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Puberty and Adolescent Sexuality

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Several adolescent gynecologists told the BBC that young girls under the age of 15 were increasingly seeking out the operation, which shortens and reforms the labia minor surrounding the vagina—most often because they are distressed by the size or shape of their vulvas. In , labiaplasty was the second-fastest growing cosmetic procedure in the US after breast enlargement, according to the American Society for Aesthetic Plastic Surgery. That figure has been relatively steady over the past decade at least, and some of those surgeries relate to injury, recurrent disease, or infection, according to the NHS. It is also used as part of the reconstructive process for victims of female genital mutilation. Cosmetic surgeons appear to be feeding the stereotype. The uptick in adolescents seeking labiaplasty and breast surgery led the American College of Obstetricians and Gynecologists to issue updated guidelines for doctors this year.

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The massage parlor is already swallowing clients through its dark doorway; cheap perfume hangs in the air. The Home of Body Building exudes a sour sweat from the hall where older men are eyeing prancing young boys. But in a nearby shelter for former prostitutes the scene is demure, as girls settle down for group therapy. This day, a visitor is taking Polaroid pictures and passing them around. The pictures make the girls look like small, spindly birds, rather than sex objects. It is hard to imagine that not long ago these children, aged 11 to 14, worked as prostitutes, used by men three and four times their age. As soon as Lek sees her photograph, the quiet year-old girl is transformed.
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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.
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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.
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