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Boththese conditions are of interest to the scientific student, but call for nogynaecological treatment. Hypertrophy of the labia minora is a more common condition.

It isFig. If the liv-pertrophied nymphse areirritated and inflamed, sothat locomotion is difficult,or if they interfere withcoition, they should be ex-cised.

Non-Development of theVulva. On the other hand,. Title : Handbook of anatomy; being a complete compend of anatomy, including the anatomy of the viscera a chapter on dental anatomy, numerous tables, and incorporating the newer nomenclature adopted by the German anatomical Society, generally designated the Basle nomenclature or BNA.

Authors : Young, James K. James Kelly , Publisher : Philadelphia : F. Davis company. The veins enter into the formation of the prostatic plexus,receive the dorsal vein of the penis, and empty into the internaliliac vein.

The nerves are from the hypogastric plexus. Female Organs. The female organs of generation are divided into the exter-nal partes genitales external muliebres , termed the vulva, orpudendum, consisting of the mons veneris, labia majora,minora, clitoris, meatus urinarius and orifice of the vagina ; andthe internal pars genitales internee muliebris , consisting of.

Internal female genitals. The uterus is a hollow, muscular organ for the receptionof the fecundated ovum and the development and expulsion ofthe fetus.

The virgin uterus holds an oblique anterior position in thepelvis, being supported by attachments to the vagina, rectum,bladder and sides of the pelvis.

It is in contact with the bladder in front, the rectumbehind, and above the small intestine. Its shape is pyriform, compressed from before backward,and measures three inches in length, two in breadth, one inthickness, and weighs from one to one and a hall ounce-.

Jl consists of a nock, fundus and body. The month, os uteri, or os tineas orificium uteri exter-num , open into the vagina, being protected by two lips; ananterior labium anterius thick lip, and a posterior labiumposterius , long and narrow.

The cavity of the uterus cavum uteri is triangular Vfrom side to side, but a mer. When the patient has had children, thehymen is ordinarily destroyed and the vaginalopening still larger, this being especially notice-able after the labia are spread apart for theexamination.

This shows exceptionally wellthe relation of the urethral opening to thevaginal entrance and to the labia. Very oftenthere has been considerable laceration of theperineum without any particular loss of sup-port in the pelvic floor.

Dickinson- External Genitals of a Married Woman. Text-Book of Obstetrics. The labiamajora were of normal size, butflattened on their anterior surface.

The labia minora and hymen wereabsent. The vagina was capacious,four and one-half inches long ante-riorly and six inches posteriorly. The os uteri was torn on the leftside.

There was profuse leueor-rhcea. Seven years before she hadgiven birth to a normal female infant. In place of the clitoris there was a penis, which, when in erection,measured five inches and a quarter long by three and five-eighths inchesin circumference.

The glans penis and the urethra were perfectlyformed. The scrotum, which was two and one-eighth inches long, con-tained two testicles?

The mons veneris was sparsely covered with short,straight, black hair. Both sets of organs were perfect in their functions,semen being ejected from the penis?

Masculine pseudo-hermaphroditisiu. Scanty menstruation occurred every three weeks andlasted but two days. Sexual gratification was said to be equally dis-tributed between the two sets of organs.

Stripped of inaccuracies, thisis doubtless a description of a remarkable example of pseudo-hermaphro-ditismus feminus. It seems to be a well-established fact that the external appearance ofa masculine pseudo-hermaphrodite will correspond with the type of the Fig.

Title : Gynaecology for students and practitioners. Authors : Eden, Thomas Watts, Subjects : Gynecology Gynecology. Publisher : New York : Macmillan.

Gonorrhceal Vulvitis. The gonococcus is the most frequent causeof acute vulvitis, accounting for more than 75 per cent, of cases Jaschke.

It is more frequent in young subjects for the reason givenabove. Clinically, acute gonorrhceal vulvitis is associated with urethritisand inflammation of the paraurethral glands, and not infrequentlywith Bartholinitis as well.

The secretion in the acute stage is copious,purulent, and of a yellowish-green colour. Acute vulvitis is seen in its most extreme form in the vulvo-vaginitis of children.

A false membrane may form on the labia minora. Vulvo-vaginitis in a Girl of 14, showing inflammatory oedema of the nymphse.

In cases of assault,gross traumatic lesions may be present, but in young children vulvitismay occur in the absence of a definite lesion, the gonococcus beingconveyed to the genitals on a towel or by the fingers.

The sameapplies to the bacillus coli and to parasites ascaris and oxyuris. The Venus of Willendorf Age 20 - 30 years. Die Venus von Willendorf ist eine Venusfigurine aus der jüngeren Altsteinzeit Jungpaläolithikum , dem Gravettien, und ist als Österreichs bekanntestes Fundstück heute im Naturhistorischen Museum in Wien zu sehen.

To se vrlo dobro poklapa s oblicima Venere iz Brassempouyja. Tu su, kao i tamo, jasno prikazana labia minora. They end posteriorly by gradually joining the labia majora, although in the young there is usually a transverse fold, the fourchette or frenulum Jreimluvi labiorum fiidendi.

Traced forward each labium minus divides into an outer and an inner portion or limb. The outer parts of" the two labia unite over the glans clitoridis to form the prepuce of the clitoris ipraeputium clitoridis Fig.

The internal limbs unite at an acute angle beneath the glans clitoris and are attached to the under surface of the glans to form the frenulum clitoridis.

The cleft between the labia minora is called the vestibule, the structures of which are seen only on separating the labia. The vestibule vestibidum vaginae Figs.

On separating the labia minora the following structures in the vestibule are seen: 1 The external urethral orifice and the minute openings, one on each side, of the paraurethral ducts; 2 the vaginal orifice; and 3 the openings of the ducts of the vestibular glands of Bartholin.

The recess between the fourchette and the vaginal orifice is called the fossa navicularis. Title : The Principles and practice of gynecology : for students and practitioners.

Authors : Dudley, E. Emilius Clark , Subjects : Gynecology. Thelabia are commonly absent in extreme forms of epispadias.

Infantile Vulva. They arenot an absolute impediment to impregnation, but may be to parturition. Hypertrophy of the Nymphae has been much observed in thelower races, especially among the African tribes.

It is said also tobe found frequently in connection with hypertrophy of the mammaeamong the American Indians.

The nymphae may become so large as to require removal. Hypertrophy of the Clitoris. Figure 24G. Authors : Gray, Henry, Holmes, Timothy, Subjects : Anatomy Human anatomy.

Publisher : [London : Longmans, Green]. For an account of the various conditionsproduced by such incomplete obliteration which are of gieat importance in the pathologicalanatomy of Inguinal Hernia , the student is referred to the Essay on Hernia, by Mr.

Birkett,in A System of Surgery, edited by T. Holmes, vol. THE external Organs of Generation in tlie female are the mons Veneris, thelabia majora and minora, the clitoris, the meatus urinarius, and the orifice ofthe vagina.

The term vulva or pudendum, as generally applied, includes allthese parts. The mons Veneris is the rounded eminence in front of the pubes, formed by acollection of fatty tissue beneath the integument.

External Female Organs of Generatiou. The labia majora are two prominent longitudinal cutaneous folds, extendingdownwards from the mons Veneris to the anterior boundary of the perinseum, andenclosing an elliptical fissure, the common urino-sexual opening.

The interval left between the posterior com-missure and the margin of the anus is about an inch in length, and constitutes thepeiinseum.

Just within the posterior commissure is a small transverse fold, thefrcenuliim pudencli or fourcliette, which is commonly ruptured in the first partu-rition, and th.

On the other hand,with entire absence of thevagina and uterus, the ex-ternal genitalia may be per-fectly developed. Hypertrophy of the Clit-oris.

Ifthe overgrown organ inter-feres with coitus, or if it becomes easily inflamed or irritated and causesthe individual decided discomfort, the redundant portion should be ampu-tated.

Nothing is gained by the amputation of the clitoris for nympho-mania or for masturbation. To the discredit of gynaecology, this operationobtained considerable favor for a time by the enthusiastic advocacy of BakerBrown and a few indiscreet followers.

It is now known to be useless. Anomalous openings of anus and urethra. Anomalies of the Hymen. There are, however,many variations from this ruleof form and orifice.

The lattermay be crescentie, with theconcavity embracing closely theurethra. There may be twosymmetrical openings side In-side, or the orifices may bepunctate and numerous cribri-form hymen.

The edge of thehymen may lie dentated, look-ing as though it had been rup-tured by coitus, or it may beapparently irregularly carvedout of thickened tissue sculp-tured hymen.

The orifice maybe exceedingly minute, or themembrane may be imperforate,causing, after puberty, hsemato-colposand hsematometra. Thehymen is occasionally hypertro-phied ; it may project beyondthe labia majora one to three centimetres.

Syphilitic Infiltration and Condylomata about the vulva. Hirst—Diseases of Women. Syphilitic Condylomata.

Flat variety. Bovfee—Practice of Gynecology. Vulvo-vaginal Gland Cyst or Abscess. The swelling has much the same appear-ance whether it be a cyst or an abscess.

Hypertrophy of Labia. The hypertrophies affect principally the labia minora,either the free portion on one or both sides Fig. The hypertrophied portions contain much re-.

Title : Lehrbuch der Frauenkrankheiten. Authors : Thomas, T. Gaillard Theodore Gaillard , Jacquet, Max. Publisher : Berlin : Hirschwald.

Zuweilen nimmt dasSecret eine missfarbige, reizende Beschaffenheit an. Die Harnröhreentzündet sich häufig mit an ihrem äusseren Ende, und die Excretiondes Urins verursacht Schmerzen.

Die Vulva kann so empfindlich beiBerührung werden, dass ein Versuch zum Coitus Vaginismus erzeugt,welcher auf diese Weise ein Symptom der Krankheit bildet.

Physikalische Zeichen. Diese werden meistensauf den Ausläufern der Vaginalrunzeln in der Nähe des Scheidenein-ganges an den Nymphen und Karunkeln gefunden.

Folliculäre Vulvitis guier.. Sie gleichen zuweilen den geschwollenenen Papillen auf der Zungeund bluten leicht bei Berührung.

Hat die Krankheit hauptsächlichdie Talg- und Haardrüsen ergriffen, so wird man auf der Oberflächeder Labia majora und minora und auf der Basis der Vorhaut derClitoris kleine, rothe, abgerundete Knötchen finden.

Nach kurzerZeit wird auf der Spitze eines Jeden sich ein eiterhaltiges Bläschenzeigen, welches bald berstet, worauf der ausgedehnte Follikel zusam-menfällt.

Zwischen den kleinen Schamlippen wird meistentheils einehalbflüssige Masse übelriechender Absonderung gefunden werden, die,wenn sie nicht sorgfältig entfernt wird, die darunter liegenden Bläschenverbirgt.

Verlauf und Dauer. Wenn nicht, und falls sie nicht richtig behandelt wird,kann sie auf unbestimmte Zeit fortbestehen und aus ihr Urethritis Krankheiten der Vulva.

A perfectly formed hymen may exist at the vaginal opening, asI have seen in two cases. The vagina varies inextent up to 10 cm.

Ahlfeld has collected several similar cases. It is in the interior of. The larynx does not project and the voice iswomanish; the pe.

Authors : Skeel, Roland E. Subjects : Gynecology Gynecology, Operative. Publisher : Philadelphia : P.

Blakiston's Sons. Contributing Library : Gerstein - University of Toronto. Digitizing Sponsor : University of Toronto. In the present chapter an attempt is made to review thesalient points in the anatomy of the parts concerned in gynae-cology, and to make the review sufficiently full and accurate toserve as a ready reference upon any obscure points of practicalimportance.

Since originality in descriptive anatomy is ob-viously impossible, no apology is intended in stating, that thatwhich follows is largely but a condensation from acceptedauthorities.

The English translation of the B. The older terminology is placed in parenthesiswhenever the newer seems in danger of being misunderstoodby reason of its wide deviation from the earlier anatomicalterms.

It comprises the mons pubis, the labia majora, theposterior commissure, the labia minora, the clitoris, the vesti-l ule of the vagina, and the external orifice of the urethra.

Innulliparae the hymen is present, either ruptured or intact,and after labor its remnants are found as the hymenalcaruncles. The mons pubis consists of a thick pad of fat and connectivetissue overlying the os pubis.

It is covered with skin fromwhich springs a thick growth of coarse hair arranged in theform of a triangle with its base upward.

Extending posteriorlyfrom the mons pubis, one at either side of the pudendal sHt,are two large folds of integument from 7 to 8 cm. Title : Gynecological diagnosis and pathology.

Publisher : Edinburgh : W. The Labia Majora fig. They extend backwards parallel to the outlet of the pelvis, the directionof the vulvar orifice therefore being at right angles to that of the vaginalcavity, which is transverse.

The Clitoris, thehomologue of the male penis, consists of the glans and the bodyattached to the pubes by two crura.

It is composed of erectile tissue,. Upon a closer look he noticed that they had skeletal bodies, and he decided to walk away and leave them.

Moai vi'e: Sculptures representing women. The best known are the moai pa'a pa'a, which are characterized by their flat bodies and delicate details.

The vulva, or komari in the Rapanui language, is represented. In some cases, such as the squat moai, the labia minora of the vulva were exaggeratedly carved.

It is not clear whether she wants to represent a woman giving birth or the practice of lengthening the labia minora, which was apparently practiced on the island.

Moai tangata: Carvings representing men. They are generally simple but concentrate some details in the head.

Male genitalia are evident in most cases. However, for a period these were not carved with great determination.

Ua: They are maces for hand-to-hand combat, the traditional weapon in Polynesia, but also a symbol of status among warriors, that is why they are usually decorated with a double-sided face at the end where they are wielded.

The body or blade of the ua tapers towards the edges in a similar way to the edges of a sword, although its end is not pointed, but rounded.

The most correct versions are called "paoa", but they have similar characteristics. Ao: They are oars that were traditionally used more as a symbol of social status or within ceremonies.

The rapa have the same function, but they are smaller. Today, both are a common gift for those who assume or leave some position of authority within the community, thus maintaining a link with their traditional meaning.

Plate I. Hsemato-Salpinx Simulating Tubal Pregnancy. Lines of Incision. Introduction of Sutures page Plate IV. Rectocele and Cystocele. Hegars Operation for Rectocele.

Munde page 38G Plate V. Cystic Tumor of Clitoris. Prolapse of the Urethra in a Child. True Cystocele. Epithelioma of the Labium Majus.

Epithelioma of Va-gina. Pseudo-external J3ilateral Hermaphi-odism; Gynandry. General Considerations. The important position taken in gynaecology by inflammation ofthe uterine appendages, the ovaries and tubes, has but recently beengenerally admitted.

The interminable and wearisome discussion over the question as towhether inflammation began in the cellular tissue about the uterus orin the neighboring j eritoneum—of a iDerimetritic x hlegmon or a pelvicperitonitis—a discussion which fatigued a whole generation, is nowonly a memory.

The ardentreatiseongynaec02pozz. Title : An analytical compendium of the various branches of medical science, for the use and examination of students.

Publisher : Philadelphia, Lea and Blanchard. Contributing Library : Univ. Digitizing Sponsor : Univ. These are generally divided into the external and internal.

The external consist of the mons veneris, labia exteryia, 'perineum, clitoris, nymphce, vestibule, meatus urinarius, hymen in virgins, and carun- culce myrtiformes in matrons.

The internal are the vagina, uterus, and uterine appendages, which latter are the broad ligaments, round ligaments, two ovaries, and two Fallopian tubes.

The mons veneris Fig. The labia externa are two folds of skin and mucous membrane, which commence in front of the symphysis pubis, and ex- tend downwards and backwards to the perineum, where they again meet.

The superior junction is called the anterior commissure of the vulva, the posterior, is called the posterior com-? Their texture is principally cellular and vascular, and their use is to protect the organs situated between them.

The perineum extends from the lower union of the labia externa back- wards towards the anus. It is composed principally of highly dis- tensible cellular tissue, but does not possess a great deal of fat, and the skin is very scantily supplied with hair; it is somewhat trian- gular in shape, and its medium breadth in women who have not borne children is from an inch to an inch and a half, being narrower, of course, in women who have.

It is capable of great distension. The nymphce, labia interna vel minora, arise from nearly the same point, at the anterior commissure, and run downwards and backwards about an inch, to the middle of the orifice of the vagina, where they are lost in the general lining of the labia externa.

They are covered with mucous membrane, and consist of cellular and erectile vascular tissue, and do not disappear during the distension of the external parts by the escape of the child's head.

The clitoris is seated just below the point of junction of the nym- phs, and is the analogue of the male penis, excepting that it has no corpus spongiosum, and no urethra ; it is erectile, and extremely sensitive The vestibule is a triangular space, bounded superiorly by the clitoris, and laterally by the nymphop, it is covered by smooth mucous membrane, and at its lower portion we find the ortfice of the urethra, easily recognised by its soft, prominent, circular rim.

Title : Annual of the universal medical sciences. Subjects : Medicine -- Directories. Publisher : Philadelphia, F. Digitizing Sponsor : MSN.

The labia minora were small and dis-torted. There was neither clitoris nor prepuce. Tlie bladder openedjust beneath the pubic arch by an irregular hole, one and a halfby one and three-fourths inches, easily admitting the finger.

Theurethra was entirely absent see colored plate. The open-ing was less than one-half inch in length, through which the interiorof the bladder was visible.

The vagina was normally situated,but small, and its orifice closed by a strong, circular hymen, witha central opening.

The uterus was small, but otherwise normal. The bladder retained 1 ounce 30 grammes of fluid when thechild assumed the dorsnl position ; none was retained when inthe erect posture, except when the thighs were held firmly together.

The operation consisted in making a new urethra and in bringingtogether the upper portion of tlie labia majora so as to cover theorifice of the new canal.

An irregular, curvilinear incision was. Title : American gynaecological and obstetrical journal. Subjects : Obstetrics Gynecology.

Publisher : New York : D. The method which I follow is to makean incision with the knife from one myrtiform caruncle to the other,internally, to the labia minora.

By neatly outlining the lower bor-der of the denudation, a more accurate approximation of the woundexternally can be secured. Emmets directions for making thedenudation should then be followed; that is, the bullet forceps uponone side, and that holding the crest of the rectocele, should be pulleddown, and the mucous membrane between and external to these twoforceps as far down as the incision made by the knife should be re-moved.

By making tractionupon the two bullet forceps, a fold will be formed starting from each. Same as Fig. This photopraph was taken with the camera very close to the patient and with a speculum in placeas for operation.

As explained in chapter i, there is normally a slight discharge about the exter-nal genitals, sufficient to keep the parts moist.

Abnormal discharge may be only an increase in the normal muco-epithelial dis-charge or it may be muco-purulent or purulent or watery or bloody. The variouskinds of discharge are conveniently considered under the two terms, leucorrhoeaand bloody discharge.

Under this term I include all varietiesof pathological discharge from the geni-tals, except discharge containing blood. Regarding leucorrhoea due to extra-genital disturbances only, that is hardlyprobable, as the leucorrhoea in itself isevidence of local disturba.

Authors : Fritsch, Heinrich, Publisher : Berlin : F. Dies sind hahnenkammähnliche, 7 bis20 mm breite, dünne Hautlappen. Bei Jungfrauen kann man sie nurdurch Auseinanderziehen der grossen Schamlippen sichtbar machen.

Bei Multiparis, namentlich bei schlecht geheilten Dammrissen, klafithinten die Vulva, so dass man die gesenkte hintere und vordere Scheiden-wand erblickt.

Hinten verlieren sich die Labia minora in den medialenFlächen der Labia majora. Vorn theilen sich die kleinen Schamlippenin zwei Schenkelpaare, von denen das obere als praeputium clitoridis Figur lOF , gleichsam ein Dach über der Clitoris bildet Figur 10 b.

Die unteren oder inneren Schenkel ziehen als Crura clitoridis an dieClitoris heran. Die Clitoris Figur 10c stellt einen kleinen Penis dar. Siewird aus zwei vom Schambogen entspringenden, convergirenden Schwell-körpern gebildet.

Sie ist erectil, reich mit Gefässen und Nerven ver-sorgt, und soll im erigirten Zustande das Doppelte bis Dreifache ihrerGrösse erreichen.

Anatomie der äusseren Geschlechtstheile. Die Urethralmündung ist oft ganz glatt, oft auch ist sieausgefranzt, unregelmässig von Schleim-hautfortsätzen umgeben, die wie Hyme-nalfortsätze aussehen.

Die Geburt dagegenzerstört das Hymen, so dass nur kleineReste — Carunculae myrtiformes — wieHautwarzen beschaifen, die Stelle desHymens bezeichnen.

Obwohl dies als dieRegel gilt, so ist bei Vorhan. Title : Annual and analytical cyclopaedia of practical medicine.

Authors : Sajous, Charles E. Charles Eucharist de Medicis , Subjects : Medicine Medicine. Davis Co. Congenital elephantiasis of the face andscalp.

Case of a man. Operation successfullyperformed. Uthemann Deutsche med. Elephantiasis of the vulva observed ina mulatto woman who was four monthspregnant.

The tumor encroached uponthe vaginal orifice so much the clitorisand labia majora and minora being allinAolved that delivery at term wouldhave been impossible.

Hence the masswas removed with the knife. Bleeding vessels were thus se-cured separately and the wound closed.

The lilaiia uiuloiibtedlyplays a considerable jjait in tiie genesisof such morbid conditions. Le Dentu Revue de Chir. Xo inconvenience or pain accompaniesthe disease in the majority of cases, butvery often when tlie scrotum is the partattacked stomachic and nervous distressis encountered.

Eadiating pains may beobserved in the seminal nerves, thuscausing intense nausea and vomiting. Hydrocele may be induced.

The prodromic stages differ accordingto whether the elephantiasis occurs inhot or cold climates. Copy Link Address: www.

Kraurosis vulvae is a term applied to a specific form of atrophy ofthe vulva, the cause of which is unknown.

The extent of theatrophy may be greater than the atrophy of old age. The labiamajora are flat and flaccid, while the mucosa may be so friable asto be injured by the examining finger.

The labia minora andclitoris may wholly disappear. In addition to the dryness of thesurface there is extreme sensitiveness.

Dyspareunia is a commoncomplaint, and when associated with itching and a sense of drynessin the vulva the possibility of kraurosis is to be borne in mind Figs.

Kraurosis occurs chiefly in women of advanced age; in women whohave borne children and have become sterile; in the married, andin the widow.

The lesion sometimes follows removal of the ovaries. Thelesion is probably of inflammatory origin.

The glandular struc- FiG. Kraurosis vulvae. Clitoris and labia minora completely atrophied; the labia majoraflattened and wrinkled. After that I buy a ticket on the tram.

The tram driver is very polite, even greets me with a smile and I notice how his uniform and tie completely, impeccably match, just like his hairdo and his smile.

I take a seat and wait and look outside the window, avoiding to make any eye contact with any of the other passengers. The two old ladies with their dogs chatting about the year old daughter of someone they know.

How she turned out to be pregnant not so long ago. What a shame it is. Or the guy in the suit reading the financial pages of a high profile newspaper.

No doubt checking how his stocks are holding up. But I ignore them all. Thank god for ipod. Or discman.

Or walkman, for all I care. Once arrived in the city center I get off the tram, glad to be leaving the bunch of losers on it behind me.

What was it again I had set out for myself to do? Oh yes, buying flowers for my girlfriend. And even then, she has told me, I will still love you.

Someone who says those kind of things to me is bound to be the love of my life. And I love her too. And pitty her as well, because every day she has to face all kinds of people at the bookshop she works in.

People with bad breath, people with dandruff on their shoulders, people who have no time, no manners, no deodorant.

People who think they always should be served first. People who think she has nothing else to do all day, but wait for them to come so she can help them with that sweet smile on that beautiful face of hers and who in the end still have the guts to ask for a discount.

And Orthodox Jews who are afraid she will touch them when handing back their change, because someone, somewhere, at some point has decided it is forbidden for them to touch any non Orthodox Jewish women.

Still, she manages to be patient with them. As she is patient with me. I pretend not to recognize him. So we go to some pub I know and sit down to have that drink.

Paul orders a beer. Paul seems to be pondering over my answer, while we wait in silence for the apple juice and the beer to arrive.

I light a cigarette. For christ sake, does anyone need these kind of conversations? Paul looks confused. The waitress arrives with our drinks.

I imagine waiting for her until the end of her shift and going together to her place to play sexual games, one of which including me licking a green olive that is pressed between her divinely pink labia minora as she stands naked above me on the kitchen floor.

Green olives are the only kind I like. Though I had to learn to appreciate them. Anyway, I think waitresses are per definition one of the sexiest creatures on this planet.

They are one of the main reasons for me to frequent bars. Even the ugly waitresses. This one looks far from ugly however. Perhaps for a teenager it is.

But not for him and certainly not for me. Or just a fork. And I think that when someone has an appetite for steak and can afford to buy it, no time of day should stop him giving in to his appetite.

Those are very convincing arguments indeed. Paul finishes his beer and stands up. But I have to go now. Got to pick up my children at school. See you around Stijn.

It was nice meeting you again. After having finished my steak, leaving more in my plate than I manage to eat, I ask for the bill, pay it, adding a reasonable tip for the waitress and go to the flower shop.

I walk back home where my perfect girlfriend is waiting for me. I take her in my arms, kiss her and tell her the world is coming to an end.

The correct language and understanding of female genitalia is so important to me: the vulva is the whole external package, the vagina is a muscular tube which leads from the cervix the neck of the womb down to the vulva.

Later, a BBC report about girls as young as nine seeking labiaplasty — surgery that involves the lips of the vagina being shortened or reshaped — because they were distressed by its appearance, had Laura reaching for her camera again.

The key is not concentrating on the size or shape but whether it affects your physical or emotional wellbeing.

She believes a cultural change amongst adolescents and young women, who now choose to remove or style the pubic hair, coupled with a lack of understanding about vulval anatomy, is fuelling the rise.

But it can be hard to find accurate information about this. The idea that girls and young women think their vagina is ugly and want to change how it looks is just wrong, and sad.

Although Laura admits to being nervous at the beginning. That said, within a couple of weeks of putting a call out for volunteers, she had over willing participants from all over the UK.

Photographing this intimate area led to some unique and deeply personal stories. The woman who endured FGM.

The woman who had her vagina removed because of cancer. But she also heard positive stories of sexual pleasure and pregnancy. I loved that, because interviewing women who have been through the menopause and still have incredible sex lives sends out a beautiful message about womanhood.

However, sadly, many of the conversations she had with her participants were tied with a disturbing thread of abuse. Even though she refers to it as the hardest part of the project, Laura believes including so many of these harrowing experiences adds to the impact of her message — because there is no singular female experience.

Frankly, we just need to be as we are. Because if you find yourself feeling admiration, pride and inspiration for another person, it becomes easier to apply that to yourself, too.

Does she expect any backlash? When I masturbated when I was younger, I used to hate it when my clitoris got bigger — I thought it looked like a penis.

I felt very self-conscious about it. I thought my labia were too big as well. I had to be drunk to have sex and I never let anybody pleasure me.

Porn made me feel like shit in all sorts of ways — I think I wasted 12 years of my life suffering because of what I thought my vagina looked like.

I watched a documentary that talked about porn stars who were having operations to make their labia smaller. I realised it was something you could have done so I went to my GP and I had a bit of a breakdown.

He referred me to a private doctor. I was awake throughout the procedure. He injected anesthetic into the labia and up into my bottom — and then just sliced away.

In reality, my labia were probably quite small pieces of skin, but to me they felt like big elephant ears. I lay there thinking how much better my life would be afterwards.

My recovery was horrific. It was very painful. I feel more comfortable day-to-day; sitting down or crossing my legs in jeans. My labia [also] used to get caught in tampon applicators, so now I can use tampons.

I wish I did. Not that I even want one. I was born into a Muslim Pakistani family. I can take part because this is anonymous.

Honour killings still happen, even here in Britain. I marched at Pride decorated with body paint and had my tits out [but] there were objections.

There were men in Borat-style mankinis, men in fetish animal costumes, men with their nipples out. None of that was a problem, but the odd female nipple here and there I have seen, touched, indeed worshipped many vulvas.

And yet I have never had the courage to look at my own. I have identified as a lesbian most of my life. I desperately wanted to be a boy as a child.

I hated my body, my gender, for many years. Since then I have come full circle to a place of love and reverence for who I am — and what I am made of.

I was afraid of penises my whole life. First I wanted to have one. Then I entered puberty and my breasts grew, and I knew there was no way I was going to be a boy.

Then I was hurt by penises. I was molested by my father and I had teenage interactions with boys who put pressure on me. One night he got into bed with me and started touching me.

The next day I confronted him.

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