Welcome to OBGYN Champs, the show where no question is off limits. Join host Morgan Allen and board-certified OB/GYN Dr. Suny Caminero, MD, as they tackle the topics women are often too embarrassed, afraid, or unsure to ask about. From hormones, menopause, and sexual wellness to pregnancy, pelvic health, cosmetic gynecology, and everything in between, each episode delivers honest conversations, expert advice, and practical insights to help women take control of their health with confidence.
Whether you’re in your 20s, navigating motherhood, approaching menopause, or simply looking for trustworthy answers, OBGYN Champs is your place for real talk, myth-busting, and empowering education. Tune in, ask your questions, and join the conversation because your health deserves to be talked about.
Dr. Suny Caminero, MD, OB/GYN
Founder of Cosmetic Gynecology Florida
Website Address: https://cosmeticgynecologyfl.com/
What is an ‘Ozempic Vulva’?
Dr. Suny Caminero:
This is funny to me because I often refer to the vulva as a face, I call it your private face, so it’s literally ozempic face down there. So many women are on Ozempic, diets, and the injectable GLPs, and for them, the women who lose weight very fast, it’s like the Ozempic face.
It’s similar to your public face: the skin starts to hang, and then you have fewer fat pads. In the vulva you have less fat pads, particularly in the labia majora itself. As that deflates, the skin starts to hang. Then the middle, the labia minora, looks like it grew, and it looks like it starts to hang, too.
When women start to walk, they feel like it’s getting in the way and they start to tuck it in, or they think they have to put underwear on when walking because it’s really annoying. It’s in the way, essentially, and they don’t like how it looks because it’s hanging skin.
Then the middle portion is slightly exposed, and sometimes that exposure causes rubbing. It rubs on underwear, rubs in your jeans, or rubs when you’re bicycling, and when it rubs, it gets irritated. You can get infections just from the irritation because of the microtrauma to the skin as well. Then they get thicker, even thicker than what you want them to be. So yeah, there is such a thing as ozempic vulva.
Could the rubbing and growth from Ozempic lead to mini-erections?
Dr. Suny Caminero:
This is completely different. High doses of testosterone for women enlarges the clitoris. When it enlarges their clitoris, that exposure of the clitoris can cause an erection when it’s rubbing certain things.
Are there any health-related side effects to having an ‘Ozempic Vulva’?
Dr. Suny Caminero:
You may get recurrent infections or recurrent irritations. It’s not terrible, but nobody wants to have that because it’s really annoying. It doesn’t cause vaginal dryness, so that shouldn’t be an issue. It’s really morethe excess tissue there that, now with the friction of intercourse, it’s just in the way and it becomes uncomfortable.
It doesn’t affect the inside of the vagina. The inside of the vagina is affected more by your hormones, so if your hormones are abnormal then you’ll have a vaginal dryness. Ozempic itself won’t do that; however, if you lose so much weight that now you’re not ovulating, your hormones are all out of whack, and then that will cause vaginal dryness and painful sex for sure.
Okay, is there anything people can do to prevent the loose skin if they want to get on a GLP-1?
Dr. Suny Caminero:
Slow weight loss. Obviously, you get on a GLP-1 because you want to lose weight quickly. If you want to lose 20-50 pounds in a year, that comes with a lot of hanging skin. If you lose weight very, very slowly, your body has time to adapt, and your skin has time to react without loosening.
The other thing, too, is not only dehydration, but eating healthy. You know how people lose hair on Ozempic sometimes because you’re malnourished? If you’re losing weight that fast and you’re not giving your body all the nutrients and minerals you need, your body will be affected. Your skin will be affected, you won’t have enough collagen, and your hair will be affected. Slow weight loss is better, and if it’s going to take you two years, it’s better to do it in two years than in six months.
How can you make the vulva look normal after rapid weight loss?
Dr. Suny Caminero:
Sometimes it is just to give you volume back. You can use your own fat if you haven’t lost too much weight, and you still have fat in other areas, maybe your abdomen or your thighs. We can draw that fat and put it back on the labia majora, so when we fill that spot now, it kind of covers it goes back to kind of what it was. It wouldn’t look like a camel toe to us; it would look natural, like a natural fat pad to the labia majora.
If you don’t have fat to get from anywhere, you can use fillers, just like you would use on the face. You could use hyaluronic acid fillers, or you can use a stimulator filler. You can also do different energies, like the CO2 laser to tighten the skin. And then certainly healthy eating, making sure that you’re not malnourished, that kind of stuff, because the skin needs collagen. There are many different things we can do to add volume to that area.
When it comes to the labia minora, if it’s hanging too much, there’s nothing else that you can do but essentially cut that tissue. It would be cut in a more artistic way, obviously, to make it look like you didn’t have anything done. The goal is to make it look natural and normal, so it looks like you didn’t have anything done. Nobody can tell.
Is there any concern of pain, nerve damage, or stimulation loss when it comes to using lasers or surgery?
Dr. Suny Caminero:
You don’t lose sensation to the vulva when you use lasers to tighten the skin. Lasers are the same as when you use them to tighten the face. You have to numb the skin to do the laser. It’s very tolerable, but you can do it in a series of 3 to 4 sessions to really tighten the skin.
It works really well with the CO2 laser in particular. No loss of sensation there. When it comes to filler, still no loss of sensation. You just have to know what you’re doing because you have to know where you don’t want any vascular occlusions. When people do it in the face, you can have vascular occlusion, so you want to avoid that.
Morgan Allen:
What is a vascular occlusion?
Dr. Suny Caminero:
When a blood vessel gets blocked by filler, the area it feeds no longer gets blood. That can cause necrosis or blackening of the skin, essentially.
Just like with lack of blood flow to that area, the vulva is much more forgiving than the face. There’s so much blood flow to the vulva that if you have a tiny little vessel that’s blocked, the vulva is not going to notice it. The private face is different than the public face, really. We’ll notice it in some people who have lost their nose.
There’s a lot of filler stories with vascular occlusions. Fortunately, the vulva is a lot more forgiving than the face.
Does the extra blood flow in the vulva affect you during surgery or cosmetic work?
Dr. Suny Caminero:
No, not at all. It’s just a normal amount of blood. As an OB/GYN, we get used to a lot of blood. You deliver babies and then we are used to blood. So what seems like very little to me may seem like a lot to somebody else. But when it comes to the women, its maybe spotting a little bit. There’s just not much there when you’re actually putting in the filler or the fat. Not that much of a bleeding at all, really.
What other advice would you give women considering using GLP-1s or suffering from an ‘Ozempic Vulva’?
Dr. Suny Caminero:
Women should lose weight slowly and make sure they don’t become malnourished. Make sure you are taking your vitamins and minerals, or getting them from the right foods. You need collagen; otherwise, that skin is really going to sag.
Make sure you lose weight very slowly; give your body time. That’s good for your whole body, not just the vulva. And make sure you’re not malnourished; just because you’re not feeling like eating, you still have to eat healthy foods. You’re just not going to eat bad foods.
Do you recommend that all women take collagen?
Dr. Suny Caminero:
Not necessarily; it depends on your age. If you’re eating the right foods, you shouldn’t have to take collagen right now. As we get older, we need more help, and we don’t absorb foods as much. So, yes, once you get into your 40s and 50s, collagen is very, very helpful for us.
You don’t have to. But it would be very helpful for those of us who want to stay younger-looking for longer. But this is not 100% necessary, for sure.
What vitamins do you recommend for all women?
Dr. Suny Caminero:
Vitamin D. Vitamin D is so important. It’s not really a vitamin; it is actually a hormone, and it’s a master hormone for our body. I don’t know why people don’t talk about it or get it checked. It is such a master hormone and it affects every hormone in your body.
It also affects your food absorption because you need vitamin D for your gut bacteria. So if you don’t have enough vitamin D, you don’t have those bacteria, which means you’re not absorbing food well. It also affects your immune system. So many things happen with low vitamin D.
Vitamin D is also really important for decreasing your risk of dementia. Like, that’s huge, right? Thank goodness. And it also has been shown to decrease your risk of breast cancer. Another huge thing! We need to have vitamin D at optimal levels. So yes, I think vitamin D is important if you’re not getting it from the sun, which we all should get some of. Go out and get some sun and let your body make vitamin D. Most people don’t.
Morgan Allen:
How many, how many minutes a day do you need to be outside in the sun to get appropriate vitamin D?
Dr. Suny Caminero:
Usually about 30. Thirty minutes of direct sun exposure. Sunscreen is super important, but sometimes we cover up too much and now we’re not getting everything that we need from the sun either. Now we have clothes and all this other stuff that blocks vitamin D, but we don’t have to take it that far.
Just cover up the areas that really get hit by the sun. In higher-UV areas, you can get skin cancer. You don’t have to lather yourself everywhere and put clothes on with all the zinc and everything so you’re completely blocked out.
