Posted in Genitals: A User's Guide

Bartho-What?!

Now let’s finish our exploration of the vulva with something a little more than skin deep: the bartholin’s glands.  These are two paired glands that lie within the vagina.  Their position is roughly shown here: as the two little blue lumps.  They lie just inside the entrance or ‘introitus’ of the vagina, as shown here.  They can’t be seen directly.  However, sometimes they can become infected and inflammed.  This can cause pain and swelling as pus collects and is unable to drain – a condition known as a bartholin’s cyst or abscess.   Treatment includes antibiotics to target an infection, or drainage and insertion of a ‘word catheter’ – a piece of tubing that can be placed and inflated to prevent pus from reforming and allowing the tissue to heal.

Posted in Genitals: A User's Guide

VuVaLicouS!

Lots of people seem unsure about what makes up typical XX genital anatomy – the uterus, ovaries and vulva ensemble.  Unlike penises, the majority of the bits that ‘do’ something are hidden – either internally or amongst lots of indistinct lumps that are hard to view on self-examination.

Let’s start with the external genitalia – the vulva.  Sometimes people refer to it as the ‘vagina’, although this is the name for a specific part of the vulva.

This is my version of a typical textbook diagram:

To orientate yourself, imagine that the person you’re looking at is lying on their back, bottom on a surface below and legs akimbo.  You are standing at the foot end, looking ‘into’ the vagina and at the vulva from here.  The person’s bum is at the bottom of the picture and any hair covering the vulva at the top of this image.  Without pretty sound gymnastic skills and an ingenious mirror system, it is unlikely that anyone has ever seen their own vulva from this angle.  However, it is the view that a doctor or nurse (for example) would obtain to do a gynaecological exam, which is probably why it gets used in diagrams so often.

The bits that make up the vulva are as follows:

Clitoris: A bundle of sensory nervous tissue.  It can feel good to touch or otherwise stimulate here.  In Alice Walker’s novel ‘The Colour Purple’, Shug refers to her clitoris as her ‘little button’ that gives her pleasure.

Urethra: An opening for urine to pass from.  A tube (sometimes with a bag) called a ‘catheter’ can be passed here to drain wee in some circumstances.

Labia Majora: The ‘big lips’ – the bigger folds of tissue that cover the front of the vulva.  If a person with a vulva were standing up, walking around, this is probably the only bit you could make out.  All other bits mentioned here would be hidden by it and the legs.

Labia Minora: The ‘little lips’ – smaller folds of tissue surrounding the inner part of the vulva.  Although there is relatively less tissue here than the labia majora, there is a huge amount of variation in the size and shape of the labia minora between individuals.  Surgery to reduce the amount of tissue here is called ‘labiaplasty’ and it is usually this that people mean when they refer to ‘designer vaginas’.  This area is not really called the vagina though…

Vagina: This is the passage in to the body and the rest of the reproductive tract (i.e. the cervix and womb).  A penis (or other objects!) can go in and believe it or not a baby can come out of here.

The area within the labia minora in to which the urethra and vagina open up can be called the vestibule.  The area between the vulva and the anus is called the perineum.

Posted in Genitals: A User's Guide

Your Whostsaname

Genitals.  Everyone has them.  Sometimes they have weird and wonderful bits.  Do you know where to find a raphe of a penis?  How about the bartholin’s glands?  Occasionally we don’t seem to know how to use them, or what they are for.  Sometimes they go wrong.  Ever feel like we should be handed a manual?  You know – ‘Genitals: A User’s Guide.’  Maybe it could be issued sometime before puberty.  That’s what I’d like to create over the next few months – ‘Genital’s: A User’s Manual’.   With words and pictures.

Let’s start with the basics.  The external genitalia.  For a lot of people there are two basic flavours:  the penis ( and it’s sidekick the scrotum or testicles) or the vulva get up. Note that I don’t (and won’t) use the words ‘male’ and ‘female’ to delineate these two.  Chromosomal and genetic sex is separate from gender identity – people of both and any gender can have either genitalia.  Also, it is possible for people to be born with genitalia that do not fit in to this penis/ vagina divide – again, more on that later.

We tend to be pretty familiar with the basic components of penises – the pole and two balls, depicted for generations on the walls of public loos.  A little more mysterious seems to be the vulva.  People often refer to this as a ‘vagina’.  Technically though, vagina is the name for the hole bit – the bit that connects the outside world to the inside (more detail on that next week). The vulva is the word used to describe all of the external parts.

Here are a very small collection of words that we use for genitals in English.  I think it’s important to have the vocabulary to describe genitals if we’re going to talk about them in more detail.  Enjoy – and let me know (@SquiSquaSque) if you’ve got any favourite words for ‘down there’ that I haven’t included.

Posted in Genitals: A User's Guide

Does My Labia Majora Look Big In This?

Today I was at a teaching session for trainee Obstetrician/Gynaecologists.  At one point, these words were uttered:

“If a woman’s been told by her boyfriend that her vulva looks abnormal, it’s YOUR job, especially YOU [points to the two men in the room] to say that you’ve seen far more than him & it ISN’T.”

Insecurities about genitals is the idea behind The Great Wall of Vagina (dull accuracy announcement: it’s actually vulvas, not vaginas, but still great).

There is a huge amount of variation in how external genitalia look.  Humans have a great variety in height, build and skin tone.  We are all so different that we find it remarkable when we find someone whose face is a little like ours.  Why would this be any different in your nether regions?