What is Labiaplasty Surgery?
Labiaplasty Surgeon Locations
Labiaplasty Before and After Photo Gallery
Videos - Meet Our Surgeons
Labiaplasty Patient Testimonials
Recovering from Surgery
Costs and Financing
Frequently Asked Questions (FAQ)
Definitions - What Do These Female Cosmetic Genital Surgery Procedures Mean?
Who Gets Labiaplasty or Vaginoplasty and Why?
How Do You Proceed With Labiaplasty And What Can You Expect?
Labiaplasty Gone Wrong?
Labiaplasty Revision Surgery
Botched Labiaplasty Revision Photos
Labiaplasty Surgical Techniques Vary, Depending On Individual Case—Here’s What You Need to Know—And the Questions to Ask
How to Choose the Best Labiaplasty Surgeon
Before & After Photos -Dr. Stern, Miami, FL
Before & After Photos - Dr. Goodman, Davis, CA
Before & After Photos - Dr. Gonzalez, Kansas City, KS
Before & After Photos - Dr. Placik, Chicago, IL
Before & After Photos - Dr. Kolb, Atlanta, GA
Before & After Photos - Dr. Hardwick-Smith, Houston, TX
Before & After Photos - Dr. Rosenfield, Portland, OR
Before & After Photos - Dr. Penmetsa, Rochester, NY
Before & After Photos - Dr. Jason, Long Island, NY
Before & After Photos - Dr. Chambers, Las Vegas, NV
Before & After Photos - Dr. Hardas, Flint, MI
Before & After Photos - Dr. Miklos and Dr. Moore, Los Angeles, CA & Atlanta, GA
Before & After Photos - Dr. Ennis, Boca Raton, FL
Before & After Photos - Dr. Owens, Crowley, LA
Before & After Photos - Dr. Agrusa, Meridian,
Before & After Photos - Dr. Owen, Lubbock, TX
Before & After Photos - Dr. Gershenbaum, Miami, FL
Before & After Photos - Dr. Vallecilla, Rome, GA
Before & After Photos - Dr. Liu, Burlingame, CA
Before & After Photos - Dr. Knudsen, Missoula, MT
Before & After Photos - Dr. White, Frisco, TX
Before & After Photos - Dr. Lauriston, Yonkers, NY
Before & After Photos - Dr. Furnas, Santa Rosa, CA
Enduring Constant Pain And Discomfort From Enlarged Labia
Vaginoplasty Before and After Photo Gallery
Vaginoplasty Frequently Asked Questions
Vaginoplasty Patient Success Story
Vaginoplasty Surgery Success
Perineoplasty Before and After Photos
Labiaplasty and Vaginoplasty Combination Surgery
Labia Vagina Combination Surgery Before and After Photos
Combination Labiaplasty, Vaginoplasty, Clitoral Unhooding Patient Success Story
Female Sexual Enhancement Surgery
Patient Case Studies
Labiaplasty Patient Clinical Study
Selecting a Surgeon
What to Expect Before and After Your Surgery
General Surgery FAQ
Women's Health Articles
Women's Health Books
“Is Sex Just Fun? Sexual Activity and Health”
By Michael Goodman, M.D.
"Sex is the most fun you can have without laughing"
--Woody Allen, in the movie "Manhattan."
" Sex is good, but not as good as fresh sweet corn"
Sexual and general health are entwined in both men and women.
It is well known in the medical literature that sexual activity can affect
testosterone ("T") levels in both men and women. Also known
is the fact that lowered T levels reduce sexuality. For this reason, it
can be hypothesized that sexual activity is able to biffed itself through
activation of the feedback loop that exists between the pituitary gland
in the brain, and T-sensitive receptors which regulate sexual activity,
energy production and mood, among others. More sex means more physiologically
produced T, and more T correlates with both psychological and general
health. Ample evidence exists in medical literature to suggest that full,
satisfactory sexual intercourse is not only associated with better hormonal
function, but with improvement of corresponding physical and psychological
Sexual health correlates so much with general health that
general health may be considered as a surrogate marker for sexual health.
A famous study published in 1997 in the British Medical Journal found
that men who had fewer orgasms were twice as likely to die of any cause
than those having 2 or more orgasms a week. In a "chicken and egg"
scenario, arterial vascular disease (the kind that leads to heart attacks,
stroke, and peripheral vascular disease) first effects small arterial
vessels, such as the penile artery, responsible for bringing the penis
the blood necessary for erection. Poor arteries = poor erections. Poor
erections, poor T; poor T, poor erections. 'Round it goes..
What about sexual activity and depression? Well respected
investigators in the field of sexual health have reported effects as diverse
as an increased pain threshold in women undergoing vaginal stimulation.
Deposition of sperm into the female genital track may have mood-enhancing
and anti-depressant effects. Sexual auto activity (self-pleasuring) has
been shown to represent a reliable primary reinforcer for depressed women
in a situation where other pleasures such as food may have lost their
reinforcing value, and that masturbation may represent a self-administered
mood enhancer. Reduced sexual interest is one of the signs of depression
in both men and women; conversely, clinically depressed individuals have
less interest in sex. Another vicious cycle. Paradoxically, the same medications
that may lift the cloud of depression rain on the parade by diminishing
sexual desire and frequently blunting arousal and orgasmic response.
A recent study in the journal Climacteric, a journal devoted
to aging ("Testosterone Treatment of Hypoactive Sexual Desire Disorder
in Naturally Menopausal Women: The ADORE study) proved again, as have
other studies, that transdermal testosterone, in this case administered
via a skin patch, significantly improved sexual desire in women whose
low desire was problematic. Another study in the Journal of Women's
Health ("Sexual Desire During the Menopausal Transition: Observations
from the Seattle Midlife Omens Health Study") supported a vulnerability
to reduced sexual desire with aging. Lower estrogen and testosterone levels
were correlated with poorer perceived health, elevated sense of stress,
and menopausal symptoms of depressed mood, fatigue, and sleep disturbance.
The same dietary factors that improve overall health, such
as a "Mediterranean diet" actually also improve sexual health.
Fit individuals have greater sexual desire and experience more sexual
activity than the unfit and/or obese. Conversely, roadrunners,I individuals
with very little body fat, especially those who train excessively, have
significantly lower testosterone levels and diminished desire (and lower
bone density), secondary to increases in endorphins and serotonin, which
bind testosterone and render it less active.
Moderate alcohol intake is associated in many studies with
greater sexual activity and improved sexual health (another "chicken
EMI egg??") Another recent study in the Journal of Sexual Medicine
("Regular Moderate Intake of Red Wine is Linked to Better Omens Sexual
Health") out of Italy (where else?!) finds that regular moderate
intake of red wine is associated with higher scores on tests for sexual
desire, lubrication, and overall sexual function, pointing to a potential
relationship between red wine consumption and better sexuality.
On the more smarmy side of the issue are what I call the
"Snake Oil salesmen" who lead a multi-billion dollar a year
"sexual hope" industry promising everything from better erections
to long-lasting desire and improved orgasms, misusing the legitimate terms
alternatives or complementary or integrative therapy for their own gain,
capitalizing on the natural healing powers of the body and a strong placebo
effect produced by satisfying sexual encounters (again,"chicken and
egg") by taking credit for improvement, and if the treatment doesn't
work, shift the blame to damage caused by prior conventional medical treatment.
People will pay lots out of pocket for poorly tested and frequently worthless
products, cleverly marketed, yet balk at paying a $50 co-pay for a tested
and verified product if it is second on their insurance!
The brain mediates sexuality like no other organ, responding
positively to stimulation from oxytocin (a product that I have compounded
and utilized with success) which improves trust and communication, and
dopamine, a key player in the brains pleasure center. The largest sexual
organ we have is between our ears. Health, trust and intimacy, acting
on a brain bathed in appropriate hormonal levels lead to enhanced sexual