Lack of arousal 9 months post labiaplasty - is this normal?

Thank you for your question Labiaplasty should not affect arousal and there should not be numbness after labiaplasty Re sending the question with photos may be helpful in identifying the problem Arousal has physical and emotional components and these need evaluation to address your problem

This is not typical however it would be difficult to give you an opinion without knowing more details about your surgery.

Were there any complications with the surgery? The symptom is most likely hormonal, as in low testosterone. Or it can be caused by some medications.

Thank you for sharing your question and I am sorry to hear of your sensory changes. In the right hands, this is extremely uncommon with this procedure and I would seek out second, in-person, consultations with specialists for the best advice and possible treatments

I’m sorry to hear you have had changes after labia surgery. I have performed hundreds of this procedure, and this is very rare. Without knowing how much tissue was removed and where it was removed, it’s hard to say why your sensation has changed.

Generally, scar tissue can form around nerves or nerves may have been cut. Over time, many nerves will grow back. One recommendation is to inject PRP into the area. Plate Rich Plasma can improve clitoral and g spot stimulation, and it can soften scar tissue if that is a factor. This can be done with no anesthesia, and has almost zero risk. Good luck.

helloI have never encountered such a complaint after labiaplasty surgeries. What kind of surgery was done to you? You can send a photo if you want.

I am sorry to hear of this problem. I fear that at 9 months your problem may be permanent. It is something that you should get a second opinion about. There are too many questions for this blog to deal with about your issue, including technique that can be more thoroughly addressed at a in person visit. Bring your operative note to a visit with a competent provider.

Well... That's a bummer! Sex is the most fun you can have without laughing. If it ain't "fun," why do it, and if you lack arousal, that certainly impacts the "fun." Your labiaplasty per se should not impact your arousal, if your procedure was performed by a cosmetic gynecologist or an experienced plastic surgeon. HOWEVER, if your surgery was performed by a general Ob/Gyn, especially if it was done "...under insurance" and general (asleep) anesthesia, there may be troubles. This may be secondary to an inexperienced surgeon cutting the DNC (dorsal nerve to the clitoris) on both sides, which most certainly will "deaden" your sexual response. This is below standards of care, and is actionable. Also, if you feel somewhat "botched" in appearance, your disappointment or outright dissatisfaction with results can indirectly but strongly affect your sexual response. There is good evidence in the medical literature that a woman's satisfaction with her body, especially those parts of her body that have sexual connotations (breasts; belly; genitalia) directly effect her enjoyment of sexual activities, including arousal. What should you do?? I suggest that you make an in-person or "virtual" appointment with someone who both specializes in labiaplasty revisions, and also has a background in sexual medicine. As a Fellow of the International Society for the Study of Women's Sexual Health ("IF"), and a revision surgery specialist, I see many women in my practice with "...labiaplasty gone wrong," guiding them onto the right path(s) to regain their self-esteem and sexual health. Most of my patients, unfortunately, have had their surgery performed by a general Gyn without specific interest, training, and experience in female genital plastic/cosmetic surgery, who does not have a clue into the intricacies of safe and genital cosmetic surgery. RealSelf's web reference below can give you someplace to start...

Regards,

Michael P Goodman, MD, FACOG, IF, AAACS
Davis, Ca, USA