And the increase in labiaplasty is likely due to two factors, Cangello said.
"Number one is people talk about it. And two, grooming techniques change ... With that, the demographic of women who are going to SoulCycle care about their appearance."
Cycling is a pain in the vagina
As a number of experts and athletes attest, cycling is legit hard on the vagina and vulva.
"Labial pain is a common but often unspoken issue among female cyclists. It is usually caused during movement when the vaginal lips bunch up and press painfully into the saddle, which can result in labial abrasions/bleeding that are very painful," Australian cyclist Janine Kaye wrote in Witsup.
"I 'grow a set' every season," another woman was reported saying in Bicycling. "I won't even get a check-up because my gynecologist is so shocked by how swollen I am, I'm embarrassed."
A study published this month found that women cyclists are more prone to problems such as urinary tract infections, genital numbness and saddle sores. Some common tips for women cyclists include making sure the bike saddle is a proper fit, using padded shorts, using an emollient to prevent chaffing, and adjusting your cycling posture to ride more vertically.
Labia minora come in all shapes and sizes
"Twenty years ago I was asked about (labioplasty) maybe a handful of times and always by women with a significant size discrepancy (more than 4-5 centimetres) between sides. Now I am asked about it routinely and almost always by women who have labia minora that are anatomically normal," Canadian born and trained OB-GYN Dr. Jennifer Gunter said in a 2015 blog post (with photos that are not safe for work, unless you work as a gynecologist, FYI before you click).
"Reasons for wanting smaller labia range from entirely cosmetic to misperceptions about size (it is normal for the labia minor to stick out past the labia majora), about symptoms (labial size doesn't affect vulvar symptoms or cause yeast infections) or sex (smaller labia does not enhance sexual pleasure)," she wrote.
The long-term medical implications of labiaplasty are unknown, Gunter warned. Anyone experiencing irritation should see a vulvar expert, and not a plastic surgeon, she added.
"If your gynecologist suggests a labiaplasty to treat symptoms get a second opinion."
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