Hi Beautiful669263! Thank you for reaching out. I’m proud of you for self advocating for your intimatecomfort. You deserve to feel pleasure during intimacy and confidently comfortableduring other physical activities. First, I’d like to let you know that you’re not alone. I have treated thousands of womenwith the exact same complaint. In fact, over 90 percent of our patients connect withLabiaplasty Center of Los Angeles not for aesthetics, but for comfort. Now, let’s get into the specifics of your question. What I’m hearing is that your labia minora may extend beyond your labia majora,causing friction and/or pinching and pulling during intercourse. I’m also hearing that yourlabia majora has lost volume and that your perineum has stretched. You don’t mention if you have been pregnant or lost significant weight, but both of thesecan be the cause of the volume loss and stretching. Below, I’m going to address the most common solutions for the concerns you cite here. Treatment for volume loss in the labia majora: Labia Majoraplsty because typically the fat volume is present but laxity of the skin hides it. Treatment for stretched perineum: Perineoplasty to tighten the opening. Treatment for extended labia minora: Labiaplasty, or - more specifically - labiaminoraplasty, can help the labia minora go from an “outie” to an “innie,” meaning thatpost surgery, your labia minora can nestle into - and be covered by - your labia minora.This reduces irritation from clothing and physical activities while also reducing thelikelihood of any pinching or pulling during intercourse. I hope I have answered your questions. You deserve to feel good in your body!