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Related Experiment Video

Updated: Jul 15, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Published on: September 20, 2018

Patient-Reported Outcome Measures Assessing Genital Self-Image: A Systematic Review of Measurement Properties.

Erisvan Vieira da Silva^1,2, Guilherme Tavares de Arruda³, Leticia Correa do Amaral⁴

¹Postgraduate Program in Movement Sciences and Rehabilitation, Federal University of Santa Maria, Santa Maria, Brazil. erisvan.vieira@acad.ufsm.br.

Archives of Sexual Behavior

|July 13, 2026

Summary

This review found limited evidence for the measurement properties of genital self-image scales. Only the Female Genital Self-Image Scale (FGSIS) 7-item version showed potential, warranting further research.

Keywords:

Body image COSMIN GRADE Genital self-image PROM

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Area of Science:

Psychology
Medical Sociology
Health Psychology

Background:

Genital self-image is a crucial component of overall body image and psychological well-being.
Existing measures of genital self-image lack comprehensive evaluation of their psychometric properties.
A critical appraisal of these measures is needed to guide clinical and research applications.

Purpose of the Study:

To systematically review and appraise the measurement properties of available genital self-image measures.
To identify the most reliable and valid instruments for assessing genital self-perception.
To provide recommendations for future research and clinical use of these scales.

Main Methods:

Systematic literature search for studies evaluating measurement properties of genital self-image scales.
Inclusion of nine distinct genital self-image measures.
Methodological quality assessment using the COSMIN Risk of Bias Checklist.
Evidence grading using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE).

Main Results:

None of the included Patient-Reported Outcome Measures (PROMs) demonstrated all measurement properties adequately.
Insufficient evidence was found to support recommendations for most scales.
The Female Genital Self-Image Scale (FGSIS) 7-item version showed adequate evidence for content validity and is potentially recommended.
Included studies generally exhibited insufficient measurement properties.

Conclusions:

Current genital self-image measures have significant limitations in their measurement properties.
The FGSIS 7-item version is a potentially recommended tool, but requires further validation.
Future research should focus on robustly assessing the measurement properties of the FGSIS 7-item version following established guidelines.