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Women's Health

By Heather Rupe, DO Board-certified OB/GYN May 19, 2017

Heather Rupe, DO
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In my 15 years as an OB GYN sometimes I think I’ve heard it all, but then last week a teenager asked me “Is my vagina normal looking? My vagina lips seem bigger than all my friends.” Outwardly, I kept my professional demeanor and reassured them that all was fine, but inwardly I’m thinking “why are you looking at your friends’ vagina?” When I was a teenager, I had no idea what my own lady parts looked like, let alone my friends. While this was one of the more unique questions I’ve received, I am getting more general questions from women on the appearance of their genitals. It seems that our society’s obsession with appearances has now extended to their vaginas.
Before we discuss normal appearance, we should take a step back and have a little anatomy lesson. The outer part of the female genitals that is often referred to as the vagina is actually called the vulva. The vulva is made of 2 folds or “lips”. The inner fold is the labia minora and the outer fold is the labia majora. Where the labia come together at the top of the vulva is the clitoris and directly under the clitoris is the urethra (where your pee comes out). The separate, larger hole about 2 cm below the urethra is the vagina (where you have sex and where babies come out).
Here are some of the most common concerns I hear from women about their vaginas:
The area that differs the most among women, and the area that women most frequently ask me about, is the size of the labia minora, or “inner lips”. The labia minora can vary in size from a tiny fold that is barely perceptible to large extensions of skin that are wing-like in shape. Both are completely normal. The shape of the labia has no effect on sexual enjoyment or childbirth. Occasionally, the labia minora are so large that they cause discomfort with activities. I had a college athlete whose labia minora were over 10 cm long, causing serious chafing with exercising. In these rare instances the labia can be surgically reduced. But large and asymmetric labia are common and shouldn’t be reduced simply for appearance.
The vagina is a muscular tube that has many folds of tissue (think of an accordion) that expands (greatly) during childbirth. When it shrinks back down to normal, occasionally an individual fold of vaginal tissue can be bigger than others and actually protrude through the vaginal opening in such a way that it looks like a small tongue. This can be totally normal or, occasionally, can be a sign of a hernia between the vagina and rectum. Usually, it only needs to be corrected if it’s causing pain or chaffing.

“There is a knob or knot in my vagina”

Over time, the effects of gravity and childbirth can lead to the uterus dropping lower in the vagina. Some women will feel a knot or knob when they insert a tampon or occasionally when they wipe themselves. This can sometimes be very scary for woman, as any unusual mass in the pelvic region strikes fear of cancer. Luckily, though, it is usually nothing worrisome and doesn’t require treatment unless other symptoms are noted.
I often see young women who are having trouble inserting a tampon or having intercourse. Most of the time, it is a matter of showing them how to relax their pelvic muscles, but occasionally I find they were actually born with an abnormal hymen (membrane around the vaginal opening). Most girls have a hymenal opening about the size of tampon, but occasionally I’ll see girls whose hymen is the size of a cotton swab, barely open enough to let out menstrual blood. These girls do need a minor surgery to open their vagina to a normal size so that they can use tampons and be sexually active.
Over the years I have seen approximately 9,125 vaginas – they all looked different. Much like people’s faces, vaginas all have the same parts but are uniquely portioned. If you have concerns about the appearance of your vulva or shape of your vagina, especially if it hurts, talk to your gynecologist, not just your girlfriends in the locker room.
Heather Rupe, DO, is a board-certified OB/GYN in private practice in Franklin, TN, and serves as the vice chief of staff at Williamson Medical Center. She is the co-author of The Pregnancy Companion: A Faith-Filled Guide for Your Journey to Motherhood and The Baby Companion: A Faith-Filled Guide for Your Journey through Baby’s First Year.
Childbirth, weight gain, hormonal changes, and more can have an effect on the contours of the vagina over time, but is this a problem?
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Anna Swan is reported to have had the biggest vagina ever in recorded history. The Scot was 7’5-1/2″, her husband was 7’11”, and she delivered the biggest newborn ever recorded: his head was 19″ around. Do the math.

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Vaginas ! So strange. So mysterious. So essential a component of the female anatomy. Sure, you may have a vagina. Or maybe you’re just curious about vaginas. Vaginas are like snowflakes. No two vaginas are alike. Of course, some vaginas are more exceptional than others. Like Hazel Jones, the woman who was so brave as to go on morning television to talk about her, not one, but two vaginas. Click through to find out more about Hazel’s lady flowers and other amazing vaginas in our vagina-tastic list.

Twenty-seven-year-old UK woman, Hazel Jones, went on morning television to talk about her one in a million vagina. Or should I say two in a million? Hazel suffers from a condition called uterus didelphys, which is a fancy way of saying the woman has two uteruses and two vaginas. This means she lost her virginity twice, suffers through double heavy periods each month, and can get pregnant twice at once if she’s not careful. She’s declined to have surgery to correct the problem because of the possible risks. I give her credit for dealing with so much lady plumbing. [ Huffington Post ]

Hazel is not alone. Lauren Williams is yet another chick with two vaginas. She has a bicornuate uterus, which means she has two vaginas, two cervixes, and two uteruses. I don’t know what I would do with the extra vagina. Rent it out?
In 1975, performance artist Carolee Schneeman stood on a table, covered herself in mud, and extracted a scroll from her vagina. Then, she read it. The paper evidence from Interior Scroll is now displayed as a work of art. And what has your vagina done lately?

In 1999, adult film star Houston had sex with a purported 620 men in one day, resulting in “The World’s Biggest G**gb**g 3.” In reality, there were about 125 dudes there. Still, nothing to sneeze at.
Tatiata Kozhevnikova has the world’s strongest vagina. She can lift 31 lbs. with hers. She’s even listed in Guinness World Records. And has special vagina barbells. OMG. WTF.
“Susan” was born without a vagina. As it turns out, one in 4,000 women are born with congenital absence of the vagina. How’s that work? “Externally, the genital area is perfectly normal, with clitoris, labia, and urethra all in place. But where the vagina should be there is only a small dimple or indentation.” Some opt for surgery. Susan “succeeded in creating her own vagina through the dilatation, or pressure technique.” I am speechless.

In America, women undergo plastic surgery to have their labia trimmed. (Read one woman’s testimony: “I Had Labiaplasty Surgery.”) In Rwanda, women engage in labia stretching. In their culture, elongated labia are considered an asset and is perceived to result in better sex for both partners. The World Health Organization considers the practice female genital mutilation. Others see it as part of a long-standing tradition.

Maoni Vi of Capetown, South Africa, has pubic hair that is 28-inches long. But does she braid it? That I do not know.
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