Influence of Self-Perceived Vulvar Appearance on Female Sexual Function.

Background: Female sexual function is a complex model of biological and nonbiological factors. The impact of self-perceived vulvar appearance on female sexual function is not well understood.Objectives: The aim of this study was to determine the influence of vulvar appearance on sexual function in a...

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Published in:Aesthetic Surgery Journal Vol. 41; no. 7; pp. 794 - 803
Main Authors: Chappell, Ava G, Sasson, Daniel C, Soriano, Alex J, Jordan, Sumanas W, Percec, Ivona
Format: pictorial research tables/charts Journal Article
Published: Oxford University Press / USA Jul2021
Online Access:View this record in EBSCOhost
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      dt: Jul2021
      vid: 41
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      pub: Oxford University Press / USA
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        atl: Influence of Self-Perceived Vulvar Appearance on Female Sexual Function.
      aug:
        au:
          Chappell, Ava G
          Sasson, Daniel C
          Soriano, Alex J
          Jordan, Sumanas W
          Percec, Ivona
        affil: Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine , Chicago, IL, USA
      sug:
        subj:
          Female
          Sexuality
          Adult
          Clinical Assessment Tools
          Adult: 19-44 years
          Female
      ab: Background: Female sexual function is a complex model of biological and nonbiological factors. The impact of self-perceived vulvar appearance on female sexual function is not well understood.Objectives: The aim of this study was to determine the influence of vulvar appearance on sexual function in adult women. The primary aim was to assess the relation between self-perceived vulvar appearance and sexual function. The secondary aim was to assess the influence of prior genital procedures on vulvar appearance and sexual function.Methods: An observational study of adult women was conducted utilizing Amazon Mechanical Turk, an online crowdsourcing platform. The survey instrument included demographic information, subjective vulvar appearance measures, and the Female Sexual Function Index (FSFI) questionnaire.Results: Out of 398 respondents, 148 (37.2%) reported concern about their vulvar appearance and 134 (33.7%) reported a history of genital cosmetic procedures. Women who were uncomfortable with their vulvar appearance had lower FSFI scores than those comfortable with their vulvar appearance, 24.6 vs 27.0 (P = 0.01), respectively. Among women uncomfortable with their vulvar appearance, 70.9% of subjects met the criteria for sexual dysfunction. Women who were uncomfortable with their vulvar appearance were significantly more at risk of sexual dysfunction (adjusted odds ratio: 2.43; 95% CI: 1.46-4.10; P < 0.001). Women with a history of cosmetic genital procedures were significantly more at risk of sexual dysfunction (adjusted odds ratio: 2.46; 95% CI: 1.43-4.23).Conclusions: Women who are uncomfortable with their vulvar appearance had higher rates of sexual dysfunction. Women seeking cosmetic genital procedures should be screened for sexual dysfunction to facilitate realistic expectations and optimal care.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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