay
is puberty okay
is puberty okay our bodies change during puberty and a
our bodies change during puberty and a
our bodies change during puberty and a girl’s developing body estrogen
girl’s developing body estrogen
girl’s developing body estrogen stimulates things to grow most
stimulates things to grow most
stimulates things to grow most noticeably the breasts but what you may
noticeably the breasts but what you may
noticeably the breasts but what you may not know is something else is being
not know is something else is being
not know is something else is being stimulated to grow down there the inner
stimulated to grow down there the inner
stimulated to grow down there the inner lips of the labia minora and just like
lips of the labia minora and just like
lips of the labia minora and just like the breasts they can become larger
the breasts they can become larger
the breasts they can become larger change color and become uneven I’m quite
change color and become uneven I’m quite
change color and become uneven I’m quite sure that many gentlemen out here can
sure that many gentlemen out here can
sure that many gentlemen out here can relate to issues concerning size but
relate to issues concerning size but
relate to issues concerning size but while I doubt many men will complain
while I doubt many men will complain
while I doubt many men will complain about their penis growing or developing
about their penis growing or developing
about their penis growing or developing body hair it’s different for young women
body hair it’s different for young women
body hair it’s different for young women back to the breasts for a minute all
back to the breasts for a minute all
back to the breasts for a minute all girls grow breasts during puberty but
girls grow breasts during puberty but
girls grow breasts during puberty but some grow bigger than others for girls
some grow bigger than others for girls
some grow bigger than others for girls with extremely large breasts this
with extremely large breasts this
with extremely large breasts this condemned their self-confidence and
condemned their self-confidence and
condemned their self-confidence and impact comfort and their ability to
impact comfort and their ability to
impact comfort and their ability to exercise some women will seek a breast
exercise some women will seek a breast
exercise some women will seek a breast reduction to address these issues and
reduction to address these issues and
reduction to address these issues and are happier because they sought a
are happier because they sought a
are happier because they sought a solution when a woman feels good about
solution when a woman feels good about
solution when a woman feels good about her body her confidence shines through
her body her confidence shines through
her body her confidence shines through and just like the breast the same thing
and just like the breast the same thing
and just like the breast the same thing can happen to the inner labia yes people
can happen to the inner labia yes people
can happen to the inner labia yes people don’t be afraid to say the word come on
don’t be afraid to say the word come on
don’t be afraid to say the word come on say it with me labia labia maybe uh when
say it with me labia labia maybe uh when
say it with me labia labia maybe uh when there’s more than average growth it can
there’s more than average growth it can
there’s more than average growth it can be noticeable but not an inconvenience
be noticeable but not an inconvenience
be noticeable but not an inconvenience with substantially more growth however
with substantially more growth however
with substantially more growth however it can be painful and physically
it can be painful and physically
it can be painful and physically problematic suddenly there can be tissue
problematic suddenly there can be tissue
problematic suddenly there can be tissue sticking out and it can be uncomfortable
sticking out and it can be uncomfortable
sticking out and it can be uncomfortable doing any physical activity even sitting
doing any physical activity even sitting
doing any physical activity even sitting or walking or wearing certain clothes
or walking or wearing certain clothes
or walking or wearing certain clothes like jeans or swimwear hygiene can
like jeans or swimwear hygiene can
like jeans or swimwear hygiene can become a problem and putting in tampons
become a problem and putting in tampons
become a problem and putting in tampons as well and for older sexually active
as well and for older sexually active
as well and for older sexually active teens sex can become unnaturally
teens sex can become unnaturally
teens sex can become unnaturally for feeling abnormal or uncomfortable or
for feeling abnormal or uncomfortable or
for feeling abnormal or uncomfortable or experiencing pain or embarrassment can
experiencing pain or embarrassment can
experiencing pain or embarrassment can lead to feelings of depression and
lead to feelings of depression and
lead to feelings of depression and self-loathing during a time when girls
self-loathing during a time when girls
self-loathing during a time when girls should be embracing their body’s changes
should be embracing their body’s changes
should be embracing their body’s changes body image is a huge issue for teens and
body image is a huge issue for teens and
body image is a huge issue for teens and it’s important as parents that you talk
it’s important as parents that you talk
it’s important as parents that you talk to your children about this and any
to your children about this and any
to your children about this and any concerns that they have most girls are
concerns that they have most girls are
concerns that they have most girls are mortified to talk to their parents about
mortified to talk to their parents about
mortified to talk to their parents about this or their doctors and pediatricians
this or their doctors and pediatricians
this or their doctors and pediatricians rarely counsel the moms of preteen girls
rarely counsel the moms of preteen girls
rarely counsel the moms of preteen girls about the changes that may occur and
about the changes that may occur and
about the changes that may occur and what to expect and what they can do so
what to expect and what they can do so
what to expect and what they can do so they can better advise their daughters
they can better advise their daughters
they can better advise their daughters OBGYNs don’t ask during a pap smear does
OBGYNs don’t ask during a pap smear does
OBGYNs don’t ask during a pap smear does this tissue bother you get in the way so
this tissue bother you get in the way so
this tissue bother you get in the way so it’s your job to talk to your daughters
it’s your job to talk to your daughters
it’s your job to talk to your daughters about this and although surgery is
about this and although surgery is
about this and although surgery is available it’s preferable to wait until
available it’s preferable to wait until
available it’s preferable to wait until 18 because their bodies are still
18 because their bodies are still
18 because their bodies are still developing unless the your child’s
developing unless the your child’s
developing unless the your child’s activities are severely restricted or
activities are severely restricted or
activities are severely restricted or she’s an emotional distress or has
she’s an emotional distress or has
she’s an emotional distress or has chronic pain parents would tea with
chronic pain parents would tea with
chronic pain parents would tea with preteen daughters you should go home and
preteen daughters you should go home and
preteen daughters you should go home and give them a mirror and tell them to take
give them a mirror and tell them to take
give them a mirror and tell them to take a look you should reassure them that
a look you should reassure them that
a look you should reassure them that there’s nothing embarrassing about body
there’s nothing embarrassing about body
there’s nothing embarrassing about body development or sexual function it’s a
development or sexual function it’s a
development or sexual function it’s a natural part of growing up and what’s
natural part of growing up and what’s
natural part of growing up and what’s more important is to know what’s normal
more important is to know what’s normal
more important is to know what’s normal for you and when something changes in a
for you and when something changes in a
for you and when something changes in a negative way that will impact you and
negative way that will impact you and
negative way that will impact you and that way you have time to address it
that way you have time to address it
that way you have time to address it before bigger problems arise dad’s your
before bigger problems arise dad’s your
before bigger problems arise dad’s your daughter’s probably don’t even want you
daughter’s probably don’t even want you
daughter’s probably don’t even want you to know that they have their periods but
to know that they have their periods but
to know that they have their periods but you can just let them know that you’re
you can just let them know that you’re
you can just let them know that you’re there for them labia reduction has been
there for them labia reduction has been
there for them labia reduction has been a taboo thing between parents patients
a taboo thing between parents patients
a taboo thing between parents patients doctors and insurance companies and to
doctors and insurance companies and to
doctors and insurance companies and to make matters worse most insurance
make matters worse most insurance
make matters worse most insurance contracted doctors are not trained to
contracted doctors are not trained to
contracted doctors are not trained to perform labiaplasty procedures there’s
perform labiaplasty procedures there’s
perform labiaplasty procedures there’s also a huge misperception that women are
also a huge misperception that women are
also a huge misperception that women are seeking labiaplasty strictly for
seeking labiaplasty strictly for
seeking labiaplasty strictly for cosmetic purposes and having performed
cosmetic purposes and having performed
cosmetic purposes and having performed over 800 labia reductions I can firmly
over 800 labia reductions I can firmly
over 800 labia reductions I can firmly state that that is not the case my
state that that is not the case my
state that that is not the case my experiences
experiences
experiences that this discomfort starts in puberty
that this discomfort starts in puberty
that this discomfort starts in puberty and while it doesn’t matter as much the
and while it doesn’t matter as much the
and while it doesn’t matter as much the size of the labia as the problems that
size of the labia as the problems that
size of the labia as the problems that they cause it’s imperative to do Sigma
they cause it’s imperative to do Sigma
they cause it’s imperative to do Sigma ties this part of the female anatomy and
ties this part of the female anatomy and
ties this part of the female anatomy and more importantly it’s important to be
more importantly it’s important to be
more importantly it’s important to be comfortable in one’s body can create
comfortable in one’s body can create
comfortable in one’s body can create happier daughters sisters and moms
happier daughters sisters and moms
happier daughters sisters and moms speaking of moms we know puberty is just
speaking of moms we know puberty is just
speaking of moms we know puberty is just the beginning can you guess the next big
the beginning can you guess the next big
the beginning can you guess the next big event in a woman’s life yep it’s having
event in a woman’s life yep it’s having
event in a woman’s life yep it’s having kids and boy do they change us it could
kids and boy do they change us it could
kids and boy do they change us it could be the first baby or the fifth baby and
be the first baby or the fifth baby and
be the first baby or the fifth baby and it could cause a wide variety of
it could cause a wide variety of
it could cause a wide variety of symptoms from mild to severe that can
symptoms from mild to severe that can
symptoms from mild to severe that can impact bladder bowel and sexual function
impact bladder bowel and sexual function
impact bladder bowel and sexual function as well as the quality of their lives
as well as the quality of their lives
as well as the quality of their lives and even though these are considered
and even though these are considered
and even though these are considered normal changes of childbirth you don’t
normal changes of childbirth you don’t
normal changes of childbirth you don’t have to live with them
have to live with them
have to live with them most OBGYNs will discuss losing the baby
most OBGYNs will discuss losing the baby
most OBGYNs will discuss losing the baby fat but they won’t talk about these more
fat but they won’t talk about these more
fat but they won’t talk about these more intimate concerns and the fact that
intimate concerns and the fact that
intimate concerns and the fact that there are treatment options available to
there are treatment options available to
there are treatment options available to restore this kind of function so with
restore this kind of function so with
restore this kind of function so with the bladder there’s three kinds of
the bladder there’s three kinds of
the bladder there’s three kinds of incontinence but we’re just going to
incontinence but we’re just going to
incontinence but we’re just going to talk about the one that’s related to
talk about the one that’s related to
talk about the one that’s related to childbirth
childbirth
childbirth that’s called stress urinary
that’s called stress urinary
that’s called stress urinary incontinence and that’s leakage of urine
incontinence and that’s leakage of urine
incontinence and that’s leakage of urine with coughing sneezing bending laughing
with coughing sneezing bending laughing
with coughing sneezing bending laughing lifting jumping all the things that you
lifting jumping all the things that you
lifting jumping all the things that you may do running after a toddler this is
may do running after a toddler this is
may do running after a toddler this is due to the lack of support of the
due to the lack of support of the
due to the lack of support of the bladder neck with increased abdominal
bladder neck with increased abdominal
bladder neck with increased abdominal pressure surgery radiofrequency and
pressure surgery radiofrequency and
pressure surgery radiofrequency and lasers can all support the bladder neck
lasers can all support the bladder neck
lasers can all support the bladder neck and help reduce urinary leakage bowel
and help reduce urinary leakage bowel
and help reduce urinary leakage bowel function can change to going to the
function can change to going to the
function can change to going to the bathroom used to be in and out kind of
bathroom used to be in and out kind of
bathroom used to be in and out kind of thing but after childbirth it can take
thing but after childbirth it can take
thing but after childbirth it can take time and effort and ladies like
time and effort and ladies like
time and effort and ladies like gentlemen can get constipation and
gentlemen can get constipation and
gentlemen can get constipation and hemorrhoids so not sexy and depending on
hemorrhoids so not sexy and depending on
hemorrhoids so not sexy and depending on how badly this has impaired surgery can
how badly this has impaired surgery can
how badly this has impaired surgery can fix this
fix this
fix this now we’ve add all muscles weak vaginal
now we’ve add all muscles weak vaginal
now we’ve add all muscles weak vaginal opening muscles can cause a partner to
opening muscles can cause a partner to
opening muscles can cause a partner to fall out compromising sexual function
fall out compromising sexual function
fall out compromising sexual function this plus reduce sensation for one or
this plus reduce sensation for one or
this plus reduce sensation for one or both partners and air causing gas like
both partners and air causing gas like
both partners and air causing gas like noise
noise
noise are the most common reasons women seek
are the most common reasons women seek
are the most common reasons women seek doctors like myself to help restore
doctors like myself to help restore
doctors like myself to help restore function and often when women go to
function and often when women go to
function and often when women go to their doctors and ask them what they can
their doctors and ask them what they can
their doctors and ask them what they can do they’re told to squeeze their muscles
do they’re told to squeeze their muscles
do they’re told to squeeze their muscles but their muscles are no longer
but their muscles are no longer
but their muscles are no longer connected imagine the birth canal as
connected imagine the birth canal as
connected imagine the birth canal as this toilet paper roll and it’s cut from
this toilet paper roll and it’s cut from
this toilet paper roll and it’s cut from one end to the other and this is before
one end to the other and this is before
one end to the other and this is before childbirth this is after childbirth so
childbirth this is after childbirth so
childbirth this is after childbirth so the fact is that there are surgeries and
the fact is that there are surgeries and
the fact is that there are surgeries and non-surgical options to help restore
non-surgical options to help restore
non-surgical options to help restore sexual function talking about sex let’s
sexual function talking about sex let’s
sexual function talking about sex let’s talk about how aging and gravity can
talk about how aging and gravity can
talk about how aging and gravity can impact sexual function as we go through
impact sexual function as we go through
impact sexual function as we go through the last major event which is menopause
the last major event which is menopause
the last major event which is menopause as we age the hormones estrogen
as we age the hormones estrogen
as we age the hormones estrogen progesterone and testosterone decline
progesterone and testosterone decline
progesterone and testosterone decline causing all kinds of symptoms like
causing all kinds of symptoms like
causing all kinds of symptoms like irritability emotional distress and
irritability emotional distress and
irritability emotional distress and temporary insanity these these are
temporary insanity these these are
temporary insanity these these are symptoms of menopause but they can also
symptoms of menopause but they can also
symptoms of menopause but they can also include a lack of energy vaginal dryness
include a lack of energy vaginal dryness
include a lack of energy vaginal dryness causing painful sex urinary leakage and
causing painful sex urinary leakage and
causing painful sex urinary leakage and reduced orgasmic intensity and many
reduced orgasmic intensity and many
reduced orgasmic intensity and many women also feel reduced desire and so
women also feel reduced desire and so
women also feel reduced desire and so their partners may feel neglected
their partners may feel neglected
their partners may feel neglected but not know why now hormones have been
but not know why now hormones have been
but not know why now hormones have been given a bad rap but they can be life
given a bad rap but they can be life
given a bad rap but they can be life restoring for women that have no risk
restoring for women that have no risk
restoring for women that have no risk factors supplementing low hormones can
factors supplementing low hormones can
factors supplementing low hormones can restore a body’s balance but not all
restore a body’s balance but not all
restore a body’s balance but not all women can or want to take hormones so
women can or want to take hormones so
women can or want to take hormones so you can treat menopausal symptoms with
you can treat menopausal symptoms with
you can treat menopausal symptoms with lasers and radiofrequency which we can
lasers and radiofrequency which we can
lasers and radiofrequency which we can restore moisture and tightness to the
restore moisture and tightness to the
restore moisture and tightness to the vaginal canal and although these are not
vaginal canal and although these are not
vaginal canal and although these are not permanent solutions they have almost no
permanent solutions they have almost no
permanent solutions they have almost no risks and have no downtime now
risks and have no downtime now
risks and have no downtime now hysterectomies are also common during
hysterectomies are also common during
hysterectomies are also common during menopause and these can happen because
menopause and these can happen because
menopause and these can happen because of bleeding problems cancer and because
of bleeding problems cancer and because
of bleeding problems cancer and because the uterus is literally falling out now
the uterus is literally falling out now
the uterus is literally falling out now just like there are many reasons to have
just like there are many reasons to have
just like there are many reasons to have a hysterectomy there are several kinds
a hysterectomy there are several kinds
a hysterectomy there are several kinds of hysterectomies you should know about
of hysterectomies you should know about
of hysterectomies you should know about and you can have them with or without
and you can have them with or without
and you can have them with or without the cervix being taken
the cervix being taken
the cervix being taken and with or without the ovaries being
and with or without the ovaries being
and with or without the ovaries being removed they can also be done through
removed they can also be done through
removed they can also be done through the abdomen or through the vagina and
the abdomen or through the vagina and
the abdomen or through the vagina and I’m always surprised when I have
I’m always surprised when I have
I’m always surprised when I have patients that come to me and tell me
patients that come to me and tell me
patients that come to me and tell me they’ve had a hysterectomy but don’t
they’ve had a hysterectomy but don’t
they’ve had a hysterectomy but don’t know if they have their cervix or their
know if they have their cervix or their
know if they have their cervix or their ovaries it’s really important if you’re
ovaries it’s really important if you’re
ovaries it’s really important if you’re going to have surgery that you know
going to have surgery that you know
going to have surgery that you know what’s being done to you you need to
what’s being done to you you need to
what’s being done to you you need to take ownership of your body and that’s
take ownership of your body and that’s
take ownership of your body and that’s the most important thing you can do
the most important thing you can do
the most important thing you can do don’t be afraid to voice your concerns
don’t be afraid to voice your concerns
don’t be afraid to voice your concerns about your genitalia write down a list
about your genitalia write down a list
about your genitalia write down a list of your symptoms or questions and take
of your symptoms or questions and take
of your symptoms or questions and take that to your doctor information is power
that to your doctor information is power
that to your doctor information is power and your doctor may or may not be
and your doctor may or may not be
and your doctor may or may not be qualified to help you and if they can’t
qualified to help you and if they can’t
qualified to help you and if they can’t hopefully they can refer you to somebody
hopefully they can refer you to somebody
hopefully they can refer you to somebody who can talking to women about their
who can talking to women about their
who can talking to women about their bodies has opened my eyes up to the debt
bodies has opened my eyes up to the debt
bodies has opened my eyes up to the debt that Anatomy can affect the quality of
that Anatomy can affect the quality of
that Anatomy can affect the quality of their everyday lives there are millions
their everyday lives there are millions
their everyday lives there are millions of women that have these issues and
of women that have these issues and
of women that have these issues and there are physicians who can help thank
there are physicians who can help thank
there are physicians who can help thank you for your attention
you for your attention
you for your attention [Applause]
”
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