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\u201cOzempic vulva” is an unoffcial term that women have been using to describe what they\u2019ve been noticing in their genital areas after starting Ozempic or some other glucagon-like peptide-1 agonist. (Photo: Getty)<\/p>\n
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You may have heard of \u201cOzempic mouth\u201d<\/a>, \u201cOzempic tongue\u201d<\/a> and \u201cOzempic penis.\u201d<\/a> Well, here\u2019s yet another \u201cO\u201d body part term that is making the rounds on social media and may make you go, \u201cOh my.\u201d It\u2019s \u201cOzempic vulva.” Women have been using this term to describe what they\u2019ve been noticing in their genital areas after starting Ozempic or some other glucagon-like peptide-1 agonist. And that\u2019s stirred up more discussions about getting labia puffing or labiaplasty to deal with these effects.<\/p>\n What Is \u2018Ozempic Vulva\u2019?<\/p>\n \u201cVulva\u201d is the official way to refer to a female\u2019s between-the-legs external genital parts. This is the proper anatomical terminology as opposed to the word \u201cvagina,\u201d which is often mistakenly used to describe what\u2019s really the vulva. Most of your vagina\u2014if you have one\u2014is usually not visible from the outside as your vagina is the elastic, muscular canal that connects the uterus to the outside.<\/p>\n By contrast, your vulva consists of the openings to your vagina and urethra, the surrounding glands, your clitoris and the inner and outer lips of your vagina\u2014also known as your labia. Your vulva also encompasses your mons pubis, the rounded area located in front of your pubic bones where hair typically grows.<\/p>\n Meanwhile, GLP-1 agonists have become the athleisurewear of medications\u2014super-popular and mentioned seemingly everywhere. While GLP-1 agonists began as diabetes medications, the tides of their use really changed with the finding that these medications can cause significant weight loss. Speaking of tides, the active ingredient in the GLP-1 agonists end in \u201ctide\u201d\u2014whether its semaglutide for Ozempic and Wegovy, liraglutide for Victoza and Saxenda, exenatide for Byetta and Bydureon, dulaglutide for Trulicity or tirzepatide for Mounjaro and Zepbound. A study published in JAMA Network Open<\/a> found that weekly semaglutide injections were associated with on average a 15-pound weight loss after three months and a 27-pound weight loss after six months. If you do the math, that\u2019s an average loss of roughly five-pounds a month. That\u2019s got a lot of people, including, surprise, surprise, celebrities, talking about GLP-1 agonists as if they were some kind of magical drug for weight loss.<\/p>\n Ah, but in addition to the magical talk, there have also been people mentioning unexpected findings after beginning GLP-1 agonists, which brings us to the combination of the words \u201cOzempic” and \u201cvulva.\u201d This term is being used to describe the sagging skin, weaker muscles and dryness in the vulvar region that some GLP-1 agonist users have been noticing. Some have also commented on experiencing increased vaginal discharge after starting GLP-1 agonists. \u201dOzempic vulva” is not an official medical term. Your doctor won\u2019t be saying something like, \u201cLooks like you have Ozempic vulva\u201d\u2014at least he or she shouldn\u2019t.<\/p>\n \u2018Ozempic Vulva\u2019 Is Likely A Result Of Rapid Weight Loss<\/p>\n Even though the \u201cO\u201d word is being used, what\u2019s being called \u201cOzempic vulva\u201d is probably not directly caused by the medication itself. Instead, the sagging skin is a potential consequence of the rapid weight and fat loss that can occur with GLP-1 agonist use. While fat may seem like the enemy, the Thanos, when it comes to weight loss, fatty tissue actually serves various purposes including serving as energy stories and giving your different body parts their volume and shape. That includes giving your vulva, especially your mons pubis and labia majora, the volume and shape that people know and love. And when you use a GLP-1 agonist, you aren\u2019t offered a menu where you can select the locations that you want to lose versus spare fat.<\/p>\n When the fat pads beneath your vulva rapidly shrink, they can be like Ant Man in the movie The Ant Man and Wasp, when he shrunk and then his hoodie became several sizes too large. That\u2019s because the hoodie didn\u2019t shrink with him at the same time. Similarly, with rapid weight and fat pad loss, your skin may not be elastic enough to reduce in size and area as well, leading to sagging skin and soft tissue.<\/p>\n The pelvic muscle weakness may be due indirectly to the way GLP-1 agonists work. GLP-1 agonists help with weight loss in large part by suppressing your appetite and the \u201cfood chatter\u201d that happens in your head, often to the point that people forget and need to force themselves to eat, if you can imagine that. If you aren\u2019t eating enough, you could also not be getting the necessary nutrients. This could lead to loss of lean muscle mass, which, in turn, could result in pelvic muscle weakness.<\/p>\n It\u2019s not clear what may be causing the dryness and increased discharge that\u2019s being reported on social media. Of course, when it comes to posts on social media, you can\u2019t necessarily be sure of whatever\u2019s being said. People may not be accurately conveying what their symptoms may be or what other things they may be doing besides taking GLP-1 medications. This can be unintentional or\u2014here\u2019s a shocker\u2014some people can actually lie on the Internet. Imagine that. Therefore, using social media and other Internet posts for medical observations and advice can be kind of like listening to what\u2019s written on the inside a bathroom stall or what\u2019s said by some random stranger you met on the subway platform but somehow got into a conversation with about your genitals. More scientific studies are needed to confirm what else GLP-1 agonists may be doing to the vulvar region.<\/p>\n What Can Be Done About \u2018Ozempic Vulva\u2019<\/p>\n What you do about \u201cOzempic vulva\u201d depends on how bothersome the symptoms may be. If the only thing that\u2019s bothering you is the appearance of your vulva, you\u2019ve got to ask yourself how much your expectations of the shape down there are being shaped by other people\u2019s unrealistic expectations and unrealistic things like porn. (Yes, that\u2019s another shocker, porn can be unrealistic.) Remember what\u2019s considered attractive is very subjective and greatly shaped by what\u2019s seen in entertainment and various types of media.<\/p>\n Also, \u201cOzempic vulva\u201d could be a sign that you may be going for weight loss a little too aggressively. A slower more measured approach could allow your body and your other daily behaviors to adapt. It\u2019s important to make sure that you are concurrently maintaining proper nutrition and exercise.<\/p>\n If the sagging skin is causing actual functional problems like chafing, then you may want to see your doctor to first explore non-invasive options. Depending on your situation, your doctor may suggest various moisturizers and lubricants. There\u2019s also the possibility that you may have something else going on at the same time. For example, perimenopause can result in dryness, discomfort and other symptoms in that area, as I\u2019ve described previously in Forbes<\/a>. That\u2019s why seeing a doctor can be better than simply Sherlock Holmsing on social media.<\/p>\n If you are experiencing muscle weakness, all of the above apply as well. Proper nutrition and exercise are important. Your doctor may recommend Kegel exercises and other types of pelvic floor physiotherapy to strengthen your pelvic muscles.<\/p>\n \u2018Ozempic Vulva\u2019 May Be Prompting More Women To Consider Labia Puffing And Labiaplasty<\/p>\n