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When Maya Bernstein, 18, first became sexually active in high school, she was nervous. How would she know what to do? Especially, it seems, how things should look. The numbers shot up so quickly that the American College of Obstetricians and Gynecologists ACOG issued new guidelines this month for doctors who perform labial and breast surgery. Among the recommendations: physicians are now encouraged to screen girls for body dysmorphic disorder, an obsession with an imagined or slight defect in appearance.

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