Body Image, Sexual Function, and Sexual Satisfaction Among Couples Before and After Gynecologic  Cosmetic Surgery

Tahereh Eftekhar; Marzieh Hajibabaei; Firoozeh Veisi; Zinat Ghanbari; Ali Montazeri

doi:10.18502/jfrh.v15i4.7892

Tahereh Eftekhar Division of Pelvic Floor and Reconstructive Surgery, Department of Obstetrics and gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Marzieh Hajibabaei Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
Firoozeh Veisi Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
Zinat Ghanbari Division of Pelvic Floor and Reconstructive Surgery, Department of Obstetrics and gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Ali Montazeri Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran

DOI: https://doi.org/10.18502/jfrh.v15i4.7892

Keywords: Plastic Surgery; Body Image; Sexual Behavior; Orgasm

Abstract

Objective: This study aimed to compare women’s body image, sexual function and satisfaction before and after gynecologic cosmetic surgery. The study also aimed to assess women husband’s sexual satisfaction.

Materials and methods: This was a pretest-posttest study. A sample of 50 women attending the pelvic floor clinic of Tehran University of Medical Sciences for gynecologic cosmetic surgery was entered into the study. Surgeries included labiaplasty, clitoral hoodectomy, vaginoplasty, vaginal rejuvenation, anterior and posterior colporrhaphy, perineoplasty, and perineorrhaphy. Women were assessed for the Body Image Quality of Life Inventory (BIQLI), the Larson Sexual Satisfaction Questionnaire (LSSQ-F), and Female Sexual Function Inventory (FSFI-6) at two points in time: baseline (one week before surgery) and 3 months after surgery. Similarly, the male partners were assed for sexual satisfaction using the Larson Sexual Satisfaction Questionnaire (LSSQ-M). To analyze the data paired samples t-test was applied.

Results: The mean (SD) age of women was 43.36 (8.6) years and the mean (SD) duration of marriage was 22.18 (9.7) years. Ninety-four percent had history of vaginal delivery and 58.7 percent attend surgery due to husband’s sexual dissatisfaction. The results showed that women’s body image, sexual function and couples’ sexual satisfaction improved significantly after gynecologic cosmetic surgery (p ≤ 0.001).

Conclusion: The findings suggest that female genital cosmetic surgery improved the body image and sexual function of women and sexual satisfaction in couples that might lead to a more pleasurable and healthier marital relationship.