Rapid weight loss can bring welcome changes, unexpected ones and sometimes a few questions women are hesitant to ask out loud. As GLP-1 medications become more widely used, gynaecologist Dr Sibu Lubelwana talks about a growing curiosity around shifts in intimate anatomy, now widely referred to online as “Ozempic vulva”. This article unpacks what the term actually means, why these changes can appear and how women can support their comfort and confidence.
Why Are We Talking About This?
If you have been following conversations about medical weight loss, you have likely heard the term “Ozempic” used everywhere. Ozempic is one of the GLP-1 medications prescribed for certain metabolic conditions, but the name has become a blanket term/nickname on social media for all GLP-1 weight-loss injectables. In South Africa, several GLP-1 and dual-agonist treatments are currently available, including Saxenda®, Wegovy® and Mounjaro®. Each works slightly differently, but all can contribute to significant weight loss.
As these treatments grow in popularity, a more intimate discussion has emerged online. It is the phrase “Ozempic vulva”, a catchy social-media term that has prompted many people to wonder what might be happening to the vulva during rapid weight loss. Here is what that means and why it happens.
So, What Is “Ozempic Vulva”?
In simple terms, “Ozempic vulva” is not a medical diagnosis. It describes changes in the look and feel of the vulva (that’s the external part of the female genitals) after rapid weight loss, especially with medications like GLP-1s.
These medications work by mimicking hormones that help control your appetite and blood sugar, which often leads to significant weight loss. But as the kilos drop, you might notice your body changing in places you didn’t expect, including your most private areas.
Why Does This Happen?
Fat is stored throughout the body, including the pubic mound and around the labia. When weight is lost quickly, these fat pads can reduce as well.
This may cause the vulva to appear leaner, more defined or slightly looser and saggy than before. It’s not dangerous, but it can be surprising, especially if you weren’t expecting it.
Is This Normal?
Absolutely! The body adapts in many ways during weight loss. While the phrase “Ozempic vulva” may sound dramatic, it simply describes part of the natural reshaping that can occur after rapid weight loss.
There is no known medical risk. It is a cosmetic change rather than a clinical concern. Many women experience shifts in their intimate anatomy when their weight changes, and it is entirely valid to talk about it.
How Might This Make You Feel?
Changes in intimate areas can stir up a range of emotions. Some women feel more confident with their new shape. Others feel self-conscious, surprised or unsure. All of these reactions are normal.
Conversations about vulvas and body image have often been muted, but speaking openly helps reduce stigma and provides support. If you feel uncertain, it can be helpful to speak with a medical professional.
What Can You Do If You Notice Changes?
If you have noticed changes and want to support your comfort and wellbeing, consider the following:
1. Keep the Area Moisturised
Weight loss, and sometimes the medication itself, can contribute to dryness in vulvar skin. A gentle, fragrance-free moisturiser can help. For added comfort during intimacy, over-the-counter lubricants suitable for vaginal use may provide relief.
2. Eat Well and Stay Hydrated
A balanced diet rich in vitamins, minerals and healthy fats, including vitamin E, can support skin elasticity. Drinking enough water is equally important, as well-hydrated skin tends to look and feel healthier.
3. Pelvic Floor Exercises
Exercises such as Kegels can strengthen the pelvic muscles, which may support tone and improve comfort and confidence. It is important to allow the pelvic floor to relax between contractions to avoid unnecessary tension.
4. See Your Gynaecologist Regularly
Routine check-ups remain essential. Your gynaecologist can assess any changes, answer questions and recommend solutions if needed.
5. Dermal Fillers: Restoring Volume and Enhancing Contours
Dermal fillers are injectable treatments used to restore volume, smooth lines, and enhance contours. While commonly used in areas such as the cheeks, lips and jawline, some fillers may be used in specific cases to restore volume in the vulvar region. This should always be discussed with an appropriately trained medical professional.
6. Labiaplasty: Surgical Option
In severe cases for women with more pronounced anatomical changes or discomfort, labiaplasty may be considered as a corrective option. This is a specialised procedure that should only be performed by a trained and properly qualified surgeon with experience in intimate surgery.
Let’s Keep the Conversation Going
Open discussions about topics like “Ozempic vulva” help normalise these changes and encourage women to understand their bodies better. If you have noticed shifts in this area, you are not alone.
There is no shame in asking your doctor questions or seeking reassurance. Sharing experiences empowers women to make informed decisions about their health.
Final Thoughts
Rapid weight loss can bring about changes throughout the body, including in intimate areas. These changes are normal, and there are many ways to support both physical comfort and emotional well-being.
Honour your journey, care for your body and remember that confidence comes from understanding and embracing yourself.
About the author
Dr Sibu Libulwena is a specialist in Women's Health with extensive expertise in both obstetrics and gynaecology. Her practice based in KZN, focuses on providing comprehensive care across various stages of a woman's reproductive life. Dr Sibu is passionate about empowering women to take control of their health from a young age, offering services such as family planning, preconception counselling and management, antenatal care, post-delivery care, cancer screening, and STI prevention and treatment.
Recognising the complexity of the female reproductive system, Dr Sibu advocates for regular check-ups, starting from menstruation, to help prevent and detect any potential issues that could affect long-term health. She is dedicated to supporting women through every stage of their health journey.