- Tahereh Eftekhar
 - - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
- Zinat Ghanbari
- - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
- Tahere Foroghifar
- - Department of Gynecology and Obstetrics ,Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- Shahrzad Sheikhhassani
- - Department of Gynecology and Obstetrics ,Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- Fedyeh Haghollahi
- - Vali-e- Asar Reproductive Health Research Center,Tehran Medical Sciences University, Tehran, Iran
Received: 5/12/2010 Accepted: 7/3/2010 - Publisher : Avicenna Research Institute |
|
| Related Articles |
|
| Other Format |
|
|
|
Abstract
Background: Aplasia of the uterus and upper two-thirds of the vagina due to Mayer–Rokitansky–Kuster–Hauser syndrome prevents normal coitus which may lead to anxiety and other psychiatric problems in these women. Vaginal reconstruction improves the patients’ quality of life. This study intends to compare sexual function in normal women and women having undergone vaginoplasty for Mayer–Rokitansky–Kuster–Hauser syndrome. Methods: This descriptive and analytical study was carried out in the gynecologic clinic of Imam Khomeini Hospital in 2004 to 2008. Nineteen female patients with Mayer–Rokitansky–Kuster–Hauser syndrome and a history of vaginoplasty were compared to 30 women without any anatomical malformations in their genitalia. The female sexual function index (FSFI) was used to evaluate the problem in the two groups. The calculated scores of the two groups were compared and statistically analyzed. Results: The mean age of the patients was 29.57 (SD = 6.11) years. The mean score for sexual desire in individuals with a history of vaginoplasty was 22.84 (SD = 2.5) compared to 24.63 (SD = 2.94) in the healthy women (p = 0.033) and the mean score for sexual arousal in women having undergone vaginoplasty was 13.89 (SD = 2.47) compared to 15.27 (SD = 3.41) in the healthy individuals. Sexual arousal, orgasm and pain were not different between the two groups. Conclusion: Sexual arousal and satisfaction were not different in women having undergone vaginoplasty and women with normal sexual function. It seems that the surgery offers a better quality of life and is acceptable to women with Mayer–Rokitansky–Kuster–Hauser syndrome.
Keywords:
Female sexual function index (FSFI), Libido, Orgasm, Questionnaire, Rokitansky syndrome, Sexual arousal, Sexual function, Vaginoplasty To cite this article:References
- Bean EJ, Mazur T, Robinson AD. Mayer-Roki-tansky-Küster-Hauser syndrome: sexuality, psycho-logical effects, and quality of life. J Pediatr Adolesc Gynecol. 2009;22(6):339-46. [PubMed]
- Creatsas G, Deligeoroglou E, Christopoulos P. Cre-ation of a neovagina after Creatsas modification of Williams vaginoplasty for the treatment of 200 patients with Mayer-Rokitansky-Kuster-Hauser syn-drome. Fertil Steril. 2009 Nov 23. [Epub ahead of print] [PubMed]
- Gargollo PC, Cannon GM Jr, Diamond DA, Thomas P, Burke V, Laufer MR. Should progressive perineal dilation be considered first line therapy for vaginal agenesis? J Urol. 2009;182(4 Suppl):1882-9. [PubMed]
- El Saman AM. Retropubic balloon vaginoplasty for management of Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril. 2010;93(6):2016-9. [PubMed]
- El Saman AM. Combined retropubic balloon va-ginoplasty and laparoscopic canalization: a novel blend of techniques provides a minimally invasive treatment for cervicovaginal aplasia. Am J Obstet Gynecol. 2009;201(3):333.e1-5. [PubMed]
- Khademi A, Alleyassin A, Amini M, Ghaemi M. Evaluation of sexual dysfunction prevalence in infertile couples. J Sex Med. 2008;5(6):1402-10. [PubMed]
- Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instru-ment for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208. [PubMed]
- Elzevier HW, Nieuwkamer BB, Pelger RC, Lyckla-ma à Nijeholt AA. Female sexual function and activ-ity following cystectomy and continent urinary tract diversion for benign indications: a clinical pilot study and review of literature. J Sex Med. 2007;4 (2):406-16. [PubMed]
- Hensle TW, Shabsigh A, Shabsigh R, Reiley EA, Meyer-Bahlburg HF. Sexual function following bowel vaginoplasty. J Urol. 2006;175(6):2283-6. [PubMed]
- Fotopoulou C, Sehouli J, Gehrmann N, Schoen-born I, Lichtenegger W. Functional and anatomic results of amnion vaginoplasty in young women with Mayer-Rokitansky-Küster-Hauser syndrome. Fertil Steril. 2010;94(1):317-23. [PubMed]
- Bekerecioglu M, Balat O, Tercan M, Karakok M, Ugur MG, Isik D. Adaptation process of the skin graft to vaginal mucosa after McIndoe vaginoplasty. Arch Gynecol Obstet. 2008;277(6):551-4. [PubMed]