Who knew Medicare covered cosmetic procedures like vulvoplasty and labiaplasty which are used to improve the ‘look and shape’ of the vulva?
The procedures are used by some with medical conditions that cause painful and sometimes embarrassing problems. Others just want to look ‘prettier’ down there.
The Australian Government has turned its attention to the latter as it looks to make some budget savings. As Fairfax reported:
“However the number of these procedures done outside hospital attracting payments under the Medicare safety net has nearly doubled in recent years to 191 in 2010, at a cost of $427,551.”
If the Government is now acutely aware of the increase in ‘designer vaginas’, it must be an issue large enough to make waves. Scarlett Harris writes:
‘The Perfect Vagina’ (which you can watch here) is a documentary that deals with the rising dissatisfaction women have with their vajayjays and the quest for genital perfection in the form of labiaplasty, a cosmetic surgical procedure that changes the size and shape of the labia minora. In it, UK television presenter and actress Lisa Rogers encounters Rosie, a young woman who hates her vulva and is scheduled for a labiaplasty. She wants the surgery because her sister and her male friends never cease to make fun of what they—and she—believe to be her overextended inner labia.
Call me old fashioned, but I think men should be falling over themselves to get with a naked woman who wants to get with them, not scrutinising her body. As Rogers wishes she’d said to a man she interviews who prefers a “tucked in” ladygarden, “why don’t you get your cock out, then?”
While the other men Rogers asks about their vaginal preferences claim to have none, I think she’s looking to the wrong men. In my experience, Gen X guys, whom the doco seemed to focus on, are accepting of women in all their glory, flaws and all. Gen Y guys? Not so much.
One of my friends, 25-year-old Tom* subscribed to the strangely common and hugely incorrect male perception that the larger a woman’s flaps, the sluttier she is! If ever there was an argument to stop airbrushing the life out of vulvas, so to speak, in men’s magazines this is it.
Journalist Kristen Drysdale debunks Tom’s theory in her moving exposé on labiaplasty for ABC’s Hungry Beast:
“[The size of a woman’s labia] has nothing to do with how much sex they’ve had, their state of arousal or whether they’ve borne children (although, so what if it was?). It’s simply the way they are built.”
Mia Freedman has been a vocal champion of the importance of seeing real ladybits, and she writes:
“… Since women don’t have a non-sexual place to compare bits with other women (unlike men who see other penises all the time at urinals), the only place any of us are likely to see vaginas that don’t belong to us is in men’s magazines.”
On the other hand, women’s magazines aren’t exactly portraying a realistic depiction of the vulva, either: because they’re not allowed. Classification laws in Australia require pictorial representations of female genitalia to be “healed to a single crease”, a phrase from which Drysdale derives the title for her Hungry Beast piece.
God forbid the actual labia minora and majora were featured in the sealed section of Cosmo and happened to fall into the grubby mitts of children—who have a right to see what normal bodies look like and that the body of their mother and/or father aren’t abnormal compared to those in the media—or men, for the purposes of arousal. If men are getting off on pictures of real pussies it can only be beneficial to the plight of real women, who haven’t had plastic surgery, labiaplasty or otherwise deviate from the Classification Board-sanctioned “norm”.
While we wait for the laws to catch up with us in the 21st century, things like vaginal casts (as featured in The Perfect Vagina and The Great Wall of Vagina exhibition), walking around naked and employing the hand mirror can only be beneficial in our quest to body acceptance.
Before I came to accept and love my body the way I do today, I never really saw it other than getting in and out of the shower. Now I take the opportunity to walk around naked whenever I can (and whenever the housemate is out!). Knowing what your body—and yes, your genitalia—looks like in all its glory makes it all the more familiar when it comes time to step into that bikini or get naked with someone.
Controversially, I also think waxing can aid in this. I’ve been shaving and waxing since my mid teens, and I don’t think it has done me any harm. If anything, it’s helped me to be more in tune with my labia and the way it looks.
But I grew up in the nineties, just before internet porn became mainstream and the Brazilian wax reigned supreme. My primary and high school sex education consisted of how to put a condom on a banana and defining the wet dream as opposed to body variance and acceptance.
There may be some hope yet: a recent New York Times article profiled Al Vernacchio, an American high school English and sexuality teacher, who advocates for more realistic sex education in school focusing on pleasure, sexting, consent and sexual orientation, showed the importance of education on this matter. Now there’s a novel idea.
But let’s start it in primary school and in the home if it means young people will grow up with a healthier, more realistic perception of what people—not these airbrushed Victoria’s Secret Angels in centrefolds—actually look like naked. Sort of like Where Did I Come From?; version 2.0.
*Names have been changed.
Scarlett Harris is a freelance writer and blogs about pop culture, gender and feminism daily at The Early Bird Catches the Worm.







Comments
93 Comments so far
Women are very accepting of their own body variences, but any guy with less than 6 inches knows its just another double standard. If a women’s body doesn’t illicit an imeadiate boner, He’s either gay or an arsehole, but if a guy can’t make a woman cum it must be him, no matter how loose she is or how unrealistic her expectations are, nothing to do with the 9 inch ‘punisher’ she’s been streching herself with since early teens.
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http://www.change.org/petitions/australian-classification-board-change-classification-guidelines
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show me the man who doesn’t like a vulva/vagina/whatever you want to call your lady flower (my name for it) and i will show the man who is gay. and an asshole.
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Pingback: On the Net: The Vagina Dialogue. « The Early Bird Catches the Worm
I am not sure who Mia has been talking to, but men are not checking each other out at urinals. That’s a sure fire way of ending up with a punch to the head (which head is left to your imagination).
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I thought that too, Craig! Imagine if blokes were all standing in the bathrooms checking out the next guy?
Sports locker/change rooms might be a better example…
But just as women rarely get the opportunity to see what other women look like, boys and men rarely get to see a wide range of erect penises – with most porn guys being of the excessively endowed variety.
It’s important that people, especially children and teenagers, know that everyone is different and nothing is “wrong” just because it doesn’t look like a magazine or a porn video
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It’s V U L V A. Vagina is the inside part which we can’t see. Vagina also means sheath for a sword, which means it only has purpose in regards to the male anatomy. I think this is a metaphor for where our understanding of gender is at.
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Please ladies, be at peace with your bodies! They will probably never again be as beautiful as they are today, and if you aren’t happy now, imagine how unhappy you’ll be in 20 years time as you get more saggy, wrinkly bits.
As for medically required surgery, the vajayjay should be no different to any other part of the body that needs surgery. This MUST continue to be funded under medicare. Call me a feminist…
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Many women with enlarges labia minora experience pain, discomfort and irritation when wearing jeans and tight pants, riding bicycles and during sexual intercourse for example. Having enlarged labia minora can also be embarrassing for some and cause significant psychological
Distress for others.
Plastic surgery to reduce the size of enlarged labia minora is just as medically indicated like pinning back ears in children and adults with prominent ears, just like reducing large breasts that cause neck and back pain and just like revising a scar that may cause a patient distress.
A labioplasty or vulvaplasty are surgical procedures with medical indications no different to other conditions that would improve a person’s quality of life.
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And misleading articles like the one above do not mention that only a small proportion of the costs of such procedures are covered by Medicare. For instance, I underwent breast augmentation to correct asymmetry, and approximately $1000 of the $10 000 cost was covered by Medicare. That’s hardly ‘designer surgery’.
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What load of toss! If men can use bicycles and wear tight jeans and they have testes that can get crushed, the pain is eye watering.
Every vulva is different, that’s what makes them special and having someone that is a doctor telling women that their labia doesn’t look normal its beyond comprehension and seems like a lawyer chasing an ambulance.
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Such a misleading headline. Medicare doesn’t fund ‘designer vagina’s’ it funds surgery for women who’s vulva’s cause them pain/discomfort. As it should.
I’ve had a ‘nose job’ and a ‘boob job’, but the nose job helped me breath properly, and the breast reduction stopped me from becoming a 25yr old hunchback.
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Love the photo. Yumm-mo!
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I agree! There isn’t a single cupcake in that picture that I wouldn’t eat.
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agree
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This is such a misleading headline. Medicare funds medically necessary procedures. Not cosmetic procedures. Simple. This is a really disappointing article. I am happy for my tax to provide medical attention wherever necessary, including vaginas!
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Just wanted to know…did anyone get to eat those colourful cakes at the top?
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I have a completely different opinion on this designa vagina saga! I’m very insecure about 90% of my body. Although my vagina does not join this figure, I absolutley condone surgery for cosmetic desires. My god hand me $100,000 (I’m sure that’s what I’d need to spend to correct my imperfections) and I’d have an appointment booked tomorrow. Having something wrong with your body that you just CAN’T except is very damaging. Trust me its a daily battle for me. Scarlett I wish I had your confidence, infact I would give anything for that. People so easily say, you’ve got what you’ve got there’s no changing that so just deal! Easier said than done. I feel your sexual organs are very important in making you feel you sexy, womanly and free to get ‘it’ out, not just to please your partner but for yourself. I would absolutely take what I could get from the Government if it meant I felt pretty, comfortable and confident about myself. Selfish…… I’m sure but I’m the disappointed woman looking in the mirror everyday!
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Natalie, I bet you are the only one who thinks you are not lovely! How many people tell you that? Listen to them and accept it! Hugs to you…xx
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I think you’re better off spending that money on counseling. If you are unhappy with 90% of your body then I don’t think plastic surgery is going to fix it, you need to change the way you see yourself, not the way you look.
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I have actually spent money on counseling. And the positives from that lasted for a fairly short period of time. The way I feel is never going to change, there’s no way I know to encourage me to accept my insecurities. it’s just going to be a constant battle I think! Unless of course I win lotto….
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Okay. I am so SICK of people going on about it not being anatomically correct! Mamamia is a fun blog! Not a science journal. I am sure the guys at mamamia know the correct term – as they have been told 1000 times. This complaining is getting old. Designa vaginas is a catchy title. And vajayjay is an fun word designed to make you smile. If you dont like the blog, or the topics or the titles – go away!
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Thanks, Han: you’ve put into words exactly what I have been thinking going through some of the comments. While “vagina” and “vajayjay” might not be the anatomically correct works for what we’re talking about here – the vulva – I would imagine that most people reading the article would understand that we’re just having a bit of wordplay, and “fun”, as you say.
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I find your credibility as a journalist is pretty well diminished as you haven’t responded to comments, or via an edit/add on to your article about the valid use of the procedure that many people use for actual health impacts. Obviously sometimes it is for pain relief or other medical reasons. Don’t ignore and effectively beat down on people who validly use medicare to help themselves with clinically necessary procedures.
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THEY ARE NOT VAGINAS!!!! Vaginas are the bit nobody sees, so this article is rightly about Designer Labia not Designer Vaginas (or good grief – ‘vajayjays’. WTF is that all about????)
Coyly calling all the bits that ‘hang out’ by incorrect nomenclature does nothing to make anyone feel better about bpdy image. It is just another way of hiding it all.
A cunt is a cunt, not a frigging VAGINA.
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everyone knows that but the lay person word is vagina – get over it
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to Anon.. bullshit!! Language has a purpose, use it correctly.
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Jeez… think we don’t know that? Think the writer doesn’t? Yes, the correct term is “vulva” but whether you like it or not, the word “vagina” is used by most people to describe the whole lot. There seems to be a band of people that jump up and down whenever this happens. Seriously – don’t let it worry you.
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I am a guy who has never heard the misconception about labia size and promiscuity – not ever.
I love labia in all it glory. As a young man seeing young women, they were fantastic. As a married man with kids, it remains beautiful, engaging, fun and, as always, something to nibble on.
Girls get over yourselves. Do you get so hung up on the length, shape and colour of your arms? I’ll leave (head) hair out of this.
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Ha ha, ‘vaginatarian’!!
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I was always quite sexually confident, and had never given a thought to how things look down there.. Then I went out with this guy who made the comment “have you been fucked by everyone? Your hanging out all over the place.”
This was more than 6 years ago now, but it really destroyed my confidence, and even to this day, I can’t enjoy my husband going down on me, because I’m worried that he might be thinking the same as that person.. Even though I know he probably isn’t, but the thought is always there.
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What a douchebag. I hope you dumped him quick smart after that.
What sucks is you still have those douche’s comments ringing in your ears years later when Im sure you’ve had hundreds of compliments showered your way since then, yet you go back to that creep’s words.
You are beautiful, just the way you are x
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Agreed! What a douche.
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What a prick! Imagine how immature and inexperienced he must’ve been. Maybe he’s been with a few more women now and, if he has any decency, regrets what he said. Or maybe he’s pressuring his young girlfriend into the above surgery! Anyway, let’s not think about him. You’re with someone now who no doubt loves all of you just the way you are (and are meant to be
).
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Oh Lisa that comment just took my breath away, in what context is it ok for a guy you are involved with to make a comment like that? What a nasty, ignorant, abusive man. I hope in those six years he has discovered a little more about the female anatomy, as clearly at the time he had very little experience in the matter.
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oh my god! What an asshole!
I am pretty confident that 99% of men are not thinking ‘hmmm this fanny looks weird’ they’re just stoked to be face to face with a fanny.
Your husband included.
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please tak my word for it your hubby is thinking yummy gimme more
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The link to the article re Vernacchio was great! Love the pizza analogy at the end and this (very relevant to the issue):
“…a couple of dozen up-close photographs of vulvas and penises. The photos, Vernacchio said, are intended to show his charges the broad range of what’s out there. “It’s really a process of desensitizing them to what real genitals look like so they’ll be less freaked out by their own and, one day, their partner’s,” he said. What’s interesting, he added, is that both the boys and girls receive the photographs of the penises rather placidly but often insist that the vulvas don’t look “normal.” “They have no point of reference for what a normal, healthy vulva looks like, even their own,” Vernacchio said.”
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I am someone with this issue & it causes me
Much stress and anxiety, so it upsets me
some people are trivializing it : (
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Anon, I hope you don’t feel my article trivialised your situation. That wasn’t my intention at all.
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Oh no I thank you so much for the article & getting people
to talk about it : ) I had a similar experience as Lisa – I meant it for the comments saying it isn’t an issue xx
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Good to hear!
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This is ridiculous! The title of this post is so misleading…….. the government are not funding designer vaginas. Medicare does not cover cosmetic surgery for the ‘fun’ of it.
Sometimes the titles of the articles on this site are so ridiculous… what is the point of this? Sure you might get a few extra clicks but the discussion will be based on a lie. Why encourage discussion about something that isn’t even true???
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This is a flippant comment – I laaahve the cupcakes!
Mind you, if you were going to lick the icing off first, you’d probably want to be away from other people…
I haven’t read the rest of the comments yet, but I expect I shall see that someone else has written exactly the same thing.
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I’m a bit confused by the use of the term ‘cosmetic procedures’ in this article since the SMH says medicare may pay for procedures that are clinically neccesary but not if they are purely cosmetic. Can anyone clarify?
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my reading of the SMH article is that procedures done in hospital are only covered if they are clinically necessary, but that procedures done outside of the hospital setting can still attract a rebate even if they are for cosmetic reasons.
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I havent read the smh article but from what I understand Medicare is not meant to be involved in any procedures done purely for cosmetic reasons. All services (in or out of hospital) are intended to be clinically necessary. They are looking at cases where they are falsely being claimed as necessary when they are cosmetic. Where it is a more minor procedure that can be performed out of hospital they probably have to supply fewer documents as proof of the necessity meaning they are sneaking ‘cosmetic’ procedures through.
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ahh, that makes sense.
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Ah, thanks Anon. Makes sense now.
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“One of my friends, 25-year-old Tom* subscribed to the strangely common and hugely incorrect male perception that the larger a woman’s flaps, the sluttier she is!”
I have to take issue with the sentence, as it is surely not a common belief. Any person with the smallest amount of sex education and general life experience behind them would know that this is not the case. It’s a bit of a disservice to 25 year old men to suggest that this is a commonly held belief.
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I haven’t heard that ‘common belief’ before but I’ve heard that “the larger a woman’s flaps”, the more the man’s sexual pleasure (due to increased friction). Wouldn’t it be good if that was common knowledge?!
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Sorry if this sounds snobby (maybe it is, actually) but whenever I read articles that use the so-called word “vajayjay” I feel like a bit of credibility is lost. It’s no wonder people are hung up about vaginas when they can’t even use proper words.
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Vajayjay cracks me up. Have loved it since I heard Bailey say it on Grey’s Anatomy once: “O’Malley stop looking at my vajayjay!”
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Each to their own, I guess…but I do wonder if people’s use of other words for genitals is related to how comfortable they are with them (thinking of Charlotte in Sex and the City now ha).
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I am with you amyspeak. I am finding it interesting that most people say ‘natural’ birth instead of ‘vaginal’ birth. While vaginal birth is the natural way to go, what is the problem with calling it what it is – VAGINAL!
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I think ‘natural birth’ implies no drugs or interventions. ‘Vaginal birth’ could be either with or without drugs and/or interventions.
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And some things don’t always need to be said just to be righteous. Discretion is a nice old fashioned thing that seems to be long forgotten. There is only one way babies come out naturally…we don’t cough them up!!
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Just trying to switch things up a bit.
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Best banned name for a racehorse: La Biamajora
You have to move the space to see why it was banned. The name initially got past the stipes and the filly trialed with it, but someone noticed and complained. So the filly had to have her name changed (to “Puccini’s Opera”).
As for the article – no cosmetic surgery should be paid for by taxpayers. If someone is crazy enough to want this surgery, but all means do it, but pay for it yourself.
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Medicare didn’t refund a cent of the breast MRI I had to pay $760 for recently. Not a cent! Disappointing when we read articles like this one. You wonder about government priorities.
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While I agree women should feel more confident about their genitals – never be made to feel like their vagina is “abnormal” – in some cases the size and/or shape of her labia might genuinely affect a woman’s self-esteem or be causing her pain and discomfort. Dr Les Blackstock, who performs plastic surgery south of the border, says less than five per cent of these patients are getting it done because of cosmetic reasons (http://www.theage.com.au/business/federal-budget/medicare-cuts-could-come-from-sensitive-area-20120502-1xzhn.html).
I don’t think it’s fair to say all women getting cosmetic surgery are looking for “designer vaginas”.
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The article headline refers to a perfect/designer vagina yet the vagina is internal. Why can’t we refer to what the article is actually about, i.e. the vulva?
Mia Freeman gets it wrong too in her comment;
“Since women don’t have a non-sexual place to compare bits with other women (unlike men who see other penises all the time at urinals), the only place any of us are likely to see vaginas that don’t belong to us is in men’s magazines.”
How can anyone see a woman’s vagina just from looking at her naked? I doubt you will see any vaginas in men’s magazines. Vulva’s, yes.
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Even my six-year old daughter knows the difference. Although she most often refers to her labia and her vulva. She has only just worked out where her own vagina is despite knowing on a theoretical basis due to her knowledge about how babies enter the world.
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We’ve used vulva in the article. Headlines are different. Believe it or not, not everyone knows what a vulva is!
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That doesn’t make it ok!!! This vagina/vulva thing is one of my pet hates. You can’t say it’s ok to use the wrong word because everyone thinks it’s the right word. It’s still the wrong word. It’s an anatomical term, not to be messed with. It’s not one of those words where the meaning can change over time.
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Nor will they ever learn, Rick, if the incorrect names are used…
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of course they do. i’ve been driving one for years lol sorry im a bloke. bad jokes are the law for men
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Lol, you’ve been reading Monty’s piece on what to call a penis! Are you being serious or sarcy? The above piece and all the links contained within it are evidence that people use the word ‘vagina’ as a catch-all. Teaching kids ‘vagina’ (alongside ‘penis’) IS correct because that’s what everyone calls it! ‘Vulva’ has its place but, as illustrated above, it’s used to describe part of the vagina: the outside bit.
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It’s anatomically incorrect. The fact that just about everyone gets it wrong doesn’t change anything.
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This debate comes up all the time, I’ve noticed. It’s a bit of a re-vulva-ing door, but appreciate the feedback nonetheless!
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So, Rick, get it right!! Please??
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Ever call your heel your foot when you’ve hurt it? Or ‘I’ve hurt my arm’ but what you really meant was your bicep. Christ some people are pedantic. Go write a science journal already and get it out of your system.
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I just inhaled a bit of milk up my nose reading ‘re-vulva-ing door’. You are hilarious Rick, well done good Sir.
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Yeah, it does! That’s the thing about language: if everyone gets it ‘wrong’ (common usage), that makes it right!!
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This seems to come up everytime there is a discussion of this sort. Sometimes catch all names are used. They may not be anatomically correct, but sheesh.
I don’t go around talking about my cornea, sclera, retina and macula. I call it my eye. And I dont refer to forefoot, midfoot and hindfoot. I say ball, arch and heel.
I think this is a bit the same. If I go to the dr I will be more specific but if I’m talking to my friends about my girly bits, I’ll say vagina. I think they will work it out.
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Sheesh indeed! I was merely making an observation. The headline uses one term while the article uses another (correct) term.
I guess the question is, how did vagina become the ‘catch all’ name given it’s internal. One would have thought that vulva, being external, was the obvious ‘catch all’ name.
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But eye and ball, arch and heel are all correct. Vagina for vulva is incorrect so your analogy doesn’t work. Just because everyone gets it wrong doesn’t make it right.
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I think when the general public speaks about the “vagina”, they’re usually speaking about the vulva but just calling it by its common – yet incorrect – name, “vagina”. Some articles here on MamaMia and on other, similar websites often have the disclaimer that they’re using the generic “vagina” when what they really mean is “vulva”; perhaps I should have incorporated that into the piece…
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Brings us back to the “should we be openly naked in front of our children?” debate… Absolutely! Size, shape, hair, stretch marks, warts and all. Although maybe that won’t work so well with the next generation seeing as though every second person I’m coming across lately had had something ‘done’. My body motto: acceptance without exception.
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Vanity surgery should not be covered by Medicare.
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It says they pay for clinically necessary surgery – not vanity surgery. When then flaps are too big it can make walking, sitting, wearing particular clothes etc painful and uncomfortable. I think labioplasty and the like for cosmetic reasons is terribly sad, and shouldn’t be covered – but that’s not the only (or the most common) reason this surgery exists.
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We must be of a similar age, I thank god I am a Gen X-er, the appearance of my ‘bits’ has never even registered as being remotely important to myself or my gen X husband. I fear for Gen Y, either they grow out of this image conscious, self-obsession, or they face a lifetime of insecurities. I try to forgive this behaviour as youthful ignorance, but what if it is ingrained? What happens when their bodies start to grow older, when they get wrinkles, stretch marks, when EVERYTHING starts to sag? Are we going to be seeing breakdowns & the mid-life crisis at 30.
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I’d like to see the government take that money and put it into mental health.
I’d like seeing a psychologist to cost less than $70 a visit.
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I am a neuropsychologist specialising in the early diagnosis of dementia, with 3 degrees and 10 years of university study- and Medicare refunds NOTHING of my fee. Nothing! They refund a limited amount of clinical and counselling psychology fees, but my profession, which is vital in detecting and diagnosing brain damage and monitoring recovery/progression is apparently less important than nicely shaped pink bits. *bangs head on table* *hard*
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Oooh how frustrating for you Kylie!
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I just feel frustrated for my clients! In the work I do, you can either be seen (in Victoria anyway, where I live) in a govt funded clinic for a neuropsych assessment- but the waiting time can be 6 months or more. If you want a diagnosis sooner than that (and a diagnosis is mandatory before you can start anti-dementia medication- which is most effective the earlier it’s taken) you have to go privately. Lots of people can’t afford that, and a Medicare rebate would be a big help. It must add more stress to a time that is already very stressful.
*Hops off soapbox and scurries away*
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Don’t like your last sentence, because cosmetic surgery is not funded (intentionally anyway) by Medicare, but wholeheartedly agree that there should be greater access to neuropsychology.
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Thanks eternally- like meljb above, I read it to mean procedures done outside of the hospital setting can still attract a rebate, even if they are for cosmetic reasons. I totaly support Medicare rebates for medical reasons.
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Totally dont understand it for no other reason than ‘looks’ (am I seriously a prude because I dont check mine out and compare it to others??) but I’d totally keep the medicare rebate for medical reasons, but should some cosmetic reason remain?
My best friend now owns one of these ‘designer vaginas’ because she was, for want of better terminalolgy, torn from pillar to post giving birth and stitched up incorrectly & had a post birth infection. All of this lead to her heading off for plastic surgery to make it look better and back to what it was pre-birth. So technically it was cosmetic…but there was a reason more than vanity
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That’s totally fair enough! That’s what the surgery should be used for – not just because the flaps are a bit big.
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Yes absolutely. Fair enough. ‘Reconstructive’ purposes is totally what this technology should be used for! Not just to ‘perfect’ something that may be not as great looking as you’d prefer.
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‘Torn from pillar to post’ made me cross my legs!
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The surgeries referred to in that article are the ones being deemed “clinically necessary”. Tax payers are in no way covering cosmetic surgery.
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You’ve got to be fucking joking ???!!!!!!
Makes me proud to be an Australian taxpayer.
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