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Updated: Jun 8, 2025

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Comparison of Sexual Function, Satisfaction, and Assertiveness in Genital Cosmetic Surgery Groups: A
Fatemeh Alavi-Arjas1, Fatemeh Nahidi2, Masoumeh Simbar3
1Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Aesthetic Plastic Surgery
|November 1, 2024
Summary
Women undergoing female genital cosmetic surgery (FGCS) reported better sexual function and satisfaction than those seeking it. FGCS outcomes appear positive for sexual well-being.
Area of Science:
- Reproductive Medicine
- Sexual Health
- Surgical Outcomes
Background:
- Sexual dissatisfaction is a primary driver for female genital cosmetic surgery (FGCS).
- The outcomes of FGCS on sexual function and satisfaction remain a subject of debate.
Purpose of the Study:
- To evaluate and compare sexual function, satisfaction, and assertiveness among women undergoing or seeking FGCS.
- To assess the impact of labiaplasty (LP) and multi-procedure (MP) FGCS on sexual well-being.
Main Methods:
- A comparative study involving 200 women across five clinical centers in Tehran, Iran.
- Participants were categorized into groups seeking or having undergone labiaplasty (LP) or multi-procedure (MP) FGCS, alongside a control group.
- Standardized questionnaires including the Female Sexual Function Index (FSFI), Global Measure of Sexual Satisfaction (GMSEX), and Hurlbert Index of Sexual Assertiveness (HISA) were administered.
Main Results:
- Women who underwent LP demonstrated significantly higher FSFI, GMSEX, and HISA scores compared to those seeking LP.
- Similarly, women who completed MP procedures showed improved FSFI, GMSEX, and HISA scores in contrast to those awaiting MP.
- The study found statistically significant differences (p < 0.05) across all measured sexual function and satisfaction parameters.
Conclusions:
- Completion of FGCS is associated with enhanced sexual function, satisfaction, and assertiveness.
- These findings suggest that FGCS positively impacts sexual well-being in women who undergo the procedures.
- The study provides evidence supporting the benefits of FGCS for improving sexual health outcomes.
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