Sexual Health Reproductive Health Issues Vaginal Health What Causes Large Labia and What You Can Do About It Variations in labia size and shape are totally normal By Millicent Odunze, MD Updated on December 03, 2023 Medically reviewed by Peter Weiss, MD Print Table of Contents View All Table of Contents Causes Symptoms When to See a Healthcare Provider Diagnosis Treatment FAQ A larger appearing labia may be due to a condition called labial hypertrophy, but it can also be totally normal. Labia come in different sizes and may not even be symmetrical. However, if you notice your labia have become bigger, consider making an appointment with your healthcare provider. Keep in mind that labial hypertrophy doesn't always need treatment—it depends on what symptoms (if any) you have. This article discusses the causes of large labia, symptoms you may have, and when to talk with a healthcare provider. What Are the Labia? The labia are the lips of the vulva (external female genitalia). The outer lips are called labia majora and the inner lips are called the labia minora. The function of the labia is to protect the clitoris and vagina from trauma. Verywell / Nez Riaz Vulva: An Overview What Causes Large Labia? There's no clear cause of labial hypertrophy. Contrary to what some people believe, it's not caused by masturbation or a sexually transmitted infection. Possible causes of labial hypertrophy include: Genetics: Some people are born with large or differently shaped labia.Hormonal changes: The labia may change in size during puberty.Pregnancy and Childbirth: The labia can expand during pregnancy and childbirth and remain stretched or loose afterward.Aging: Changes over time may lead to labial hypertrophy.Restrictive clothing: Regularly wearing tight-fitting clothing against the labia can lead to changes.Active cycling: People who are avid or competitive cyclists may experience repeated trauma to the area that leads to the development of a protective layer of fat in the labia majora.Weight fluctuations: Extra body fat causes the skin to stretch and can cause damage to collagen and elastin fibers in the skin. When weight is lost, the tissue cannot shrink back. Large Labia Symptoms Most people with labial hypertrophy don't experience any symptoms or discomfort related to it. Others may deal with some symptoms. Labial hypertrophy most often affects only the labia minora but can affect the labia majora, or both. It can affect one or both sides. You may be born with bigger labia, or it can develop over time. Symptoms can include: Labia irritation: Especially if the labia minora protrudes beyond the labia majora, the excess tissue may be easily irritated by menstrual pads or tight-fitting clothing such as underwear, swimsuits, tights, or leotards. In some cases, just the pressure of sitting in a hard chair may cause labia irritation or pain. Discomfort during exercise or penetrative sex: This is caused by friction against the excess tissues during activities including running, horseback riding, bicycling, and sexual intercourse. Hygiene problems: A bigger labia may complicate the use of tampons or menstrual cups. It also may be difficult or painful to clean between the lips. Recurring infections: Difficulty cleaning the outer genitalia may lead to recurrent bacterial overgrowth and yeast infections. Self-consciousness: If labia majora are large, it may create a visible bump in tight clothing like swimsuits and underwear causing some people to feel self-conscious. What Is the Average Labia Size? Labia size varies greatly. One study of 200 assigned females not seeking labia-related plastic surgery found that the average size of labia was 19 mm wide and 35.5 mm long. Concerns About a Larger Labia When to See a Healthcare Provider If you don't have any symptoms of labial hypertrophy, you don't need to worry about getting treatment for it. However, you should bring it up with your healthcare provider if: You have symptoms that impact your life. You have recurrent infections. You have significant anxiety or negative emotions regarding your labia. It's typical for the labia minora to swell during sexual arousal, but if your labia swell and don't return to their normal size, speak to your healthcare provider. Diagnosis Healthcare providers don't have specific tests or imaging they use to diagnose labial hypertrophy as there aren't widely accepted guidelines for this condition. A healthcare provider typically diagnoses labial hypertrophy based on a pelvic examination and any vaginal or labial symptoms you may be having. If your healthcare provider believes your labia are within normal parameters or that your anxiety over hypertrophy is excessive, they may screen you for body dysmorphic disorder. This is a mental health condition that causes you to see your body unrealistically and obsess over perceived flaws. What Is Body Dysmorphia? Large Labia Cyst Your healthcare provider may also check for Bartholin gland cysts to see if that could be causing your symptoms. The Bartholin glands are located next to the labia minora near the opening of the vagina. These glands provide lubrication and can, in some cases, get blocked and develop a cyst or, in the case of an infection, an abscess. Unlike labial hypertrophy, which is uniform, a cyst tends to be one-sided and causes a pea-shaped lump you can feel or see (if it's larger). What Is a Cyst? Large Labia Treatment Most people who go to their healthcare provider concerned about labial hypertrophy don't actually have it but may feel embarrassed about their labia's appearance. In those cases, treatment may include education about the wide variation in what's considered "normal" and counseling for body acceptance. In most cases of true labial hypertrophy, the condition doesn't need to be treated. If you do have bothersome symptoms related to the labia minora, though, there's a surgical option known as labiaplasty which can: Reduce the size of the labia minoraHelp eliminate symptomsHelp you feel better about the labia's appearance So far, this is the only treatment known to eliminate the symptoms of labial hypertrophy. Labiaplasty Labiaplasty is an outpatient procedure usually performed by plastic surgeons. They may remove the tissues with surgical cutting tools or use a heat-based technique called radiofrequency (RF) treatment. Several surgical techniques are in use: Deepithelialization: Best suited for minimal hypertrophy, this technique involves removing a small amount of tissue and preserving the overall contour of the labia minora.Direct excision: Tissues are cut away in a straightforward manner; however, the natural color, shape, and texture of the labia minora are lost, a scar may be visible, and the aesthetic outcome is generally considered poor.Wedge resection: The surgeon removes a V-shaped wedge from low on the labia minora, then stitches the edges together. This preserves the natural edge of the tissues and results in a better appearance. Labiaplasty typically takes less than an hour and may be performed with either local or general anesthesia. Recovery is generally expected to take about six weeks. Reasons for Labiaplasty Summary If you're worried about the appearance of your labia, rest assured that each person's is unique and yours probably aren't outside of the average range. If you're having symptoms, though, don't hesitate to talk with your healthcare provider as a first step towards feeling better, both physically and emotionally. Frequently Asked Questions Does frequent sexual intercourse contribute to labial hypertrophy? No. It is a myth that frequent sexual intercourse causes a larger than average labia size. Do labia get longer with age? Aging can lead to a loss of elasticity, which can make the labia appear longer and thinner. How can I stop my labia from growing? There is no way to stop labia from growing. If you are concerned about the size of your labia or are experiencing other symptoms, speak with your healthcare provider. 16 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 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J Sex Med. 2020;17(3):461-469. doi:10.1016/j.jsxm.2019.11.272 Gowda AU, Chopra N, Khalifeh M. Indications, techniques and complications of labiaplasty. Eplasty. 2015;15:ic46. Anxiety & Depression Association of America. Body dysmorphic disorder. National Health Service UK. Bartholin's cyst. Lee M, Dalpiaz A, Schwamb R, Miao Y, Waltzer W, Khan A. Clinical pathology of Bartholin's glands: A review of the literature. Curr Urol. 2015;8(1):22-5. doi:10.1159/000365683 Dayan E, Ramirez H, Theodorou S. Radiofrequency treatment of labia minora and majora: A minimally invasive approach to vulva restoration. Plast Reconstr Surg Glob Open. 2020 Apr 22;8(4):e2418. doi: 10.1097/GOX.0000000000002418. PMID: 32440388; PMCID: PMC7209841. American Society of Plastic Surgeons. What's the difference a trim labiaplasty and a wedge labiaplasty? American Society of Plastic Surgeons. What is a labiaplasty and what does it involve? American Society of Plastic Surgeons. What is a labiaplasty? Nappi RE, Martini E, Cucinella L, et al. Addressing vulvovaginal atrophy (Vva)/genitourinary syndrome of menopause (Gsm) for healthy aging in women. Front Endocrinol. 2019;10:561. doi:10.3389/fendo.2019.00561 See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit