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Skip navigation! Story from Health. Young girls are increasingly seeking surgery on their vaginas — known as labiaplasty — because of concerns over how they look. In some cases, girls as young as nine are asking for the operation despite having no medical need for it. But more than such girls had the surgery inwith more than of those under 15, according to NHS figures.

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When Maya Bernstein, 18, first became sexually active in high school, she was nervous. How would she know what to do? Especially, it seems, how things should look. The numbers shot up so quickly that the American College of Obstetricians and Gynecologists ACOG issued new guidelines this month for doctors who perform labial and breast surgery. Among the recommendations: physicians are now encouraged to screen girls for body dysmorphic disorder, an obsession with an imagined or slight defect in appearance.

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Ordinarily the lips of skin labia surrounding the entrance to the vagina are separated. In rare cases, they grow together to block the opening, partially or completely. This condition, called labial adhesions sticking together of labiamay occur in the early months of life or, less frequently, later on if there is constant irritation and inflammation in this area. In these latter cases, the problem is usually traceable to diaper irritation, contact with harsh detergents, or underwear made with synthetic fabric.

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