Common complaints include labial pain and irritation from rubbing against clothing (especially jeans and workout clothes), as well as interference with activities including intercourse, tampon placement, urination, cycling or horseback riding and the appearance of a bulge when wearing certain clothes. For some women elongated or asymmetrical labia may cause embarrassment or interfere with a sexual relationship. A significant percentage of our patients simply do not like the appearance of their labia and request subtle sculpting.