Eliza Dolecka, Health Guide: The professor agreed to talk about pussy health. It's pretty bold, not just in terms of language.

Prof. Marzena Dębska: The Polish language does not really give a lot of room to show when it comes to vocabulary defining genitals and intimate areas. In addition, since childhood, we are told that having a pee is a reason to be proud, but it is better not to admit it to the pussy. It's time to change that. I personally like the word “pussy”, much more than, for example, “vulva”. We still have a vagina, or vagina, but for the vulva, that is, the external genitalia, there is probably no better term.

- The Belvedere professor, a prominent expert in the treatment of fetuses in the womb, implementing innovative methods of repairing hearts and bladder a few millimeters in size, talks about pussies? The topic seems rather banal.

- Wrongly! Indeed, women are not used to the fact that someone can perceive their needs and roles other than being pregnant and having children. I, when I see that there is a problem, try gently, so as not to offend a woman, to take up the topic of pussy and sometimes also aesthetic gynecology. First of all, I am a doctor for women, not just their children.

- Aesthetic medicine seems to be a rather slippery subject, especially recently when doctors or celebrities are outright prosecuted for its promotion. *

- I have nothing against aesthetic medicine, but aesthetic gynecology, however, is something else. Most of the treatments included in it have a proven health-promoting effect, and some are even carried out in hospitals, as part of the National Health Insurance Fund. Even the official term “plastic and reconstructive gynecology” was introduced. There are several scientific societies that deal with this. The discomfort caused by birth defects in the structure of the labia, postpartum injuries or, finally, the so-called urogenital atrophy, is subjective, but I note that downplaying these matters, disregarding a woman's right to feel better in her body, is too often not a question of medical evaluation, but rather of the prevailing mentality.

- Anyway, aesthetic gynecology seems to be far from the professional interests of the professor?

“If you mean fetal therapy, that is indeed the case. But on a daily basis, as a gynecologist, I have to be much more versatile. In addition to working in the hospital, I take in various patients, in whom I encounter problems other than fetal defects much more often. With women with whom not so long ago we talked about pregnancy planning, childbirth, contraception, today I also talk more and more often about Menopause. It's a natural turn of things. At every stage, I try to be with the patient and help her in accordance with the current state of the art medical knowledge. I observe how much worry and pain women experience from the most various abnormalities of intimate zones, even at a young age. It doesn't have to be that way.

- So what do younger patients report with?

— For example, with hypertrophy of the labia minora, which, unfortunately, are “smaller” only in name. Lips can be so large that they protrude from the panties, cause discomfort when walking, are a scourge at the time of cycling. Abrasions and even deep, poorly healing wounds are formed on the lips. Young girls often come with their mothers and ask for help. Women after childbirth suffer from vaginal stretching, damage to the perineum, poorly healed wounds, scars, urinary incontinence. Many of them do not tell the doctor about it, because they think it must be so.

- And you're talking about that?

“It's not that simple. I don't want to offend anyone. I always examine, try to ask how a woman finds her body - after childbirth, during sex, in connection with the approaching menopause. Quite often I hear from my patients that there is a problem, personal life is falling apart, the husband is loving, but they moved away from each other, because the woman refuses to have intercourse. These are sometimes very serious problems.

- Then the operation remains?

“The problems and their solutions are very different, but in general and less often there are indications for surgical procedures. In the case of vaginal relaxation after childbirth, many different actions can help. They are usually painless and very minimally invasive, such as ultrasonic vaginal contraction (HIFU) using radiofrequency or laser. Importantly, many of these treatments reduce the severity by the way urinary incontinence, improves the condition of the mucous membrane, its hydration, and thereby reduces the risk of intimate infections.

- And in the case of hypertrophy of the labia?

— If they are actually too big and interfere, they can be reduced in a very simple way by doing the so-called. Labioplasty. These procedures are performed with the consent of the parents even in adolescents. Recently, they are increasingly done under local anesthesia, without the need for anesthesia. I recently had a patient with my mother. My mother was kind of hoping that I would knock the girl's whimsy out of her head. In this case, I could not agree with my mother, the procedure was very necessary. The girl after him regained the joy of life. My mother, too, is watching the changes that have taken place in her daughter.

- Too large labia minora is mainly a congenital problem?

- No, with a similar problem come quite often mature women. This is usually due to the secondary atrophy of the adipose tissue of the labia majora area. Similar changes occur, for example, on the face. The loss of fatty litter causes them to become so-called “hamsters”. In the case of pussy, it is so that the labia minora begin to protrude - but labioplasty is not needed here. On the contrary - to restore the natural shape and firmness of the labia, it is usually enough to fill them with a small amount Hyaluronic acid and firming the skin covering the lips - for example with a laser or radio wave. This makes the pussy elastic again, firmer, the skin regains its former color. An additional advantage of this procedure is the fact that the filled lips again close the entrance to the vagina, this prevents it from drying out and reduces the susceptibility to infections.

- What else happens to mature women?

- In their case, the so-called urogenital atrophy predominates, which usually causes not only a change in appearance, but also a loss of genital function. Atrophy, or progressive atrophy of the genital organs, is a very serious medical problem. The mucous membranes of the vagina, the skin of the vulva, become thin, dried, prone to injury and infection. This can make it much more difficult or even impossible to have sexual intercourse. Not to mention the lack of pleasure from sex. Persistent burning, itching appears, symptoms from the urinary system join more than once — frequent urination, a feeling of urge to urinate, urinary incontinence. All of this can be really annoying. Women affected by this condition avoid sexual contact, isolate themselves, but rarely seek medical help. And this is a problem for many women, because although it mainly affects postmenopausal women, it can already affect women after forty years of age, still quite regularly menstruating.

- Do they also explain their ailments by age?

Exactly so. Meanwhile, the vagina and vulva, or simply the pussy, can and should be taken care of, just like the face and other areas of the body: effectively regenerate it, eliminate adverse changes if they occur, prevent the consequences of aging. For this purpose, not only aesthetic gynecology procedures are used, but also a whole range of hormonal drugs and vaginal preparations.

- Is it really possible to change a lot for the better?

— A frequent picture in the gynecologist's office — a woman comes in beautifully dressed, well-groomed, with a “done” face, lies down on the gynecological chair and it turns out that her pussy is dried, discolored, her labia wrinkled. We can very easily “rejuvenate” such a pussy - tighten, moisturize, restore elasticity. More than one patient after such a procedure admitted that she felt fantastic, finally dared to boldly show her partner, moreover, it had a revitalizing effect on their relationship and her libido. Personally, I believe that for female attractiveness a cool pussy is more important than inflated lips.

- So women decide on such procedures mainly for partners or sexual partners?

- I wouldn't say. It's different. Sometimes they do aesthetic gynecology treatments primarily for health, and other benefits, such as better appearance, improved sexual function, are such an added bonus. Many times women do these treatments for themselves, for well-being, to improve self-acceptance, even when the effects theoretically have no one to show.

- Theoretically?

“I remember a patient who was probably 56 years old. When she came to me, she was completely broken. Her husband left her for a younger woman. It did not work out for them either in intimate life or in general. After two births, the woman lost the pleasure of sex. The husband officially allegedly loved her, claimed that he accepted her and for him she was the most beautiful, and yet after some time she found him in bed with his mistress. The woman felt lost, unattractive, in her opinion, without a chance to arrange a life for herself. Her pussy actually looked bad and the woman knew it. It took a few minor treatments to restore her sense of sexual attraction. It was just the beginning. When the same patient came to see me a few months later, she was a completely different person. She was radiant and happy. It started with pussy, but then she took care of everything else — she took care of her psyche, improved her beauty, strengthened her hair, healed her teeth, even tattooed cute freckles on her face. She is now very successful with men and only regrets that she had not fought for herself before.

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