Vulva - wikipedia Vulva For other uses, see Vulva ( disambiguation ). Human vulva Vulvae of different women ( pubic hair removed in some cases ) ( Genetic variation ) Details Precursor Genital tubercle, urogenital folds Artery Internal pudendal artery Vein Internal pudendal veins Nerve Pudendal nerve Lymph Superficial inguinal lymph nodes Identifiers Latin pudendum femininum MeSH 05.360. 319.887 Dorlands / Elsevier Vulva TA A09. 2.01. 001 FMA 20462 Anatomical terminology ( edit on Wikidata ) The vulva ( Latin : wrapper, covering, plural vulvae or vulvas ) consists of the external female sex organs. The vulva includes the mons pubis, labia majora, labia minora, clitoris, bulb of vestibule, vulval vestibule, urinary meatus, greater and lesser vestibular glands, and the vaginal opening. The urinary meatus is also included as it opens into the vulval vestibule. Other features of the vulva include : the pudendal cleft, sebaceous glands, the urogenital triangle ( anterior part of the perineum ), and pubic hair. As the vulva is the gateway to the uterus ( womb ), a double layer of protection is provided by the folds of the outer and inner labia. The vulva can be affected by many disorders which can often result in itching. Vulvovaginal health measures can prevent many of these. Contents 1 Structure 1.1 Structures and features 1.2 Nerve supply 1.3 Muscle tissue 2 Development 2.1 Fetus 2.2 Childhood 2.3 Puberty 2.4 Post-menopause 2.5 Sexual homology 3 Function and physiology 3.1 Sexual arousal 4 Clinical significance 4.1 Vulvodynia 4.2 Infections 4.3 Cancer 4.4 Other 4.5 Childbirth 4.6 Surgery 5 Society and culture 5.1 Altering the female genitalia 5.2 Etymology 5.3 Alternative terms 5.4 Art 6 Additional images 7 References 8 External links Structure This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. ( February 2017 ) Labeled image of a vulva, showing external and internal views Structures and features The main structures of the vulva are : the mons pubis, the labia ( majora and minora ) including the frenulum of labia minora, the external part of the clitoris ( hood, glans ), the urinary meatus, the vaginal opening and hymen, and the greater and lesser vestibular glands. Other features include : the pudendal cleft, sebaceous glands, the vulval vestibule, and the urogenital triangle ( anterior part of the perineum ). The soft mound ( mons pubis ) at the front of the vulva is formed by fatty tissue in the pubic region covering the pubic bone. Mons pubis is Latin for `` pubic mound '' and is present in both sexes. Sometimes a variant term is used specific to women -- the mons veneris ( `` mound of Venus '' ). The mons pubis separates into the labia -- two pairs of folds of tissue that protect the vulvar vestibule. The outer pair of folds are the labia majora, ( New Latin : larger lips ). The labia majora are divided by the pudendal cleft and they contain and protect the other, more delicate structures of the vulva. The labia majora meet again at the urogenital triangle ( the anterior part of the perineum ) between the pudendal cleft and the anus. The color of the outside skin of the labia majora is usually close to the overall skin color of the individual, although there is considerable variation. The inside skin and mucous membrane are often pink or brownish. Variation in the appearance of women 's external genitalia ( genetic variation ) in frontal view : in some women the labia minora and clitoral hood protrude between the labia majora and are clearly visible in upright standing position, while being completely hidden in others. ( Pubic hair trimmed or removed in most examples. ) The labia minora ( smaller lips ) are the inner two soft folds of the labia, within the labia majora, and contain numerous sebaceous glands. They meet at the frenulum of the labia minora which is a fold of restrictive tissue. Though called the smaller lips they can often be of considerable size, and may protrude outside the labia majora. Much of the variation among vulvas lies in the significant differences in the size, shape, and color of the labia minora. This variation has also been evidenced in a large display of 400 vulval casts called the Great Wall of Vagina created to fill the lack of information of what a normal vulva looks like. The casts taken from a large and varied group of women showed clearly that there is much variation. The clitoris is located at the front of the vulva, where the labia minora meet, at the frenulum of clitoris. The visible portion of the clitoris is the clitoral glans. Typically, the clitoral glans is roughly the size and shape of a pea, although it can be significantly larger or smaller. The clitoral glans is highly sensitive, containing as many nerve endings as the homologous organ in males, the glans penis. The clitoral hood, is a protective fold of skin that normally covers the clitoris, however this may not completely cover larger than normal clitorises. The clitoral hood is the female equivalent of the male foreskin. Often the clitoral hood is only partially hidden inside of the pudendal cleft. The area between the labia minora where the vaginal opening and urinary meatus are located is called the vulval vestibule. The urinary meatus is below the clitoris and just in front of the vagina. The opening of the vagina is located at the bottom of the vulval vestibule, toward the perineum. The term introitus is more technically correct than `` opening '', since the vagina is usually collapsed, with the opening closed, unless something is inserted. The introitus is sometimes partly covered by a membrane called the hymen. The hymen will usually rupture during the first episode of vigorous sex, and the blood produced by this rupture has been seen as to signify virginity. However, the hymen may also rupture spontaneously during exercise ( including horseback riding ) or be stretched by normal activities such as use of tampons and menstrual cups, or be so minor as to be unnoticeable. In some rare cases, the hymen may completely cover the vaginal opening, requiring surgery. On either side of the back part of the vaginal opening are the two greater vestibular glands also known as Bartholin 's glands. These glands secrete mucus and a vaginal and vulval lubricant. They are homologous to the bulbourethral glands in the male. The lesser vestibular glands also known as Skene 's glands, are found on the anterior wall of the vagina. They are homologues of the male prostate gland and are also referred to as the female prostate. The skin of the vulva is more delicate than other areas of skin. Pubic hair is much coarser than other body hair. It appears at puberty and is considered a secondary sex characteristic. The mons pubis and the labia majora become covered by pubic hair and it can also grow on the inner thighs and perineum. Pubarche is the first appearance of pubic hair and can occur independently of puberty. Premature pubarche may indicate underlying endocrine conditions. Apocrine sweat glands secrete sweat into the pubic hair follicles. This is broken down by bacteria on the skin and produces an odor, which some consider to act as a sex pheromone ( sexual attractant ). The tissues of the vulva are highly vascularised and blood supply is provided by the three pudendal arteries. Venous return is via the external and internal pudendal veins. The organs and tissues of the vulva are drained by a chain of superficial inguinal lymph nodes located along the blood vessels. Nerve supply The ilioinguinal nerve originates from the first lumbar nerve and gives branches that include the anterior labial nerves which supply the skin of the mons pubis and the labia majora. The perineal nerve is one of the terminal branches of the pudendal nerve and this branches into the posterior labial nerves to supply the labia. The pudendal nerve branches include the dorsal nerve of clitoris which gives sensation to the clitoris. The pudendal nerve enters the pelvis through the lesser sciatic foramen and continues medial to the internal pudendal artery. The point where the nerve circles the ischial spine is the location where a pudendal block of local anesthetic can be administered to inhibit sensation to the vulva. A number of smaller nerves split off from the pudendal nerve. The deep branch of the perineal nerve supplies the muscles of the perineum and a branch of this supplies the bulb of the vestibule. Muscle tissue Muscles underlying the vulva Pelvic floor muscles help to support the vulvar structures. The voluntary, pubococcygeus muscle, part of the levator ani muscle partially constricts the vaginal opening. Other muscles support the vulvar area. These are the transverse perineal muscles, the bulbospongiosus, and the ischiocavernosus muscles. The muscles are part of the urogenital triangle. Development This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. ( March 2016 ) Fetus Genital tubercle of female at fourteen weeks Development of genitals showing homologues from indifferent at A to both sexes - female on right The appearance of the external genital region is the same for males and females during the eighth week. Beginning in the third month of development, the genital tubercle becomes the clitoris. The urogenital folds become the labia minora, and the labioscrotal swellings become the labia majora. Childhood At birth, the neonate 's vulva ( and breast tissue -- see witch 's milk ) may be swollen or enlarged as a result of having been exposed, via the placenta, to her mother 's increased levels of hormones. The clitoris is proportionally larger than it is likely to be later in life. Within a short period of time as these hormones wear off, the vulva will shrink in size. From then until puberty the vulva does n't change in appearance, other than growing in proportion with the rest of the body. Puberty The onset of puberty produces a number of changes. The structures of the vulva become proportionately larger and may become more pronounced. Coloration may change and pubic hair develops, first on the labia majora, and later spreading to the mons pubis, and sometimes the inner thighs and perineum. The labia minora may grow more prominent and undergo changes in color. In preadolescent girls, the vulva appears to be positioned further forward than in adults, showing a larger percentage of the labia majora and pudendal cleft when standing. During puberty the mons pubis enlarges, pushing the forward portion of the labia majora away from the pubic bone, and parallel to the ground ( when standing ). Variations in body fat levels affect the extent to which this occurs. Postmenopause During menopause, hormone levels decrease, and as this process happens, reproductive tissues which are sensitive to these hormones shrink in size. The mons pubis, labia, and clitoris are reduced in size in post-menopause, although not usually to pre-puberty proportions. This is a condition called vulval atrophy and the decrease in estrogen can cause pale, itchy or sore skin. Sexual homology Main article : List of related male and female reproductive organs Most male and female sex organs originate from the same tissues during fetal development ; this includes the vulva. The anatomy of the vulva is related to the anatomy of the male genitalia by a shared developmental biology. Organs that have a common developmental ancestry in this way are said to be homologous. The clitoral glans is homologous to the glans penis in males, and the clitoral body and the clitoral crura are homologous to the corpora cavernosa of the penis. The labia majora, labia minora, and clitoral hood are homologous to the scrotum, shaft skin of the penis, and the foreskin, respectively. The vestibular bulbs beneath the skin of the labia minora are homologous to the corpus spongiosum, the tissue of the penis surrounding the urethra. The greater vestibular glands are homologous to the bulbourethral glands in males. Function and physiology The vulva has a sexual function ; these external organs are richly innervated and provide pleasure when properly stimulated. There are a number of different secretions associated with the vulva, including urine, sweat, menses, sebum, and secretions from the vestibular glands and vaginal wall. These secretions contain a mix of chemicals, including pyridine, squalene, urea, acetic acid, lactic acid, complex alcohols, glycols, ketones, and aldehydes. During sexual arousal, vaginal lubrication increases. Smegma is a white substance formed from a combination of dead cells, skin oils, moisture and naturally occurring bacteria, that forms in the genitalia. In females it collects around the clitoris and labial folds. It is also found in other mammals. Some women produce aliphatic acids. These acids are a pungent class of chemicals which other primate species produce as sexual - olfactory signals. While there is some debate, researchers often refer to them as human pheromones. These acids are produced by natural bacteria resident on the skin. The acid content varies with the menstrual cycle, rising from one day after menstruation, and peaking mid-cycle, just before ovulation. Sexual arousal Main article : Human sexual response cycle This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. ( March 2016 ) Sexual arousal results in a number of physical changes in the vulva. Vaginal lubrication begins first. Vulva tissue is highly vascularised ; arterioles dilate in response to sexual arousal and the smaller veins will compress after arousal, so that the clitoris and labia minora increase in size. Increased vasocongestion in the vagina causes it to swell, decreasing the size of the vaginal opening by about 30 %. The clitoris becomes increasingly erect, and the glans moves towards the pubic bone, becoming concealed by the hood. The labia minora increase considerably in thickness. The labia minora sometimes change considerably in color, going from pink to red in lighter skinned women who have not borne a child, or red to dark red in those that have. Immediately prior to orgasm, the clitoris becomes exceptionally engorged, causing the glans to appear to retract into the clitoral hood. Rhythmic muscle contractions occur in the outer third of the vagina, as well as the uterus and anus. Contractions become less intense and more randomly spaced as the orgasm continues. An orgasm may have as few as one or as many as 15 or more contractions, depending on its intensity. Orgasm may be accompanied by female ejaculation, causing liquid from either the Skene 's gland or bladder to be expelled through the urethra. The pooled blood begins to dissipate, although at a much slower rate if an orgasm has not occurred. The vagina and vaginal opening return to their normal relaxed state, and the rest of the vulva returns to its normal size, position and color. Clinical significance Pruritus vulvae is itching in the vulvar region and is a symptom of many underlying causes. Pubic shaving can result in pseudofolliculitis pubis and folliculitis as well as cuts to the labia and clitoris, and ingrown hairs. Pubic shaving increases the risk of contracting the sexually transmitted viral infection, molluscum contagiosum. A less common inflammatory disorder is mucosal genital lichen planus. A severe variant of this is vulvovaginal gingival syndrome which can lead to narrowing of the vagina, or vulva destruction. Vulvodynia Vulvodynia is chronic pain in the vulvar region. There is no single identifiable cause. A sub-type of this is vulvar vestibulitis but since this is not thought to be an inflammatory condition it is more usually referred to as vestibulodynia. Vulvar vestibulitis usually affects pre-menopausal women. Infections This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. ( April 2017 ) Main articles : Vulva disease and Sexually transmitted infection Molluscum contagiosum A female crab louse Vulvar organs and tissues can become infected with different pathogens, or infested by parasites. Any inflammation caused is called vulvitis. Sexually transmitted infections may cause signs and symptoms on the vulva even though the agents may not be visible in the vulvar region. Vulvovaginal health measures can help to prevent many disorders. Vaginitis can have many causes and different health measures can help its prevention. The following infections include those that can also be classed as sexually transmitted infections. Infections of the vagina such as vaginosis and of the uterus may produce vaginal discharge which can be an irritant when it comes into contact with the vulvar tissue, causing itching, inflammation and discomfort. Bacterial infections include : Chancroid caused by Haemophilus ducreyi ; Granuloma inguinale caused by Klebsiella granulomatis ; Syphilis caused by Treponema pallidum ; and Gonorrhea caused by the bacterium Neisseria gonorrhoeae. Viral infections include genital herpes caused by the herpes simplex virus ( 1 and 2 ), transmissible with or without visible blisters ; the lentivirus HIV ( human immunodeficiency virus ) -- transmissible in venereal fluids, semen, breast milk, and blood ; HPV ( Human papillomavirus ) -- skin and mucosal contact. ' High risk ' types of HPV can cause vulvar cancer. Some other types of HPV cause genital warts. Molluscum contagiosum caused by a poxvirus ( molluscum contagiosum virus MCV ) transmissible on close contact. A common fungal infection, commonly known as thrush is vaginal yeast infection a type of candidiasis caused by a number of species of Candida. Parasitic infections include trichomoniasis, pediculosis pubis and scabies. Trichomoniasis is a microparasitic infection caused by the protozoan Trichomonas vaginalis. This is the most common vulval infection ( in industrialised societies ) and is transmitted by sexual contact. Pediculosis pubis commonly called crabs, is a disease caused by the ectoparasite crab louse ( Pthiras pubis ). Scabies also known as the seven year itch is caused by another ectoparasite, the mite Sarcoptes scabiei usually transmitted by skin to skin contact. Cancer Main article : Vulvar cancer Many malignancies can develop in vulvar structures. Most vulvar cancers are squamous cell carcinomas and are usually found in the labia particularly the labia majora. The second most common vulval cancer ( though not very common ) is vulval melanoma. A vulvectomy may need to be performed in order to remove some or all of the vulva. This procedure is usually performed as a last resort in certain cases of cancer, vulvar dysplasia or vulvar intraepithelial neoplasia. Signs and symptoms can include : itching, or bleeding ; skin changes including rashes, sores, lumps or ulcers, and changes in vulval skin coloration. Pelvic pain might also occur. Other Crohn 's disease of the vulva Paget 's disease of the vulva hormone fluctuations psoriasis lichen sclerosus lichen simplex chronicus eczema ( uncommon ) seborrheic dermatosis ( uncommon ) ) papillary hidradenoma Childbirth The vulvar region is at risk for trauma during childbirth. During childbirth, the vagina and vulva must stretch to accommodate the baby 's head ( approximately 9.5 cm ( 3.7 in ) ). This can result in tears known as perineal tears in the vaginal opening, and other structures within the perineum. An episiotomy ( a pre-emptive surgical cutting of the perineum ) is sometimes performed to facilitate delivery and limit tearing. Perineal tearing or cutting does leave scar tissue. No advantages have been demonstrated in the shaving of pubic hair prior to childbirth. Rates of complications remain the same between women who were shaved and those unshaven. Surgery Main articles : Genitoplasty and Cosmetic surgery Genitoplasties are surgical procedures that can be carried out to repair, restore or alter vulvar tissues, particularly following damage caused by injury or cancer treatment. These procedures include vaginoplasty which can also be performed as a cosmetic surgery. Other cosmetic surgeries to change the appearance of external structures include labiaplasties. Elective vulvar surgery has been criticized by clinicians. The American College of Obstetricians and Gynecologists recommends that women be informed of the risks of these surgeries. They refer to the lack of data relevant to their safety and effectiveness and to the potential associated risks such as infection, altered sensation, dyspareunia, adhesions, and scarring. There is also a percentage of people seeking elective surgery who may be suffering from body dysmorphic disorder and surgery in these cases can be counterproductive. Society and culture See also : Vagina § Society and culture Many cultures have no or few taboos on exposure of the breasts, but the vulva and pubic triangle are always the first areas to be covered. A Khoisan woman Saartjie Baartman, the so - called `` Hottentot Venus '' who was exhibited in London at the beginning of the nineteenth century, was paid to display her large buttocks, but she never revealed her vulva. Khoisan women were said to have elongated labia, leading to questions about, and requests to exhibit, their sinus pudoris, `` curtain of shame '', or tablier ( the French word for `` apron '' ). To quote Georges Cuvier, `` The labia minora, or inner lips, of the ordinary female genitalia are greatly enlarged in ( Khoisan ) women, and may hang down three or four inches below the vagina when women stand, thus giving the impression of a separate and enveloping curtain of skin ''. A gynaecological examination being carried out in 1822 The naming of the external genitalia ( in both sexes ) as pudenda membra ( parts to be ashamed of ) dates from the mid-17th century. The naming clearly influenced the general perception of the vulva and this is shown in depicted gynaecological procedures. The examiner is adopting the compromise procedure where the woman 's genitals can not be seen. In some cultures, including modern Western culture, women have shaved or otherwise removed the hair from part or all of the vulva. When high - cut swimsuits became fashionable, women who wished to wear them would remove the hair on either side of their pubic triangles, to avoid exhibiting pubic hair. Other women relish the beauty of seeing their vulva with hair, or completely hairless, and find one or the other more comfortable. The removal of hair from the vulva is a fairly recent phenomenon in the United States, Canada, and Western Europe, usually in the form of bikini waxing or Brazilian waxing, but has been prevalent in many Eastern European and Middle Eastern cultures for centuries, usually due to the idea that it may be more hygienic, or originating in prostitution and pornography. Hair removal may include all, most, or some of the hair. French waxing leaves a small amount of hair on either side of the labia or a strip directly above and in line with the pudendal cleft called a landing strip. Piercings of the vulva include the Christina piercing and the Nefertiti piercing. Islam teaching includes Muslim hygienical jurisprudence a practice of which is the removal of pubic hair. Several forms of genital piercings can be done in the female genital area, and include the Christina piercing, the Nefertiti piercing, the fourchette piercing, and labia piercings. Piercings are usually performed for aesthetic purposes, but some forms like the clitoral hood piercing might also enhance pleasure during sex. Though they are common in traditional cultures, intimate piercings are a fairly recent trend in Western society. Altering the female genitalia Main articles : Genital modification and mutilation and Religious views on female genital mutilation The Labia pride movement resents the ideals of female cosmetic genital surgeries : The Muff March in London, 2011 The most prevalent form of genital alteration in some countries is female genital mutilation : removal of any part of the female genitalia for cultural, religious or other non-medical reasons. This practice is highly controversial as it is often done to non-consenting minors and for debatable ( often misogynistic ) reasons. An estimated 100 to 140 million girls and women in Africa and Asia have experienced some form of genital mutilation. Female genital surgery includes laser resurfacing of the labia to remove wrinkles, labiaplasty ( reducing the size of the labia ) and vaginal tightening. In September 2007, the American College of Obstetricians and Gynecologists issued a committee opinion on these and other female genital surgeries, including `` vaginal rejuvenation '', `` designer vaginoplasty '', `` revirgination '', and `` G - spot amplification ''. This opinion states that the safety of these procedures has not been documented. ACOG recommends that women seeking these surgeries need to be informed about the lack of data supporting these procedures and the potential associated risks such as infection, altered sensation, dyspareunia, adhesions, and scarring. With the growing popularity of female cosmetic genital surgeries, the practice increasingly draws criticism from an opposition movement of cyberfeminist activist groups and platforms, called the labia pride movement. The major point of contention is that heavy advertising for these procedures, in combination with a lack of public education, fosters body insecurities in women with larger labia in spite of the fact that there is normal and pronounced individual variation in the size of labia. The preference for smaller labia is a matter of a fashion fad and is without clinical or functional significance. Etymology The word vulva was taken from the Medieval Latin word volva or vulva ( `` womb, female genitals '' ), probably from the Old Latin volvere ( `` to roll '' ; lit. `` wrapper '' ). Alternative terms The term pudendum, which denotes the external genitalia, comes from the Latin pudenda membra, meaning parts to be ashamed of. As with nearly any aspect of the human body involved in sexual or excretory functions, there are many slang words for the vulva. `` Cunt '', a medieval word for the vulva and once the standard term, has become in its literal sense a vulgarism, and in other uses one of the strongest abusive swearwords in English - speaking cultures. Two widespread terms for the vulva, pussy and fanny ( in the UK ), which used to be a common pet name and nickname respectively, have other non-sexual meanings that lend themselves to double entendres. Art Main article : Vagina and vulva in art L'Origine du monde, an oil painting by Gustave Courbet A 12th century sheela na gig on a church in England Sheela na gigs are figurative carvings of naked women displaying an exaggerated vulva. They are found in ancient and medieval European contexts. They are displayed on many churches, but their origin and significance is debatable. A main line of thinking is that they were used to ward off evil spirits. Other cultures have long celebrated and even worshipped the vulva. Some Hindu sects revere it under the name yoni and texts seem to indicate a similar attitude in some ancient Middle Eastern religions. L'Origine du monde ( `` Origin of the world '' ) painted by Gustave Courbet in 1866 was the first realistic painting of a vulva to be exhibited in Western art. This example of eroticism is also referenced as inspiring Catherine Breillat 's filming of the female genitalia in her 2004 film Anatomie de l'enfer ( Anatomy of Hell ). British artist Jamie McCartney used casts of four hundred vulvas to create the installation known as The Great Wall of Vagina in 2011. The vagina casts are life size. Explanations written by the project 's sexual health adviser accompany these. The purpose of the artist was to `` address some of the stigmas and misconceptions that are commonplace ''. Starr Goode explores the image and possible meanings of the Sheela na gig and Baubo images in particular, but writes also about the recurring image worldwide. Through hundreds of photographs, she demonstrates that the image of a female displaying her vulva is not an anomaly of European religious art or architecture, but that similar images are found in the visual arts and in mythical narratives of Goddesses and Heroines parting their thighs to reveal what she calls, `` sacred powers. '' Her theory is that `` the image is so rooted in our psyches that it seems as if the icon is the original cosmological center of the human imagination. '' Additional images Possible Rupestrian depictions of vulvae, paleolithic Possible stylised vulva stone, paleolithic Attic red - figure lid. Three female organs and a winged phallus. 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Jump up ^ Hillemans P, Wang X, Staehle S, Michels W, Dannecker C ( 2006 ) Evaluation of different treatment modalities for vulvar intraepithelial neoplasia ( VIN ) : CO ( 2 ) laser vaporization, photodynamic therapy, excision and vulvectomy. Gynecol Oncol. 100 : 271 - 5. Jump up ^ `` What Are the Symptoms of Vaginal and Vulvar Cancers ? ''. CDC. 13 March 2014. Retrieved 2016 - 03 - 26. Jump up ^ Barret, Maximilien ; de Parades, Vincent ; Battistella, Maxime ; Sokol, Harry ; Lemarchand, Nicolas ; Marteau, Philippe ( 2014 ). `` Crohn 's disease of the vulva ''. Journal of Crohn 's and Colitis. 8 ( 7 ) : 563 -- 570. ISSN 1873 - 9946. doi : 10.1016 / j. crohns. 2013.10. 009. ^ Jump up to : `` Vulva -- Squamous Hyperplasia ''. University of Michigan, University of Michigan Health System, Department of Anatomical Pathology, Department of Obstetrics and Gynecology, Division of Gynecological Oncology. Retrieved 25 April 2016. Jump up ^ Dudley, Lynn M ; Kettle, Christine ; Ismail, Khaled MK ; Dudley, Lynn M ( 2013 ). `` Secondary suturing compared to non-suturing for broken down perineal wounds following childbirth ''. Cochrane Database Syst Rev ( 9 ) : CD008977. PMID 24065561. doi : 10.1002 / 14651858. CD008977. pub2. Jump up ^ Finn, Martha ; Bowyer, Lucy ; Carr, Sandra ; O'Connor, Vivienne ; Vollenhoven, Beverley ( 2005 ). Women 's Health : A Core Curriculum. Australia : Elsevier. ISBN 0 - 7295 - 3736 - 6. Jump up ^ Basevi, Vittorio ; Lavender, Tina ; Basevi, Vittorio ( 2014 ). `` Routine perineal shaving on admission in labour ''. Reviews ( 11 ) : CD001236. PMID 25398160. doi : 10.1002 / 14651858. CD001236. pub2. Jump up ^ Lefebvre, A. ; Saliou, P. ; Lucet, J.C. ; Mimoz, O. ; Keita - Perse, O. ; Grandbastien, B. ; Bruyère, F. ; Boisrenoult, P. ; Lepelletier, D. ; Aho - Glélé, L.S. ( 2015 ). `` Preoperative hair removal and surgical site infections : network meta - analysis of randomized controlled trials ''. Journal of Hospital Infection. 91 ( 2 ) : 100 -- 108. ISSN 0195 - 6701. doi : 10.1016 / j. jhin. 2015.06. 020. Jump up ^ Bourke, Emily ( 2009 - 11 - 12 ). `` Designer vagina craze worries doctors ''. Australian Broadcasting Corporation. Retrieved 5 March 2016. Jump up ^ Liao, Lih Mei ; Sarah M Creighton ( 24 May 2007 ). `` Requests for cosmetic genitoplasty : how should healthcare providers respond ? ''. BMJ. British Medical Journal. 334 ( 7603 ) : 1090 -- 1092. PMC 1877941. PMID 17525451. doi : 10.1136 / bmj.39206.422269.BE. Retrieved 3 March 2016. ^ Jump up to : American College of Obstetricians and Gynecologists ( 2007 ). `` Vaginal `` Rejuvenation '' and Cosmetic Vaginal Procedures '' ( PDF ) : 2. Archived from the original ( PDF ) on 2008 - 12 - 30. Jump up ^ Tignol, J ; Martin - Guehl, C ; Aouizerzate, B ( January 2012 ). `` ( Body dysmorphic disorder ( BDD ) ). ''. Presse medicale ( Paris, France : 1983 ). 41 ( 1 ) : e22 -- 35. PMID 21831574. doi : 10.1016 / j. lpm. 2011.05. 021. Jump up ^ ( Strother 1999 ) Jump up ^ Stuart Ewen ; Elizabeth Ewen ( 4 January 2011 ). Typecasting : On the Arts and Sciences of Human Inequality. Seven Stories Press. p. 165. ISBN 978 - 1 - 58322 - 949 - 1. ^ Jump up to : `` pudenda membra ''. Oxford English Dictionary ( 2nd ed. ). Oxford University Press. September 2005. ( Subscription or UK public library membership required. ) Jump up ^ Ismail, Buyukcelebi ( 2003 ). Living in the Shade of Islam : A Comprehensive Reference of Theory and Practice. Tughra Books. p. 169. ISBN 1 - 932 - 09921 - 2. Jump up ^ `` ' Can selfish lovers ever give as good as they get ? Plus, the perks of piercings and how to get her to hurry up already ' ''. MSNBC. 2007 - 12 - 04. Retrieved 2011 - 11 - 13. Jump up ^ `` Vaughn S. Millner et al. ( 2005 ) : ' First glimpse of the functional benefits of clitoral hood piercings ', American Journal of Obstetrics and Gynecology, Volume 193, Issue 3, Pages 675 - 676 ''. Ajog.org. Retrieved 2011 - 11 - 13. Jump up ^ `` VCH Piercings, by Elayne Angel, Seite 16 - 17, The Official Newsletter of The Association of Professional Piercers '' ( PDF ). Retrieved 2011 - 11 - 13. Jump up ^ `` Female genital mutilation ''. World Health Organization ( WHO ). February 2010. Jump up ^ `` Female genital mutilation ''. World Health Organization. 2016. Retrieved 2016 - 03 - 24. Jump up ^ Clark - Flory, Tracy ( February 17, 2013 ). `` The `` labia pride '' movement : Rebelling against the porn aesthetic, women are taking to the Internet to sing the praises of `` endowed '' women. ``. Salon.com. Retrieved 2013 - 03 - 14. Jump up ^ Sourdès, Lucile ( February 21, 2013 ). `` Révolution vulvienne : Contre l'image de la vulve parfaite, elles se rebellent sur Internet ''. Rue89. Retrieved 2013 - 03 - 14. Jump up ^ Online Etymology Dictionary Jump up ^ For slang terms for the vulva, see WikiSaurus : female genitalia -- the WikiSaurus list of synonyms and slang words for female genitalia in many languages. Jump up ^ Oxford English Dictionary. Oxford University Press. Chiefly colloq. A girl or woman exhibiting characteristics associated with a cat, esp. sweetness or amiability. Freq. used as a pet name or as a term of endearment. access - date = requires url = ( help ) Jump up ^ A Dictionary of First Names ( 2nd ed. ). Oxford University Press. Pet form of Frances, very popular in the 18th and 19th centuries, but now much rarer. access - date = requires url = ( help ) Jump up ^ Silverton, Peter ( 2011 ). Filthy English : The How, Why, When And What Of Everyday Swearing. Granta Publications. p. 182. ISBN 978 - 1 - 84627 - 452 - 7. Retrieved 2017 - 02 - 22. Jump up ^ Rosewarne, Lauren ( 2013 ). American Taboo : The Forbidden Words, Unspoken Rules, and Secret Morality of Popular Culture. ABC - CLIO. pp. 81 -- 82. ISBN 978 - 0 - 313 - 39934 - 3. While pussy as a euphemism for vagina is very common in popular parlance, Mrs Slocombe was actually talking about her pet cat. In this context, the use of pussy works as a double entendre rather than as a euphemism. Jump up ^ Jeffries, Stuart ( 2008 ). Mrs Slocombe 's Pussy : Growing Up in Front of the Telly. Flamingo. Mrs Slocombe 's pussy changed all that. (... ) It was funny, surely, because it dissolved that secret source of female power into a double entendre. access - date = requires url = ( help ) Jump up ^ `` Yoni ''. Retrieved 30 March 2016. Jump up ^ `` Catherine Breillat, cinéaste '', interview by Laurent Devanne, Radio libertaire ( 1 February 2004 ) Jump up ^ McCartney, Jamie ( 2011 ). The great wall of vagina. Brighton : Jamie McCartney. ISBN 978 - 0956878502. Jump up ^ `` ' The Great Wall Of Vagina ' Is, Well, A Great Wall Of Vaginas ( NSFW ) ''. Retrieved 2016 - 04 - 17. Jump up ^ Wheatstone, Richard. `` Great Wall of Vagina : Vulva artist creates sculpture using plaster casts of women 's private parts ''. Mirror Online. Retrieved 2016 - 04 - 17. Jump up ^ Goode, Staff ( 2016 ). Sheela na gig : The Dark Goddess of Sacred Power. Inner Traditions. ISBN 9781620555958. Retrieved 9 January 2017. External links Look up vulva in Wiktionary, the free dictionary. Media related to Vulvas at Wikimedia Commons Media related to Vulva symbols at Wikimedia Commons ' V ' is for vulva, not just vagina by Harriet Lerner discussing common misuse of the word `` vagina '' Vulvar hygiene and Urinary Tract Infections by Heather Corinna ( illustrations ; no explicit photos ) Female reproductive system Internal Adnexa Ovaries Follicles corpus hemorrhagicum luteum albicans Theca of follicle externa interna Follicular antrum Follicular fluid Corona radiata Zona pellucida Membrana granulosa Perivitelline space Other Germinal epithelium Tunica albuginea cortex Cumulus oophorus Stroma Medulla Fallopian tubes Isthmus Ampulla Infundibulum Fimbria Ostium Ligaments Ovarian ligament Suspensory ligament Wolffian vestiges Gartner 's duct Epoophoron Vesicular appendages of epoophoron Paroophoron Uterus Regions Body Uterine cavity Fundus Cervix External orifice Cervical canal Internal orifice Supravaginal portion Vaginal portion Uterine horns Layers Endometrium epithelium Myometrium Perimetrium Parametrium Ligaments Round ligament Broad ligament Cardinal ligament Uterosacral ligament Pubocervical ligament General Uterine glands Vagina Fossa of vestibule of vagina Vaginal fornix Hymen External Vulva Labia Mons pubis Labia majora Anterior commissure Posterior commissure Pudendal cleft Labia minora Frenulum of labia minora Frenulum of clitoris Vulval vestibule Interlabial sulci Bulb of vestibule Vaginal orifice vestibular glands / ducts Bartholin 's glands / Bartholin 's ducts Skene 's glands / Skene 's ducts Clitoris Crus of clitoris Corpus cavernosum Clitoral glans Hood Urethra Urethral crest Other G - spot Urethral sponge Perineal sponge Sexually transmitted infection ( STI ) ( primarily A50 -- A64, 090 -- 099 ) Bacterial Chancroid ( Haemophilus ducreyi ) Chlamydia / Lymphogranuloma venereum ( Chlamydia trachomatis ) Donovanosis or Granuloma Inguinale ( Klebsiella granulomatis ) Gonorrhea ( Neisseria gonorrhoeae ) Mycoplasma hominis infection ( Mycoplasma hominis ) Syphilis ( Treponema pallidum ) Ureaplasma infection ( Ureaplasma urealyticum ) Protozoal Trichomoniasis ( Trichomonas vaginalis ) Parasitic Crab louse / crabs Scabies Viral AIDS ( HIV - 1 / HIV - 2 ) Cervical cancer, vulvar cancer & Genital warts ( condyloma ), Penile cancer, Anal cancer ( Human papillomavirus ( HPV ) ) Hepatitis B ( Hepatitis B virus ) Herpes simplex ( HSV1 / HSV2 ) Molluscum contagiosum ( MCV ) General inflammation female Cervicitis Pelvic inflammatory disease ( PID ) male Epididymitis Prostatitis either Proctitis Urethritis / Non-gonococcal urethritis ( NGU ) Muscles of perineum Perineum Anal triangle sphincter ani external internal Ischioanal fossa Pudendal canal Middle Perineal body Urogenital triangle superficial perineal pouch superficial transverse perineal bulbospongiosus ischiocavernosus deep perineal pouch deep transverse perineal sphincter urethrae membranaceae Fascia Superficial perineal fascia Colles ' fascia ( in scrotum and penis : Dartos ) Deep perineal fascia Deep perineal fascia / superficial investing fascia ( Gallaudet 's ) ( in penis : Deep fascia of the penis ( Buck 's ) ) Urogenital diaphragm Inferior fascia ( Perineal membrane ) Superior fascia Pelvic diaphragm Inferior fascia Superior fascia Muscles and ligaments of abdomen and pelvis Abdominal wall Anterior / lateral Muscle Abdominal external oblique Transverse abdominal Conjoint tendon Rectus sheath rectus abdominis pyramidalis Arcuate line Tendinous intersection Cremaster Abdominal internal oblique Fascia Abdominal fascia panniculus adiposus Fascia of Camper Membranous layer Fascia of Scarpa Transverse fascia Interfoveolar ligament Linea alba Linea semilunaris Inguinal Inguinal triangle Inguinal canal Deep inguinal ring Superficial inguinal ring Intercrural fibers Crura of superficial inguinal ring Inguinal ligament Pectineal ligament Lacunar ligament Reflected ligament Posterior Muscle quadratus lumborum Iliopsoas psoas major psoas minor iliacus Fascia Iliac fascia Iliopectineal arch Pelvis Muscle levator ani iliococcygeus pubococcygeus puborectalis coccygeus rectococcygeus Fascia pelvic fascia Visceral Rectovaginal fascia Rectoprostatic fascia Parietal Obturator fascia Tendinous arch Piriformis fascia floor superior fascia Pubovesical ligament Puboprostatic ligament inferior fascia Anococcygeal body Women 's health Reproductive &Sexual health Reproductive health Reproductive tract External female genitalia Clitoris Clitoral hood Labia minora Labia majora Vagina Cervix Uterus Fallopian tube Ovary Reproductive system disease Maternal health Pregnancy Unintended pregnancy Gravidity and parity Obstetrics Antenatal care Adolescent pregnancy Complications of pregnancy Hyperemesis gravidarum Ectopic pregnancy Miscarriage Obstetrical bleeding Gestational diabetes Hypertension Preeclampsia Eclampsia Childbirth Midwifery Preterm birth Multiple births Oxytocin Obstructed labor Cesarian section Retained placenta Obstetrical fistulae Vesicovaginal fistula Rectovaginal fistula Postpartum care Maternal deaths Perinatal mortality Stillbirths Abortion Mother - to - child transmission Sterilization Compulsory sterilization Reproductive life plan Infertility Childlessness Assisted reproductive technology In vitro fertilization Parenting Adoption Fostering Contraception & Family planning Unsafe sex Intrauterine devices Oral contraceptives Condoms Contraceptive prevalence Contraceptive security Planned parenthood Menstruation Menarche Menstrual cycle Menstrual aids Tampon Sanitary pad Dysmenorrhea Menorrhagia Amenorrhoea Menopause Hormone replacement therapy Sexual health Sexually transmitted infections HIV Human papilloma virus HPV vaccine Pelvic inflammatory disease Female genital cutting Clitoridectomy Infibulation Child marriage Forced marriage Polygamy Sexual intercourse Orgasm Dyspareunia Other Sex differences Sex education Puberty Breast health Gynaecological disorders Vaginitis Non-reproductive health Violence against women Abuse during childbirth Domestic violence Intimate partner violence Misogyny Sexual harassment Sexual assault Rape Femicide Gender discrimination Non-communicable diseases Cancer Lung cancer Breast cancer Uterine cancer Endometrial cancer Cervical cancer Papanicolaou test Ovarian cancer Cardiovascular disease Dementia Alzheimer 's disease Bone health Osteoporosis Hip fracture Anaemia Mental health Anxiety Depression Major depressive disorder Urinary tract Urethra Urinary tract infection Urinary incontinence Sociocultural factors Poverty Disadvantaged Gender equality Healthcare inequality Gender disparities in health Social determinants of health Reproductive justice Women 's empowerment Politics, Research & Advocacy United Nations The Convention on the Elimination of All Forms of Discrimination against Women Declaration on the elimination of violence against women International Day of the Girl Child Commission on the Status of Women UN Women United States Office of Research on Women 's Health Women 's Health Initiative International Center for Research on Women Nurses ' Health Study Black Women 's Health Study Cartwright Inquiry Society for Women 's Health Research Women 's health by country Women 's health in China Women 's health in Ethiopia Women 's health in India Family planning Birth control in the United States Commons Portal WikiProject GND : 4117408 - 2 Retrieved from `` https://en.wikipedia.org/w/index.php?title=Vulva&oldid=802940349 '' Categories : Wikipedia articles incorporating text from the 20th edition of Gray 's Anatomy ( 1918 ) Women 's health Mammal female reproductive system Human female reproductive system Pelvis Hidden categories : Pages using citations with accessdate and no URL Wikipedia indefinitely semi-protected pages Wikipedia indefinitely move - protected pages Use dmy dates from January 2016 Medicine infobox template using GraySubject or GrayPage Medicine infobox template using Dorlands parameter Articles containing Latin - language text Articles needing additional references from February 2017 All articles needing additional references Articles needing additional references from March 2016 All articles with unsourced statements Articles with unsourced statements from March 2016 Articles needing additional references from April 2017 Articles with unsourced statements from August 2017 Articles containing French - 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Question: where is the vulva located on a female
Answer: external female sex organs