Sexual Satisfaction and Self-Concept of Women With Mayer-Rokitansky-Küster-Hauser (MRKH) After Vaginoplasty Surgery: A Case Control Study

Majid Mahmoud  Alilou; Abbas Bakhshipour  Roudsari; Khadijeh  Adabi; Zinat  Ghanbari; Noureh  Farhan

doi:10.18502/acta.v63i4.20167

Majid Mahmoud Alilou Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran
Abbas Bakhshipour Roudsari Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran
Khadijeh Adabi Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Surgery, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Zinat Ghanbari Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Noureh Farhan Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran

DOI: https://doi.org/10.18502/acta.v63i4.20167

Keywords: Vaginoplasty; Sexual satisfaction; Self-concept; Mayer-rokitansky-küster-hauser (MRKH)

Abstract

Women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome do not have proper performance and sexual satisfaction because of physical problems. MRKH syndrome leads to psychological and identity problems and has a negative effect on self-concept. This study aimed to compare the sexual satisfaction and self-concept of women with MRKH syndrome before and after vaginoplasty with normal women. The current study was a case study with a pre-test, post-test design and a control group. Fifteen people were selected using the purposeful sampling method, and 15 normal newly married women were also selected as a control sample group. In both groups, sexual satisfaction and self-concept questionnaires were administered; after the relevant vaginoplasty surgery, only in the test group, and after six months, both groups completed the sexual satisfaction and self-concept questionnaires as a post-test. Hudson's sexual satisfaction questionnaire and Rogers' self-concept questionnaire were used to collect the data. Data were analyzed using multivariate covariance analysis. The results indicated that the average levels of sexual satisfaction and self-concept in women with MRKH syndrome significantly increased after vaginoplasty in comparison to their preoperative scores; but compared to the women of the control group, it is lower. To increase sexual satisfaction and improve the self-concept of women with MRKH syndrome, vaginoplasty surgery can be used as an effective treatment and an efficient program.