<P> The genital tissues are greatly influenced by natural fluctuations in hormone levels, which lead to changes in labia size, appearance, and elasticity at various life stages . At birth, the labia minora are well - developed, and the labia majora appear plump due to being exposed to maternal hormones in the womb . The labia majora have the same color as the surrounding skin . Labial adhesions can occur between the ages of 3 months and 2 years, and may make the vulva look flat . These adhesions are not usually a cause for concern, and usually disappear without treatment . Treatment options may include estrogen cream, manual separation with local anesthesia, or surgical separation under sedation . </P> <P> During early childhood, the labia majora look flat and smooth because of decreasing levels of body fat, and the diminished effects of maternal hormones . The labia minora become less prominent . </P> <P> During puberty, increased hormone levels often significantly change the appearance of the labia . The labia minora become more elastic, prominent, and wrinkled . The labia majora regain fat, and begin growing pubic hair close to the pudendal cleft . Hair is initially sparse and straight, but gradually becomes darker, denser, and curlier as growth spreads outward and upward toward the thighs and mons pubis . At the end of puberty, pubic hair will be coarse, curly, and fairly thick . The patch of pubic hair covering the genitals will eventually often form a triangle shape . </P> <P> By adulthood, the outer surface of the labia majora may be darker than the surrounding skin, and may have wrinkles similar to those on a male's scrotum . During the reproductive years, if a woman delivers a child, the fourchette will flatten . Pregnancy may cause the labia minora to darken in color . </P>

Where is the labia located on a female