Which Specialist to Consult for Painful Labial Friction Issues? - Obstetrics and Gynecology

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Which department should I see?


If my labia are very large and they rub against my underwear while walking, causing pain, which specialist should I see and what kind of treatment might be needed? Thank you.

momo, 20~29 year old female. Ask Date: 2006/05/25

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello: I am seeking labiaplasty from the Department of Obstetrics and Gynecology.
Sincerely, Dr.
Huang Chien-Hsun, Obstetrician and Gynecologist.

Reply Date: 2006/05/25

More Info


When dealing with painful labial friction issues, it is essential to consult a healthcare professional who specializes in women's health. The most appropriate specialist for your situation would be a gynecologist. Gynecologists are trained to address various issues related to female reproductive health, including concerns about the vulva and labia.

In your case, the pain you are experiencing due to friction from walking and your underwear could be attributed to several factors. One possibility is that the size and shape of your labia may be causing excessive friction against your clothing, leading to discomfort or pain. This is not uncommon, and many women experience similar issues. Other potential causes could include skin irritation, infections, or conditions such as vulvodynia, which is characterized by chronic pain in the vulvar area.

When you visit a gynecologist, they will likely conduct a thorough examination to assess your symptoms. They may ask about your medical history, any previous gynecological issues, and the specifics of your pain, including when it occurs and any other symptoms you may have. Based on their findings, they can recommend appropriate treatment options.

Treatment for painful labial friction can vary depending on the underlying cause. Here are some potential approaches:
1. Lifestyle Modifications: Wearing looser-fitting clothing and choosing breathable fabrics, such as cotton, can help reduce friction. Additionally, using moisture-wicking underwear may alleviate discomfort.

2. Topical Treatments: Over-the-counter creams or ointments, such as hydrocortisone cream or barrier creams, may help soothe irritated skin and reduce friction. Your gynecologist may recommend specific products based on your symptoms.

3. Physical Therapy: If the pain is related to muscle tension or pelvic floor issues, a referral to a pelvic floor physical therapist may be beneficial. They can provide exercises and techniques to alleviate discomfort.

4. Surgical Options: In some cases, if the size of the labia is significantly impacting your quality of life, surgical options such as labiaplasty may be considered. This procedure involves reducing the size of the labia to alleviate discomfort. However, this is typically considered only after conservative treatments have been explored.

5. Medication: If there is an underlying condition causing pain, such as an infection or vulvodynia, your gynecologist may prescribe medications to address these issues.

It is important to note that you should not feel embarrassed about discussing your symptoms with a healthcare provider. Gynecologists are accustomed to addressing a wide range of issues related to women's health, and they can provide you with the support and treatment you need.

In summary, consulting a gynecologist is the best course of action for addressing painful labial friction issues. They can help identify the underlying cause of your discomfort and recommend appropriate treatment options to improve your quality of life. Remember, seeking help is a positive step towards finding relief and ensuring your overall well-being.

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