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It said a recent report found that routine psychological checks were carried out in fewer than 35% of clinics. The british association of aesthetic plastic surgeons is calling for mandatory psychological screening before cosmetic surgery. She experienced recurring dreams where she would imagine her labia as a scarf that would wrap itself around her neck. Worries about the labia are quintessentially psychological.

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It makes it hard for these women to engage psychologically with what’s going on. Women seeking labiaplasty need more opportunity to discuss their concerns, said dr lih-mei liao, a consultant clinical psychologist at university college london hospitals. A year on, her dreams no longer occur.

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