Exision versus cure for aberrant nymphs

Abstract

Introduction: The labia majora border the vestibule and are about 3 mm thick. Mucous in appearance, they tend to atrophy after the menopause. In adults, they often protrude beyond the vulval slit (50%). However, in some cases, they extend beyond the labia majora without any prior action having been taken. Case report: The case we report concerns a 21-year-old, single, non-virgin woman who consulted for discomfort when walking and wearing tight clothing such as pants. She reported no discomfort during intercourse as reported in the literature. Examination revealed a slightly edematous vulva and nymphs protruding 2.5 cm beyond the labia majora. After unsuccessful clothing advice, the final treatment proposed was a reduction of the labia minora. A preoperative work-up based on rhesus blood grouping, haemogram, prothrombin level, cephalin-Kaolin time, creatininaemia and fasting glycaemia, all of which came back normal, enabled the labia minora to be reduced according to the patient's wishes, with an incision leaving a roughly triangular area. The post-operative course was straightforward, with normal healing times. The patient was able to resume her activities and wear tight pants without pain three months after the operation. Conclusion: The difficulties caused by exuberant labia minora are a reality. In our Senegalese context, talking about sex is taboo, which makes it a rare reason for consultation.