In Praise of NATURAL Labias

I really like the way my vulva looks, including my labia. In fact, I think my lips are quite kissable – and I’m not talking about the ones that frame my mouth!

Why am I discussing my most intimate bits and pieces, you ask? Because of a recent absurd “study” by a Texas TV News station that proclaimed 80 percent of women have larger than average labia, and that they suffer medical problems as a result.

This was such a spurious report that I feel compelled to comment. I have included the full report below, along with a portion of a blog post by the brilliant Dr. Petra Boynton, who flays the account with real science.

But, before I give my friend the doctor her say, I want to have my own. The report provides no information on how they arrived at this ridiculous percentage – and just what exactly, is an “average” sized labia?

This type of non-science only serves to pressure women into unnecessary surgery to “correct” an imperfection that doesn’t exist, and it further erodes a woman’s self-esteem and body image!

Women’s vulvas are as different and unique in appearance as are their faces – there is NO average. Some women have symmetrical labia that barely raise above the skin, while others have glorious a-symmetrical labia “wattles” that spread up and out like the wings of a magical butterfly. Their colors are as varied as their shape, and generally deepen spectacularly when the woman becomes sexually aroused. (In fact, many women enjoy having their labia stroked, licked or pulled during sex because it can provide a great deal of pleasure.)

It is these symmetrical labia that we women are now being told are the only beautiful variety and thus should be sought after, and that anything else “down there” should be considered ugly and surgically altered cosmetically. ABSURD!

I am old enough to have lived through a lot of negative sexual imagery aimed at woman. While much has changed, we still live in an extremely misogynistic culture that minutely scrutinizes every part of a woman’s body, literally from the top of her head to the tip of her toes. The result almost always finds each and every woman lacking in some minor to major area. Women are told that they just don’t measure up. They are not attractive enough and need makeup or cosmetic surgery – or, they are too attractive and need to tone it down.

Sadly, even though this is 2010, a lot of women have never seen their nether regions, and many believe those unseen bits and pieces are ugly, vulgar and even dirty. How can we ever hope to evolve into a sex-positive society if that type of female self-loathing continues to be passed down to each succeeding generation of girls? If you are a woman and have never looked, do so already! If you’re embarrassed, do it alone, maybe in the privacy of a shower; if not, then enjoy the exploration of your own body with your partner.

Just think for a minute, can you even imagine a society in which men subliminally tell their sons that their penises are ugly, and should be hidden away from view at all costs except to pee – and even then, that they should not look at or touch them because they are loathsome?

Dr. Betty Dodson (Sex for One: The Joy of Selfloving; and Orgasms for Two: The Joy of Partnersex) pioneered an approach for women to learn to accept and then to love the body that they have, exactly as it is – whole, totally individual and without exception, beautiful. Dodson, who has worked in the sexual health field for decades and continues to do so (Betty Dodson: My Sexual Revolution,) even took photographs of women’s vulvas to use in her practice. Those photos are gorgeous. She is also a talented artist, who rendered the images of these precious vulvas into breathtaking black and white drawings.

It is high time for women to reject marketing and cosmetic companies efforts to define what we should look like simply to line their own pockets with gold. Take pride in being female, in having an amazing body that only other women have! Embrace your sensuality and sexuality, and just refuse to allow anyone, or any company, to belittle your body or appearance. It doesn’t matter what color you are, how tall, short, heavy, thin, able-bodied or disabled, you remain a woman – innately beautiful and gloriously unique, even sacred. The rest is truly just so much hateful bullshit!

The following is the ridiculous “report” that started it all, read it below or at the TV’s website:

Nip/Tuck: Don't Like How Your Vagina Looks?
Women Turning To Elective Surgery For a Cosmetic Fix

CW Dallas Fort Worth TV News
Shana Franklin, The 33 News

For the first time since she was a teenager, one Dallas woman in her 40's can now bend down and twist without discomfort. She said, "It completely changes your life. Now when someone says, 'Do you want to go and do something?' I don't give it any thought."

We're withholding the woman's name to protect her privacy about a something that may affect as many as 80% of women. It's an enlarged large labia majora and or labia minora. With it comes genital pressure, friction and chaffing that can make sitting or doing sports nearly impossible. And sex, well forget about it being fun or sexy.

Dallas Ob/Gyn Dr. Otto Huertas said, "I have a lot of patients that come in basically ashamed of their bodies. I mean they don't even want to show their body, their body parts to their partner."

Dr. Huertas has done of hundreds of surgical corrections. It's an outpatient procedure called Labioplasty. The extra genital tissue is trimmed with a laser, sometimes under just a local anesthesia. Dr. Huertas said, "You have to take into consideration that the with the media and the magazines, a lot women are looking at these perfect pictures of women, including the genital area. So their self-image changes a little bit."

After having Labioplasty, all the activities the Dallas woman we introduced you to earlier couldn't do are now only a memory. Among them, she said, "sitting on a plane, rides at Six Flags, water slides, things like that . It effects every part of your life."

Now, "Let's go" is her motto and peace is a reality. She said, "I think that leaves you feeling very empowered. First of all you own your body again. Nothing else owns it. You have the right to make all the choices you want to make."

And enjoy them.

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Below, are excerpts of an excellent blog post by Dr. Boynton. You can also read it in its entirety at her always outstanding website:

Dr. Petra Boynton

Even with my dubious maths skills this doesn’t make sense. Because if such a large majority of women report large labia then presumably this becomes ‘the norm’ rather than ‘a problem.’

Merely an assumption that science has shown us 80% of women have larger labia. So we don’t know how many women were studied to make up this figure, who they were, when they were studied, or whether they actually considered themselves to have a problem. We don’t know who did the research, or whether it was even published. We’re given no clue about how ‘enlarged’ labia must be before they become unwieldy. The statistic becomes even more ludicrous if we’re assuming ‘enlarged’ to mean ‘larger than average’. In which case we seem to be being told that 80% of women have larger than average labia.

Had any research been undertaken the journalists may have learned there is no clear evidence for the effectiveness of cosmetic genital surgery in well women, but there is a growing trend within the cosmetic surgery industry to pathologise the female body as a means to creating a wider market in ‘enhancement.’

Although uncritical media reporting on genital surgery is not unusual there is fortunately an antidote.

THE NEW VIEW CAMPAIGN announces its THIRD Conference, to be held at the University of Nevada, Las Vegas, on Sunday, September 26, 2010.

FRAMING THE VULVA: GENITAL COSMETIC SURGERY AND GENITAL DIVERSITY

While the vulva surgeons are holding a conference on the Las Vegas strip, the New View, in collaboration with the UNLV Women’s Studies Department and Petals, will hold a counter-conference to examine the personal and political complexities of the new female genital cosmetic surgeries.

Our one-day event will include a morning plenary session on the emerging issues in genital scholarship, activism, and art, and an afternoon of experiential and discussion workshops for participants to share strategies and build connections. The event will conclude with an evening reception, photography and craft exhibition, and film showing at the Erotic Heritage Museum.

Areas covered will include:
• Cosmetogynecology and the new genital perfectability industries
• The rhetoric vs. the realities of Western genital surgeries vs. “FGM” (Female Genital Mutilation)
• Collaborative models of activism
• The revival of “cunt art” in craft, film, photography and painting
• Sex education and feminist-owned sex shops
• The latest body modification trends, from Vajazzling to Vatooing
• Disease-mongering, marketing, and body surveillance
• Critical health studies perspectives on cosmetic genital surgery

Confirmed plenary speakers include:
• Virginia Braun, University of Auckland, New Zealand
• Leonore Tiefer, NYU Medical School, NYC
• Vanessa Schick, Indiana University, Bloomington
• Lynn Comella, UNLV, Las Vegas

Full registration, hotel, and contact information here.

Please share information widely and if you’re a health worker, activist, therapist or sex educator do try and support the event if you can – either by attending the conference or donating to the New View Campaign. Journalists may particularly want to attend to learn more about celebrating women’s bodies and accurate reporting on the growing trend for medicalisation.

In the meantime go on – love your labia! Or love someone else’s.

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Thanks to Dr. Boynton for such a great post, and for providing the information on the up-coming conference.

Oh yeah, before I forget, enjoy the following vulva photograph gallery that I compiled from the web. I also have a difficult confession: Copying these photographs made me embarrassed! The irony, of course, is that this whole post is to encourage women to accept, even treasure, their natural vulvas; to work toward acquiring fantastic body images regardless of what you look like – and here I was blushing to my toes. How idiotic of me. So, I spent some time privately really looking at these images, and you know what? They aren’t embarrassing, they’re beautiful, whether they look like me, or not. In fact, they depict just a few of the gorgeous variety of women’s rainbow labia. (There may also be a photo that includes a well-placed penis or tongue, too!)

If you’ve never seen your own, or anyone else’s, I promise that you are in for a treat, and will be absolutely amazed. If you feel uncomfortable, do what I did, just keep looking at them until you’re comfortable. If you do, you’ll understand just how lucky we are as women to have a fabulously-beautiful vulva! (My only regret is that the bulk of these women have shaved their vulvas – I much prefer these delicate petals TOTALLY al-naturale!)

          

Natural Labia RULE!


— The Curator

The Media Gets it Wrong

I watched in horror yesterday as a combination of “bad science, scaremongering rhetoric and poor journalism” led to a hurtful conclusion that a greater number of girls in the UK are becoming sexually active because more and more of them are using oral contraceptives.

This initial story was picked up then widely reported throughout the UK causing a furor of near epic proportions. It was horrific because the account was DEAD WRONG! One of the few voices of reason, Dr. Petra Boynton, spent most of the day debunking the account on TV, radio, on the Internet via Twitter, and then with a wonderfully composed column posted on her blog.

I am a retired journalist. To watch it all unfold made me really sad, then really, really mad. Journalists have a responsibility – a public duty, actually – to report accurate information, especially when it involves children’s health or behavioral issues. The media in the UK failed abysmally, but the same thing can, and has, happened here.

These type of events should be wake-up calls to all news providers that they need to ensure their journalists and reporters have enough background to know how to interpret statistics, and to critically assess scientific opinions.

It is high time that sensational headlines trump information and facts. The news industry needs to take a step back, take a deep breath, and look to its past when its mission was clearly understood: Maintaining the public’s trust is more important than profit.

I have reprinted Dr. Boynton’s post, along with her links, in its entirety below, or if you prefer, read it directly at her fabulous blog:

11 years old, on the pill and sexually active? The media loses the news again

By Dr Petra
Published: 2 August, 2010

Parents across the UK are understandably being made anxious by news reports today suggesting:

— Rise in 11 year olds on the pill (Sunday Times)
— One thousand girls on Pill at 11: Huge rise in contraceptive prescription for pre-teens without parents knowing (Daily Mail)
— Huge rise in 11-year-olds on the pill (Telegraph)

The UK appears afflicted by ‘soaring’ numbers of sexually active girls, who lie to parents, enabled by GPs.

Is it accurate?

No.

Here’s why.

Where did the story come from?
These reports are based on figures from the General Practice Research Database (GPRD), indicating 1000 11-12 year olds annually are prescribed hormonal contraceptives (usually the pill or injection).

This was picked up by firstly the Sunday Times then spread to other newspapers, websites and broadcast media. As we’ll see journalists did not show due diligence in investigating the story.

Are 11 year old girls using hormonal contraceptives?
Yes. But despite the media hype there are many medical reasons why young girls might be prescribed hormonal contraceptives including:

— Heavy periods (resulting in excessive bleeding, vomiting, diarrhoea)
— Acne
— Endometriosis
— Polycystic Ovary Syndrome (PCOS)
— Irregular periods
— Amenorrhea (no periods due to extreme weight loss, anorexia, or side effects of radiation/chemotherapy)

Taking hormonal contraception is, for many girls, a means of ensuring they don’t miss school. It reduces symptoms that could be painful, distressing and single them out for bullying. When the pill is prescribed for medical reasons usually it is parents, in discussion with their daughters, who initiate contact the GP.

Of course hormonal contraception also prevents pregnancy. But being on the pill is not an indicator of having underage sex.

Approximately 26% of young girls have sex before the age of 16 Most are around 14-15. Fewer very young girls have sex and those who do are more likely to be coerced, regret the experience, struggle with access to healthcare and education, and lack family support. They are also far less likely to use any form of contraception. [More information on underage sex here]

What did the GPRD data say about different uses of hormonal contraception?
Unfortunately the data from the GPRD does not break down reasons for prescribing hormonal contraception to young women, so we cannot conclude precisely why they are using it. This hasn’t stopped media speculation it’s primarily for pregnancy prevention, wrongly suggesting all young girls on the pill are sexually active lolitas.

The media says teens don’t need parental consent to talk to a doctor. Is that true?
It is true practitioners do not have to tell parents if a young person consults with them (about any issue), guidance such as Gillick Competence and Fraser Guidelines (specifically for contraception). These set out the circumstances under which young people can get help without parental consent, and when parents or social services need to be involved. All of which happens with the awareness of a young person.

Generally practitioners want a parent or carer to be involved in supporting a young person. So providing health advice on any topic without a parent being involved tends to only happen in specific circumstances (explained in the links above). Before giving any advice practitioners are keen to establish the young person’s situation and find out what options they see themselves as having.

Aside from access to healthcare being a basic human right for any child or teen, there are sometimes very good reasons why a young person needs to talk about sensitive issues to their doctor. This may be when they live within a very strict home, or where their parents are absent or neglect them, or where they are subjected to abuse by their parents (or by others but are not protected by their parents).

So did the media make this story up?
Clearly ‘11 and 12 year old girls prescribed hormonal contraception with parents consent to prevent health problems’ doesn’t have the same salacious ring as ‘sexually active 11 year old girls’. The uncritical coverage does not refer to evidence based practice nor particularly includes reproductive health practitioners. Instead it relies heavily on the Christian Medical Association who have an anti sex education (and anti pre marital sex) agenda.

It wasn’t that the media lied about this story, certainly teens are using the pill for medical purposes and to prevent pregnancy. But this is not new. Doctors have been prescribing hormonal contraception to treat numerous complaints for decades. Just because it’s news to the media doesn’t mean it is not standard clinical practice.

Is sex education to blame?
Several news reports suggested the phenomena of young women using hormonal contraception was down to sex education – or would be made worse if sex education was implemented for young people. Indeed coverage on this was very confused on the actual or possible role of sex education in all this.

Currently sex education is not statutory across the UK and standards of delivery vary widely. Ofsted has recently produced a damning report on the state of UK sex education, while NICE is currently consulting on improving sex and relationships education in the UK. [More on what young people want from sex education here]

It seems much of the press coverage on the GPRD data is aimed at discrediting Ofsted and NICE’s suggestions that sex education be improved and appropriately tailored relationships education could begin with children aged 5.

Why was this coverage so poor?
There is an ongoing crusade by elements of the media to be anti young people, particularly young girls, and against all forms of sex education. And as we’ve already heard scandalous headlines about teenage nymphos sound a lot more exciting than a small subgroup of girls having the pill mainly for medical reasons.

However there are several other important reasons why the coverage was so bad.

Reproductive health is always framed as a two sided, moral debate
As you’ll see from the stories linked at the start of this post the media sets these stories up as moral debates where there are distinct baddies (doctors, trampy teens and anyone offering sex education) and goodies (Christian/Family groups, parents). The media focus is not to explore reasons why young women might use hormonal contraception, but to demonise young women generally and the medical profession alongside them.

Broadcast media tends to take this a step further inviting live debate between practitioners and moral authorities, and most of the calls I took from journalists today were seeking to pitch me into battle – cast in the unwinnable role of the ‘pro sex bogeywoman’ (as @badhedgehog observantly noted on Twitter).

Unsurprisingly this atmosphere does not allow clear information to be shared that might reassure parents or young people. Nor does it challenge poor media coverage, leaving the public still believing that loads of 11 year olds are a. on the pill and b. all promiscuous.

Many journalists have a poor understanding of reproductive health
Discussing this story with journalists provided a fascinating, if frustrating, insight into how many of them simply lack the basic sex education that would enable them to evaluate reproductive health data.

During the course of today I’ve spoken to 15 journalists, mostly working for radio and TV news stations, and 13 of which have been male.

Through these conversations I discovered none of the journalists knew hormonal contraception had medical uses. All of them assumed hormonal contraception was simply used to prevent pregnancy. And because of this assumption it hadn’t occurred to them to find out what else hormonal contraceptives might be used for.

They also were confused over what hormonal contraception was, in several cases not realising the pill was only one form. Most seemed to believe hormonal contraception just meant ‘the pill’. One journalist thought the injection couldn’t be a form of hormonal contraception because it wasn’t ‘a pill’, while another believed the contraceptive injection was ‘worse’ than the pill as it ‘lasted longer’ and made girls ‘more likely to have sex’.

Most of the journalists couldn’t work out why a young woman might opt for a hormonal contraceptive in injection form. They interpreted opting for an injection as easier for some than remembering to take a pill regularly as further evidence of fecklessness. This reinforced for them the stereotype of sexually lax behaviour they associated contraception use with.

Even those who accepted hormonal contraception could have additional uses still returned to the idea the main reason young people were using it was to have sex. Or believed if they were given hormonal contraception it would automatically lead to sex soon after. Or make girls more likely to act in loose ways.

Persuading them parents are mostly involved in decisions of hormonal contraception use with young girls proved pretty difficult. One journalist said ‘you’d go as far as saying a girl should go on the pill if she has heavy and painful period?’. Well, yes if that’s what she and her doctor agreed would help her. This particular journalist then asked me if I could come on air and say the first bit (parents should put their daughters on the pill) but not the second bit (explaining why they’d want to do this). Obviously I refused but you can see how even when presented with evidence to show a story is wrong journalists won’t move away from a particular angle.

Sadly while most journalists I spoke to did seem interested to learn about the medical reasons for using hormonal contraception and finding out more about it, once it became clear I wasn’t willing to participate in a ‘debate’ about whether young girls are sexually active or not, they were not interested in discussing things further. (It could be the journalists I spoke to aren’t representative of the media generally or were trying to make a particular debate point with their questioning, but my interpretation was most genuinely seemed ill informed about reproductive health)

Healthcare agencies, particularly in reproductive health, did not speak up
The whole case has highlighted for me the need for agencies promoting sexual and reproductive health to offer basic training for journalists. There is obviously a great need for many journalists to have information about how to understand clinical data, but also having an awareness of sexual and reproductive health to help them interpret this information.

Sadly the majority of organisations dealing with reproductive health (including NHS Choices, Nursing Times and the Department of Health) remained silent during the day – even when requested directly through twitter and email to get involved. This is sadly a common pattern where organisations miss key opportunities to deliver health information.

While this may be partly due to the way the media frames stories like this and practitioners don’t want to be cast as the bad guy, if enough people spoke out we could achieve so much.

As much as I have criticised the media here it is worth noting there were also many other responsible broadcasters and writers who did want to cover the story but they were struggling to find anyone to talk to them.

We cannot complain about poor media coverage if, as health practitioners and educators, we do not offer our services to ensure accurate information is shared.

How should the media have treated this story?
This really is a non story, but if the media had wanted to report it accurately they should have looked at the reasons why the contraceptive was prescribed, whether parents had consented to their daughter using hormonal contraception, and indicated proportionally how many young people were prescribed the pill for pregnancy prevention without parental consent. Indicating the numbers of 11-12 year olds on the pill as compared to the wider population in this age group would put this in perspective in terms of prevalence. And they should have written this in a way to highlight how to safeguard young people most at risk. Who we know mostly do not seek out medical help and are often also unable to get help within their families.

The take home message is?
Sadly bad science, scaremongering rhetoric and poor journalism makes it difficult for parents and young people to get accurate information. This may result in making young people more excluded from the health care they need.

Unfortunately if we do not challenge it we will continue to leave parents terrified and young people disempowered.

This piece appeared in a shorter form for The Times Science today as Too much too young: most 11-year-olds aren’t on the pill for sex.

With grateful thanks to everyone on Twitter today who challenged this story, shared information about young people’s rights, and generally kept me going when I was getting fed up shouting about it!

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And, just who is the wonderful Dr. Petra Boynton?

She is a lecturer in International Health Services Research at a London university where she teaches doctors, nurses and other health professionals at postgraduate level.

She regularly presents at conferences in the UK and internationally, and completes research and training within the area of sex and relationships health.

She has a BA in Social Psychology (Sussex University), and a PhD is in Applied Human Psychology (Aston University). Her PhD focused on the effects of sexually explicit material.

She has lectured at a number of UK universities, specializing in evidence based healthcare, and understanding research methodologies (both qualitative and quantitative).

Her research has covered topics within the area of sexual health; including the effects of pornography; women involved in street prostitution; policy and practice in sex education; evaluating advice giving in the media; sexual functioning; and modernizing sexual health services.

I wish to personally thank the good doctor for working tirelessly to ensure this important public health issue was reported accurately, and for giving the news media a well-deserved kick in the pants!

— The Curator