Do external female genital measurements affect genital perception and sexual function and orgasm?

To provide baseline data for the anatomy of the external female genitalia and to investigate the correlation between those measurements and sexual function and genital perception. This prospective cohort study consisted of 208 healthy premenopausal women. The Female Sexual Function index (FSFI) and...

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Bibliographic Details
Published in:Turkish journal of obstetrics and gynecology 2020-09, Vol.17 (3), p.175-181
Main Authors: Ellibeş Kaya, Aşkı, Doğan, Ozan, Yassa, Murat, Başbuğ, Alper, Özcan, Canan, Çalışkan, Eray
Format: Article
Language:English
Subjects:
Age
Body image
Body mass index
Clinical Investigation
Clitoris
Cosmetic surgery
Episiotomy
Gynecology
Kadın Hastalıkları
Orgasm
Parity
Polycystic ovary syndrome
Self image
Sexual disorders
Tıp
Vagina
Variables
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Summary:To provide baseline data for the anatomy of the external female genitalia and to investigate the correlation between those measurements and sexual function and genital perception. This prospective cohort study consisted of 208 healthy premenopausal women. The Female Sexual Function index (FSFI) and the Female Genital Self-image scale (FGSIS) questionnaires were administered. Participants were divided into two groups according to their female sexual dysfunction (FSD) status. External genital measurements and anterior and posterior vaginal length were measured. The external female genital measurements were (cm, mean ± standard deviation): clitoral prepuce length 2.05±0.48; clitoral glans length 0.87±0.21; clitoral glans width 0.60±0.15; clitoris to urethra 2.24±0.55; anterior fornix depth 7.75±0.92; posterior fornix depth 9.25±0.75; labia minora width, right 2.12±0.86, left 2.20±0.96. A weak negative correlation was found between total FGSIS scores and clitoral prepuce length (p=0.01, r=-0.17), whereas a weak positive correlation was seen between total FGSIS scores and anterior-posterior vaginal lengths (p=0.04, r=0.13; p=0.02, r=0.15, respectively). No statistically significant difference was found between the genital measurements of participants with FSD (n=82, 39.4%) and those without FSD (n=126, 60.6%), and the total FSFI scores and orgasm subdomain scores. The female genital measurements were found to be distributed over a wide range. Although the relationship between genital measurements and genital perception varied, no significant relationship was found between genital measurements and sexual functions or orgasm. These findings suggest that a more cautious approach should be taken towards genital surgeries for cosmetic purposes.
ISSN:2149-9322
2149-9330
DOI:10.4274/tjod.galenos.2020.89896