ºÚÁϳԹÏ

Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Anatomy of pregnancy and birth – vulva

6-minute read

Key facts

  • The vulva is the outside part of the female genitals.
  • The vulva includes the labia (the lips), clitoris, opening of the vagina and urethra, and perineum.
  • During pregnancy, hormonal changes can cause changes to the vulva's appearance.
  • Increased blood flow to the area can make the area look more swollen and can increase your chance of developing varicose veins in the vulva.
  • Vaginal birth may change the way the vulva looks.

What is the vulva?

The vulva is the outside part of the female genitals (sex organs).

The vulva includes the:

  • mons pubis — a layer of fat over your pubic bone, which is covered with pubic hair
  • labia majora — the outer folds of skin, also known as 'outer lips'
  • labia minora — hairless, inner folds of skin, also known as 'inner lips'
  • clitoris — a sensitive organ that can help with arousal
  • vestibule — the opening of your vagina and urethra
  • hymen — a thin piece of skin at the entrance of your vagina
  • perineum — the skin between your vagina and anus

The vulva varies widely in appearance from person to person. For some people, the inner lips are longer than the outer lips. The size, colour and shape of the lips also vary. Many people worry that their genitals do not look 'normal'. Remember that there is a very wide range of 'normal'.

It is also normal to experience changes in the way your vulva looks during different stages of your life.

Visit the for more information about labia, including a photo library.

What does my vulva do?

Different parts of the vulva have different roles. Your clitoris can help you feel aroused during sexual intercourse (sex) and masturbation. Glands in the vulva release fluid to stop the area from becoming dry.

How does my vulva change during pregnancy?

Some people may develop varicose veins around the vulva. This is caused by hormonal changes during pregnancy, and by your uterus pressing on your veins as your baby grows. Changes to the veins in your vulva often resolve with no need for treatment, but if you have ongoing pain, surgery may help.

The hormonal changes associated with pregnancy may also lead to changes in the balance of bacteria in your vagina. This can increase your chance of vaginal infections. It is important to see your doctor if you have symptoms of an infection.

You may also experience an increase in normal vaginal discharge during pregnancy.

What happens to my vulva during childbirth?

The vulva, especially the perineum, stretches to make room for your baby's head during a vaginal birth. In some cases, this stretching during birth leads to tearing of the skin and tissues of the perineum. Small tears may heal on their own. Larger tears may need to be repaired by your midwife or doctor with stitches.

You may choose to massage your perineum (or ask your partner to do it) in the weeks leading up to birth, to reduce the chance of tearing.

Learn more about perineal massage.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How does my vulva change after birth?

After a vaginal birth, your vulva may look different. It may be stretched, bluish and swollen. In particular, the labia minora may look more stretched out. This is normal and nothing to worry about, but see your midwife or doctor if you are concerned.

It is also common for sexual intercourse to be painful or uncomfortable after birth, so see your doctor or midwife if pain during sex is a problem for you.

Read more on .

You should see your doctor if you have:

  • vulval pain, itch or discomfort
  • a change in the colour or odour of your vaginal discharge
  • pain while urinating

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

Resources and support

  • The Royal Australian and New Zealand College of Obstetricians and Gynaecologists has a helpful resource answering some .
  • Learn about with The Royal Women's Hospital handout.
  • Read about at PANDA.
  • Call ºÚÁϳԹÏ, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available from 7 am to midnight (AET), 7 days a week (including public holidays).

Languages other than English

  • The of health resources available in many community languages.

Information for Aboriginal and/or Torres Strait Islander peoples

  • You can find out more about Aboriginal and/or Torres Strait Islander pregnancy health on , or watch the video.

Information for sexually and gender-diverse families

  • provides inclusive and appropriate support for LGBTIQA+ expecting and new parents.

Speak to a maternal child health nurse

Call ºÚÁϳԹÏ, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Sources:

Midwifery Preparation for Practice - Baddock S. , Midwifery Preparation for Practice - Baddock S. , Lewis's Medical-Surgical Nursing 6th Australia and New Zealand Edition - Strachan A T. , Midwifery Preparation for Practice - Anderson J, Thorpe J. , Int J Womens Health - Gavrilov S G. , The Royal Australian College of General Practitioners (RACGP) , J Int Med Res - Giannella L. et al

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: November 2024


Back To Top

Need more information?

Anatomy of pregnancy and birth

From conception to giving birth, your body goes through many physical changes. Learn what happens to your body during pregnancy and labour.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Anatomy of pregnancy and birth - uterus

Your uterus is your baby's home during pregnancy. Read how the uterus works and how it changes during pregnancy, labour and after you give birth.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Anatomy of pregnancy and birth - cervix

Your cervix goes through many changes during pregnancy and childbirth. Find out about your cervix, what it does and why it's important.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Anatomy of pregnancy and birth - pelvis

Your pelvis helps to carry your growing baby and is tailored for vaginal births. Learn more about the structure and function of the female pelvis.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Anatomy of pregnancy and birth - abdominal muscles

Find out how pregnancy can affect your abdominal muscles and why strengthening them during pregnancy and after birth is important.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Anatomy of pregnancy and birth - perineum and pelvic floor

Read about your pelvic floor, including your perineum, which lies across the bottom of your pelvis and can be damaged during pregnancy and childbirth.

Read more on ºÚÁϳԹÏ,Birth & Baby website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

ºÚÁÏ³Ô¹Ï Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of ºÚÁÏ³Ô¹Ï Australia.