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If either the inner or outer labia (lips) of the vagina are enlarged they are said to be hypertrophic. Irregular or larger labia is usually something you are born with but can get worse with childbirth and vaginal deliveries or the menopause due to hormonal changes. Sometimes if the hypertrophy affects the inner lips or labia minora then they can stick out beyond the outer lips or labia majora. As well as being cosmetically dissatisfying to some women, this can also cause discomfort if the labia minora rub or chafe against clothing or cause pain when cycling or riding a horse. Hypertrophic labia can also cause problems and discomfort with sexual intercourse and increase the likelihood of experiencing yeast infections such as thrush.