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Female Sexual Function After Labiaplasty: A Systematic Review and Meta-analysis
Fatemeh Nahidi1, Michael P Goodman2,3, Fatemeh Alavi-Arjas4
1Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Aesthetic Plastic Surgery
|June 5, 2025
Summary
Labiaplasty shows a positive short-term impact on sexual function, improving the Female Sexual Function Index (FSFI) score by 18.8%. However, limited study designs and inconsistent methods restrict definitive conclusions about labiaplasty
Area of Science:
- Gynecology
- Sexual Health
- Surgical Outcomes
Background:
- Labiaplasty is frequently pursued for aesthetic, sexual, or functional reasons, yet outcomes remain inconsistent.
- Limited research exists on the safety and efficacy of labiaplasty, with most studies being case reports or retrospective analyses.
Purpose of the Study:
- To systematically review and analyze the impact of labiaplasty on female sexual function.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, Web of Science, Scopus, etc.) from 2000 to 2024.
- Included studies focused on labia minora surgery for non-medical reasons and assessed post-operative sexual function quantitatively.
- A meta-analysis using a random-effects model was employed to synthesize findings.
Main Results:
- Eleven articles involving 671 participants were reviewed, with most studies rated as weak or moderate in quality.
- Six studies utilized the Female Sexual Function Index (FSFI).
- Meta-analysis of these studies indicated an 18.8% improvement in FSFI scores post-labiaplasty (P < 0.001).
Conclusions:
- Labiaplasty appears to positively influence sexual function in the short term.
- Inconsistencies in surgical techniques, study designs, and assessment tools limit the strength of these conclusions.
- Patients require thorough pre-operative counseling regarding the current limitations in knowledge about labiaplasty's long-term effects on sexual function.
