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Well-being and sexual function outcomes in women with vaginal agenesis
Natalie Kimberley1, John M Hutson, Bridget R Southwell
1Department of Pediatrics, University of Melbourne, and Department of Urology, Royal Children's Hospital, Melbourne, Victoria, Australia.
Objective:
To assess long-term quality of life and sexual satisfaction outcomes of women treated for vaginal agenesis.
Design:
An audit project using questionnaires to assess quality of life (World Health Organization Quality of Life Bref [WHOQoL-Bref]) and sexual satisfaction (Golombok Rust Inventory of Sexual Satisfaction [GRISS]).
Setting:
Gynecology Department of Royal Children's Hospital.
Patient(S):
Women with vaginal agenesis.
Intervention(S):
Medical data were extracted from notes. Women were contacted at their review consultation or were offered the opportunity for review and participation in the audit.
Main Outcome Measure(S):
WHOQoL-Bref and GRISS were measured. Correlation with medical details and treatment method was undertaken.
Result(S):
Age range was 16-71 years (median, 23 years). WHOQoL-Bref (n=28) scores (mean±SD, 4.2±0.8), were similar to the mean Australian population score. The GRISS questionnaire (n=20) revealed that 75% of women had overall satisfactory scores. WHOQoL scores had a high correlation with GRISS scores. Time since diagnosis correlated to GRISS scores with 12 of 13 diagnosed>5 years earlier having satisfactory results. Women without a hymen had more problems with vaginismus.
Conclusion(S):
General outcomes are good for these women, although vaginismus was an issue. There was a correlation between lower health satisfaction scores, feeling less feminine and feeling down, but not GRISS.
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