Seeking woman with large clit

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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. From August to April , we included women in our gynaecological and uro-gynaecological outpatient clinic of the Cantonal Hospital Lucerne. Standardised defined measurements were taken of the clitoral gland, distance from the base of the gland to the urethral orifice, length of introitus, length of perineum, length of labia majora, and length and width of labia minora. Furthermore, we recorded baseline characteristics.

We provide detailed data on age-related dimensions and description of the external female genitalia in a homogeneous group of white women. With our data, we present a baseline for the appearance of a normal white vulva, which could be used to establish standards for indications for gynaecological cosmetic surgery. This study presents data on the standard dimensions of the external female genitalia and is, to our knowledge, the biggest cohort presented on this topic by now.

Even most medical textbooks lack information of vulvar morphology. In , Maria Bonaparte was the first woman to publish data concerning the dimensions of the anatomy of the female genitalia. Her idea was that the distance between clitoris and vagina affects the likelihood of women experiencing orgasm during sexual intercourse. Under the pseudonym A. Narjani, she published her theory of frigidity.

The necessity to set up valid standards concerning definitions of anatomical relations and dimensions of the external female genitalia is reflected in the published data in recent years. Basaran et al. Genital appearance has raised awareness among young women in the last decade. Despite the fact that the appearance differs depending on ethnicity, age, weight, hormonal status, and type of skin, young women are seeking a perfect body image.

The primary purpose of this prospective cohort study was to present standard values concerning the external female genitalia and its appearance among white women. The primary aim was to set up a database that represents reliable standard values of the vulva. Women were recruited during outpatient clinics in our gynaecological and our uro-gynaecological department of the Cantonal Hospital Lucerne, Switzerland. The recruitment period was from August to April Women were eligible for inclusion if aged between 15 and 84 years, able to speak and to write sufficiently well in the German language, and able and willing to an informed consent.

We chose to include white women only, to create a homogeneous group of just one ethnicity. Women were excluded if they met one of the following criteria: pregnancy, use of systemic hormone therapy except contraceptive pill , chronic vulva disease e. Lichen sclerosus , vulvar complaints or any prior surgery of the vulva.

Baseline characteristics age, height, weight, parity, and type of delivery were sampled by a physician during outpatient clinics. According to the women's age, they were matched in one of the following seven subgroups decades : decade I aged between 15 and 24 years, decade II aged between 25 and 34 years, decade III aged between 35 and 44 years, decade IV aged between 45 and 54 years, decade V aged between 55 and 64 years, decade VI aged between 65 and 74 years, and decade VII aged between 75 and 84 years.

The aim was to include women. Measurements of the external female genitalia were performed in lithotomy position using a disposable paper measure. Analysis was performed for each site: width of the clitoral gland, clitoral length, distance from the base of the gland to the urethral orifice, length of introitus, length of perineum posterior fourchette to anterior anal margin , length of labia majora, length of labia minora from clitoris to the lower margin of the labia , width of labia minora from the sulcus infralabialis to the margin of the labium minora, not stretched.

All values are visualised in Figure 1. An educational period of teaching the accurate measurements was initiated before the start of the inclusion period. The study coordinator performed a one-on-one instruction lecture for each investigator and supervised the first five measurements to reduce inter-observer variability. A total of 12 gynaecologists, approved by the ethic committee, performed the examinations. Descriptive statistics were calculated for basic patient characteristics.

During 20 months of the period from August to April , a total of women were recruited. Mean age of the women was Body mass index ranged from Regarding parity, women were nulliparous and parous; 56 of these had had a caesarean section, a vaginal delivery, and 25 both a caesarean section and vaginal delivery. Baseline characteristics are summarised in Table 1.

Average measurements of the vulva incorporating the whole cohort are demonstrated in Table 2. Asymmetry of right- and left-side measurements of the labia majora and labia minora was not statistically ificant. Standard values concerning the external female genitalia for each cohort according to decades are summarised separately in Table 3. In a further step, we analysed correlations between baseline characteristics and the obtained measurements. In women with caesarean section, no ificant differences were found.

Concerning the size and appearance of the external female genitalia, we were able to reveal correlation based on our analysis. The correlation between length of the labia majora and the BMI of the patient, already described by Cao et al. This supports the assumption that uniform thresholds concerning the size of the vulva for diagnoses of vulvar diseases are inappropriate. Measurements of the external female genitalia in women are of great value in setting up diagnoses but must be interpreted on an individual basis rather than used as irrefutable diagnostic criteria.

This is also underlined by the finding that vaginal delivery, the length of the introitus, and the length of the labia majora are positively correlated. Measurements should be standardised and used with caution, as studies have presented very different means of vulvar structures, suggesting a population-based and observer-based bias.

The small of elderly women decade VII: 75—84 years is justified due to substantially lower s of women being eligible for inclusion or willing to participate. We also acknowledge that we are presenting only limited data because of our inclusion of only white women. Further studies are needed to present data of heterogeneous groups of women and different ethnicities.

The individual analysis of measurements of the external female genitalia becomes even more important in the field of highly elective cosmetic surgeries such as labioplasty. Over the last decade, there has been a raised awareness among young women of their genital appearance. Subsequently, this has led to increasing s of consultations for cosmetic surgery as young women seek information especially concerning vaginal tightening and labial reduction.

However, the dimensions of labia minora being used have been based only on small studies and there is no consensus in the literature concerning classification and definition of hypertrophy of the labia minora. Conventionally, labial hypertrophy is defined as maximal width exceeding 5 cm. The current study provides additional data about mean labial dimensions and the factors that are associated with variations in size. Furthermore, with the presented values for each cohort and decade, it could be possible to interpret values on a more objective basis.

This cross-sectional study presents the largest cohort on demographic data concerning the normal size of the external female genitalia. Despite the fact that these data are solely from white women, we are convinced this study will pave the way for further studies publishing data on different ethnicities and heterogeneous groups of women around the world. Nevertheless, with our data, we present a baseline for the appearance of a normal white vulva and set up standards for indications for gynaecological cosmetic surgery and other applications.

In combination with measurements of the vulva in patients with diagnosed vulvar diseases, these data have the potential to set valid international guidelines. We thank all the physicians who were involved in the study, in particular Christian Braun and Carolin Frankenreiter, and Dirk Lehnick and Roger Getzmann who were responsible for statistics and study coordination. None declared. Completed disclosure of interests form available to view online as supporting information. This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries other than missing content should be directed to the corresponding author for the article. Volume , Issue Please check your for instructions on resetting your password. If the address matches an existing you will receive an with instructions to retrieve your username. General gynaecology Free Access. A Kreklau , Corresponding Author anne. andreas. anne. Corresponding Author andreas.

First published: 25 June Linked article This article is commented on by NS Crouch, p. Tools Request permission Export citation Add to favorites Track citation. Share Share Give access Share full text access. Share full-text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. De Cross-sectional prospective single-centre study. Setting From August to April , we included women in our gynaecological and uro-gynaecological outpatient clinic of the Cantonal Hospital Lucerne.

Population or sample We recruited white women aged 15—84 years. Methods Standardised defined measurements were taken of the clitoral gland, distance from the base of the gland to the urethral orifice, length of introitus, length of perineum, length of labia majora, and length and width of labia minora.

Conclusion With our data, we present a baseline for the appearance of a normal white vulva, which could be used to establish standards for indications for gynaecological cosmetic surgery. Tweetable abstract This study presents data on the standard dimensions of the external female genitalia and is, to our knowledge, the biggest cohort presented on this topic by now. Figure 1 Open in figure viewer PowerPoint. Standard measurements of the external female genitalia.

Mean in mm Standard deviation Minimum in mm Maximum in mm Width of clitoris 4. Acknowledgements We thank all the physicians who were involved in the study, in particular Christian Braun and Carolin Frankenreiter, and Dirk Lehnick and Roger Getzmann who were responsible for statistics and study coordination. Supporting Information. Filename Description bjosupFigS1-S2. Width of clitoris distinguished by decades. Figure S2.

Length of clitoris distinguished by decades. Length of perineum distinguished by decades. Figure S4. Distance clitoris—urethra distinguished by decades. Length of introitus distinguished by decades. Figure S6. Length of labia majora right distinguished by decades. Length of labia majora left distinguished by decades. Figure S8. Length of labia minora right distinguished by decades. Length of labia minora left distinguished by decades. Figure S Width of labia minora right distinguished by decades. Width of labia minora left distinguished by decades. The normal vulva in medical textbooks.

Seeking woman with large clit

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Measurements of a ‘normal vulva’ in women aged 15– a cross-sectional prospective single-centre study