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Question:
I have a question for one of the doctors....I am 18 years of age and have a hormonal disability on the skin around my clitoris , or at least I think that's what it is...I have not had an intercourse yet, only oral sex with one partner. The problem is that the skin on one side of the clitoris has grown much longer that the other. I am afraid that this is going to be a problem once i start having sex, as it will be "in the way"... I am also afraid that my next partner will be frightened when he sees it, although this one was not. Can you please help me , and tell me a little about this problem, as I have never heard of such a thing. I am afraid to talk to anyone about this, only my ex-boyfriend who lives in another country.

Answer:
by Annette Owens:
(05/13/2004)
I am glad that you asked your question. Don’t worry, all names remain confidential and we never publish any identifying information. First of all let me make one general comment about skin which grows and changes in appearance: No matter where in the body, skin which undergoes certain changes HAS to be checked out by a dermatologist. These changes include 1) areas of skin which change in color (get darker), 2) moles which start to grow in size, start to itch and/or start to bleed. In these cases it is very important that a dermatologist tests for the possibility of skin cancer, which can be treated, thereby saving lives. I do not want to scare you but I do want to emphasize the importance of taking certain changes in skin texture and color serious. Hormonal changes can sometimes cause areas of skin to change color. Some pregnant women get brown spots in different areas, sometimes in the face, which is called “mask of pregnancy.” What you are describing could be entirely normal. The outer skin folds on each side of the clitoris are covered with pubic hair and are called the outer lips, or labia majora. They protect the inner lips (labia minora) which are also skin folds. I am not quite sure which part of the skin you are referring to. I would recommend to get a book with anatomical pictures and to get familiar with your own genital anatomy by holding a mirror. One book I can recommend is called “Becoming Orgasmic” by Julia Heiman and Joseph LoPiccolo. Many book stores have it or you can purchase it online from Amazon.com. What I like about this book is that it shows an illustration on page 36 with four variations of the vagina. This sketch clearly shows you how different vaginas can look, even in one woman can the two sides be very asymmetrical. So you could very well have a perfectly normal vagina. The skin folds usually get engorged and much thicker during the arousal phase. I would not worry about the skin “getting in the way” during intercourse. You can help your partner to insert his penis by separating your labia with your fingers. You can either use one or both hands to do this. Once his penis is inserted the skin folds are pushed to the side and will not get in the way. If you have any further questions please do not hesitate to ask me again! Sincerely, Annette Owens, MD PhD

Reviewed by: Kathleen VanKirk DHS

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