Recent research involving 657 samples of external female genitalia has demonstrated that the concept of “normal” in female anatomy is a myth. Over a two-year period, the Cantonal Hospital Lucerne in Switzerland conducted a study aimed at establishing a standard for “vulvar morphology.” Women aged 15 to 84, who identified as Caucasian and had vaginas, participated in this study from August 2015 to April 2017, providing detailed measurements of their labia majora and minora, clitoral glands, and the distance from the clitoris to the urethral opening. Additional factors like age and BMI were also recorded.
The study’s primary aim was to create benchmarks for gynecological cosmetic procedures, specifically labiaplasty, a surgery intended to alter the appearance of the vaginal lips to achieve a so-called “designer vagina.” For clarity, when I discuss gender and sex in this article, I will refer to women with vaginas, acknowledging, however, that gender identity does not always align with biological anatomy. For instance, transgender men may possess vaginas, while transgender women may have male genitalia; intersex individuals may experience variations in their anatomy as well. Gender identity is complex and shaped by brain chemistry rather than physical attributes.
Let’s also take a moment to reflect on those awkward junior high sex ed classes. The illustrations of genitalia were often unappealing, leaving many of us confused about our own bodies. The vulva, an external structure, includes the vagina, which is internal. We were encouraged to use mirrors to familiarize ourselves with our anatomy. While it can seem strange and complex, it’s essential to understand that each vulva is unique and requires care, particularly given the variations in discharge and texture that can change with different stages of the menstrual cycle.
A recent conversation on Twitter by Jamie Stevens highlighted that vaginas are essentially self-cleaning and can be moist without the need for sexual activity. She emphasized the importance of seeing a healthcare professional if there are any concerning odors or discomfort but also advocated for leaving the vagina undisturbed otherwise. The same applies to the vulva—if it’s functioning well, there’s no need for alteration. Unfortunately, the influence of pornography has warped perceptions of what female genitalia should look like, leading to unrealistic expectations.
Dr. Molly Turner, a spokesperson for the Pediatric and Adolescent Gynecology Society, noted that there is a concerning trend of young girls—some as young as nine—requesting labiaplasty. This reflects a cultural shift that promotes the idea that ideal vaginas should have small, tucked-away labia. However, Dr. Turner has found that none of these girls genuinely require the procedure. She stated, “There’s no scientific backing for labiaplasty, and the potential risks are significant, particularly for adolescents who are still developing.”
The findings from the Cantonal Hospital Lucerne complement the informative guide “So What is a Vulva Anyway?” commissioned by the Pediatric and Adolescent Gynecology Society. Both resources underscore the vast range of normal variations in female anatomy. While average measurements were collected, the diversity was so extensive that no definitive “normal” was established. Each vagina and vulva is distinct, so let go of the notion that cosmetic surgeries like labiaplasty are necessary. Your anatomy is perfectly unique as it is.
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In summary, the notion of a “normal” vulva or vagina is an outdated concept. Individual differences are vast, and embracing these variations is crucial for self-acceptance and body positivity. There is no need for unnecessary cosmetic procedures; your body is uniquely yours.
Keyphrase: Vulva and Vagina Normalcy
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