Doctor insights on:
Female Ambiguous Genitalia
Intersexuality: Subject has external genitalia which do not clearly appear to be female or male. Subject may be born with characteristics of both sexes as in hermaphroditism or genitalia may be malformed or underdeveloped as in severe hypospadias. Subject with ambiguos genitalia may have external genitalia which do not match gonadal or chromosomal sex as in androgen insensitivity syndrome or in adrenal hyperplasia. ...Read more
Subject has external genitalia which do not clearly appear to be female or male. Subject may be born with characteristics of both sexes as in hermaphroditism or genitalia may be malformed or underdeveloped as in severe hypospadias. Subject with ambiguos genitalia may have external genitalia which do not match gonadal or chromosomal sex as in androgen insensitivity syndrome ...Read more
Right after birth: Most children are identified right after birth by a pediatrician. A pediatric endocrinologist and a pediatric urologist consult on these babies right away and follow long term. To not know the sex of a newborn is extremely traumatic for the family and may also be associated with other medical problems requiring evaluation and treatment before these babies can go home. ...Read more
Female Genital muti-: Lation. In the us it is illegal (felony) to practice female genital cutting below the age of 18. According to http://www. Womenshealth. Gov/publications/our-publications/fact-sheet/female-genital-cutting. Cfm#j it is done in the us. There are 28 countries in the world (africa & middle east)where female genital cutting is still practiced actively as well as countries in asia. ...Read more
External/internal: A complete pelvic exam would typically include, after a history evaluation, a careful visual inspection and digital exam with fingers and a speculum - to accurately assess both the external and internal female vaginal, vulva, cervix, uterus, tubes, ovaries, and adj. Tissues. A pap test is freq. Done, as well. Occasionally, a sonogram is helpful. ...Read more
Female: A biological female has a vulva, vagina, uterus with cervix, fallopian tubes and ovaries as well as breasts. These days people call themselves "female" and have male anatomy; but obviously they are not biologically female. ...Read more
Rare: The condition you are asking about is called hermaphrodite. These people have both female and male genitalia. It is extremely rare. In my 35 years of practice I have never seen a person with this condition. ...Read more
Why as a male, I'm not attracted to the female genitalia? Is it just the the way the genitalia looks?
Consultation: First get a consultation with your physician. There are many factors that may need to be addressed. A blood test is a start and then determination of a possible hormonal imbalance. Your concern may be the initial entry into a problem that is affecting other parts of your body function for health that needs addressing. ...Read more
Yes: If have both male and female complete parts called true hermaphodite. ...Read more
Multiple causes: It could be infection, it could be hygiene issues, it could be a lack of fresh dry air to the vaginal area. Vaginal ph (acid level) may also effect the odor slightly. Recent unprotected sex will also cause an odor. I recommend no underwear to bed when not on your period, shower over tub, cotton panties over thongs and non cotton, and wiping front to back as a start. See you gyn if odor is new. ...Read more
Its possible: Genitalia development depends on the chromosomes and exposure to testosterone. There is a sequence of events starting with the internal genitalia (ovaries, tubes, testes) that ultimately play a role in the development of the external genitalia (outer vagina or penis). If a female, for ex., has all of her genitalia and has an enlarged clitoris (may look like a penis), she could conceive. ...Read more
I am 26 years old female. I want to lighten the skin of my genitalia and inner thighs. How can I do that.?
Dermatologist: You should consult with a dermatologist who specializes in cosmetic cases. ...Read more
Lichen sclerosis: I suspect u have lichen planus/sclerosis: ulcerations on the vulva-vaginal areas can occur because of lichen planus/sclerosis, which we don't know the cause--but likely some autoimmune mechanism. It can be sore, itching, irritated, scarring, and distressing to the woman afflicted. These are quite treatable conditions and so I would recommend consulting your doc for an evaluation. Good luck. ...Read more
That is an unusual question for a 45 year old woman - the development is much earlier in life and menopause will kick in over the next 5-10 years.
If you are a man looking for gender identity change make an appointment to see a Psychologist. Only if she/he agrees with your desire should you be referred to a clinician.
Most such patients I see are much younger than 45. ...Read more
Yes: Yes it is safe when used properly. I have prescribed topical Lidocaine for the relief of primary or episodic herpetic lesion pain. ...Read more
Is the female genitalia supposed to have 2 openings besides the anus? Because I only have the very narrow opening which I assume to be the urethra.
Normal anatomy: Yes normal female anatomy includes urethra, vagina and anus. If you are able to urinate you have a functioning urethra. You may not have an opening to your vagina or in rare cases the vagina can be absent. Please see a board certified ob/gyn for an exam. ...Read more
Is washing the genitalia with dettol a good idea? I am a 22 yr old female and have been doing this as it itches uncontrollably.
No! ↑es vaginitis: A crucial part of immune system strategy for preventing skin/mucous membrane problems is favoring growth of bacteria which out-compete other potentially harmful organisms. There is little evidence that antibacterial agents promoted to the public have any benefit over soap & water; indeed often ↑ problems. This is especially true for vaginal/labial tissues in which lactobacilli prevent pathogens. ...Read more
Females with congenital adrenal Hyperplasia severe variety may have large clitoris and external genitalia may look like male but they are Female Karyotype on Chromosome exam and internal organs are female
It is due to exposure to high concentration of Androgens in utero ...Read more
I am 22 yr old female. Got itchiness in and around my external genitalia. (not inside vagina, but inside the labia majora). what to do?
HPV/Nevi/Molluscum: Rough and raw genital areas can imply a raised lesion. It could be a wart (hpv), molluscum contagiosum, or a benign nevi, for example. Other concerns could be a more serious condition like a melanoma, for example. Generally, if uncertain, your gyn may biopsy it or frequently, refer you to a dermatologist. Good luck. ...Read more
Intervention by: Outside countries is often highly criticized with the issue of female genital mutilation. I believe that laws that carry no consequences are hollow. In countries where fgm has been banned, actually taking the next step and prosecuting criminal behavior may serve as a deterrent. ...Read more
Agree w Dr Sinclair: It's an awful practice. Female genital mutilation can lead to death, severe chronic pain, hemorrhage, urinary retention, urinary tract infections, keloid scars, strictures, fistula, incontinence, infertility, painful intercourse, painful periods, neuroma, recurrent infections, septicemia, transmission of hepatitis, tetanus, HIV & difficulty with childbirth. This doesn't address the emotional >. ...Read more
There are currently: 140 women who have been the victims of female genital mutilation. It is actively practiced in 28 countries in africa & the middle east (as well as some asian countries). It is practiced in egypt, ethiopia, nigeria, djibouti, somalia, sudan, eritrea, somalia, guinea, mali, sierra leone, gambia, burkina faso, mauritania, liberia, malaysia, yemen & indonesia. Ethnic minorities in oman, iran, iraq use. ...Read more
More info needed: You must describe your symptoms in more detail otherwise a differential diagnosis is not possible. Your best bet is to consult a gynecologist who will take a history and perform a pelvic examination in order to make a diagnosis and outline appropriate testing and treatment. ...Read more
FGM: Female genital mutilation effects 140 million females across the world. Done w or w/out anesthesia it may involve removal of clitoral hood, clitoris, inner labia & / or out labia with objects such as a razor, scissors, broken glass or knives. It can lead to severe chronic pain, problems with childbirth, hemorrhage, infections & death. Infibulation is when the female's genitalia are sewn closed. ...Read more
A woman's right vs: A child's right? Did you know that in yemen most girls (76%) are circumcised by age 2 weeks old. Some may even be cut when they are one day old. The majority of female genital cutting is inflicted on girls who are aged four to ten years old. > 60% of girls are cut before age 5 years old in ethiopia, mali & mauritania. I argue that these infants & girls are not able to give consent. ...Read more
I am a female. I have lots of discharges from my genital. Its yellowish and with unpleasant odor. What shall I do?
Vaginitis: You may have an infection. Seek evaluation by a physician to see. They will be able to do cultures and an exam. You want to be sure you also do not have pelvic inflammatory disease. ...Read more
FGM is used to: Ensure a female's virginity & fidelity, more so w infibulation (external tissues are sewn together). Some consider female genitalia disgusting or ugly & fgm is seen as improving esthetics & enhancing purity. Some men find sex with infibulation more stimulating -although it can be horrifically painful for the female. In some cultures females are viewed as un-marriageable w/o fgm & off-spring of >. ...Read more
OGFE: Organa genitalia externa feminina refers to the the entire female genital area including pubic area, inner & outer labia, clitoris, urethral and vaginal openings. Latter 2 are referred to as introitus. ...Read more
Obturator nerve: Have encountered a variety of low level nerve injuries associated with pelvic floor dysfunctions, and more commonly see associated with surgical complications. Find the genitofemoral, pudendal, and ilioinguinal nerves, can be issues, but there can be many more causes of genital pain in your age group such as infection and endometriosis. Recommend a full gynecological evaluation soon. ...Read more
No, criminal offence: Anyone with knowledge of anyone practicing fgc are duty bound to report it to the police. Perpetrators face prison, there is no justification for such mutilation. Knowledge of any parents living in the us who have had their daughters mutilated by fgc should immediately report family to department of child and family social services. Child will need care by apediatric urologist & should be adopted. ...Read more
FGM or cutting: Here is an article on female genital cutting I submitted and edited for health and human services and webmd: http://women. Webmd. Com/news/20000713/doctors-must-gain-better-understanding-of-female-genital-mutilation. ...Read more
Yes: It is still being done in some places. ...Read more
It still occurs: According to the world health organization (2013), 140 million females have received female genital circumcisions. ...Read more