To provide data on the anatomical dimensions of adult female genitalia and to investigate the possible association of vulvar morphology and sexual function.
This cross-sectional prospective cohort study, using measurements of the external genitalia was performed in a day-care unit of a tertiary, university-affiliated medical center from 2013 to 2014. Thirty-two premenopausal women aged 20–51 years, undergoing gynecological procedures under general anesthesia (not involving the external genitalia) were asked to respond to both a local general data questionnaire and a validated sexual function questionnaire (PISQ-12). Based on reported orgasmic performance during sexual intercourse, patients were divided into two groups, and the measured genital features were compared.
Age, body mass index, parity and sexual activity history were recorded. A wide range of values was noted for each measurement. There was no statistically significant association between external genitalia measurements and age, parity or sexual activity. There was no statistically significant difference in any of the external genitalia measurements between the groups.
Wide variability exists in the appearance of female external genitalia. Sexual function does not appear to be associated with genital dimensions. This information is important for both women and surgeons when considering cosmetic vulvar surgery.
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- The first cut is the deepest: a psychological, sexological and gynecological perspective on female genital cosmetic surgery.Acta Obstet Gynecol Scand. 2015; 94: 915-920
- Female genital cosmetic and plastic surgery: a review.J Sex Med. 2011; 8: 1813-1825
- Female genital appearance: normality unfolds.BJOG. 2005; 112: 643-646
- Aesthetic and functional reduction of the labia minora using the Maas and Hage technique.J Plast Reconstr Aesthet Surg. 2010; 63: 1181-1185
- Interest in cosmetic vulvar surgery and perception of vulvar appearance.Am J Obstet Gynecol. 2012; 207 (e1–7): 428
- Characteristics of external genitalia in pre- and postmenopausal women.Climacteric. 2008; 11: 416-421
- Female attitudes regarding labia minora appearance and reduction with consideration of media influence.Aesthet Surg J. 2009; 29: 65-71
- Functional and aesthetic labia minora reduction.Plast Reconstr Surg. 2000; 105: 1453-1456
- Genital appearance dissatisfaction: implications for women's genital image self-consciousness, sexual esteem, sexual satisfaction, and sexual risk.Psychol Women Q. 2010; 34: 394-404
- An analysis of the content and clinical implications of online advertisements for female genital cosmetic surgery.BMJ Open. 2012; (pii: e001908)
The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery National Data Bank STATISTICS. Available at: http://www.surgery.org/sites/default/files/2014-Stats.pdf [accessed 26.07.15].
- What's normal? Influencing women's perceptions of normal genitalia: an experiment involving exposure to modified and nonmodified images.BJOG. 2014; 121: 761-766
- Aesthetic labia minora and clitoral hood reduction using extended central wedge resection.Plast Reconstr Surg. 2008; 122: 1780-1789
- A large multicenter outcome study of female genital plastic surgery.J Sex Med. 2010; 7: 1565-1577
- Labiaplasty of the labia minora: patients’ indications for pursuing surgery.J Sex Med. 2008; 5: 1492-1495
- Hypertrophy of labia minora: experience with 163 reductions.Am J Obstet Gynecol. 2000; 182: 35-40
- A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR).Int Urogynecol J. 2014; 24: 1091-1093
- Anatomical relationship between urethra and clitoris.J Urol. 1998; 159: 1892-1897
- Female sexual arousal: genital anatomy and orgasm in intercourse.Horm Behav. 2011; 59: 780-792
Published online: November 24, 2015
Accepted: November 17, 2015
Received in revised form: October 16, 2015
Received: September 19, 2015
© 2015 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.