Exploring female genital self-image: a psychological and sociocultural perspective

Female genital self-image (FGSI) refers to one's perception of the external and internal appearance of female genitalia. FGSI is a multidisciplinary research area influenced by psychological, sociocultural, and clinical factors, influencing sexual satisfaction, desire, self-perception, and partner perception.

The review aims to improve doctors' understanding of genital self-image by incorporating psychological and sociocultural perspectives, thereby promoting a comprehensive and holistic approach.

A comprehensive search technique was used to obtain research papers from the following databases: PubMed (MEDLINE), Scopus, and Web of Science. Google Scholar was also manually searched. The search results were imported into Rayyan reference management and assessed using the established inclusion criteria. The quality of the articles was assessed using the appropriate JBI checklist (ie, according to the study design), and the JBI grades of recommendation were used to grade the evidence.

Psychological theories like self-schema, body image, and female personal harm view offer insights into FGSI, but none provide a comprehensive explanation of subjective body image dissatisfaction.Research indicates women often experience anxiety about discussing genitalia and accepting sexual attention, but limited literature on negative self-image causes. Interventions include sexological counseling, therapy, educational programs, and public statements. Understanding FGSI is crucial for effective pre-surgical counseling, incorporating online portrayals, attitudes, and reasons for cosmetic surgery, and addressing psychological and sociocultural factors.This text delves into the intricate psychological and sociocultural factors that shape FGSI, presenting a model of intra- and interpersonal dynamics. The link between FGSI and negativism is unclear, but it is linked to women's confidence and subjectivity, with positive self-perceptions predicting higher sexual satisfaction and mental health.

FGSI has an imperative role in healthy female sexual function. The study suggests an interdisciplinary approach to managing FGSI, integrating psychological and sociological approaches, to better understand women's anatomy and address gendered distress.