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J Pediatr Adolesc Gynecol. 2005 Feb;18(1):39-42.

Sexual function in women treated with dilators for vaginal agenesis.

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  • 1National Centre for Adolescent and Adult Females with Congenital Abnormalities of the Genital Tract, Queen Charlotte's and Chelsea Hospital, Du Cane Road, London, W12 0HS, UK.

Abstract

OBJECTIVE:

To discover the sexual satisfaction of young women treated with vaginal dilators for vaginal agenesis.

DESIGN:

Anonymous questionnaire study.

MAIN OUTCOME MEASURES:

Comparison of sexual desire arousal lubrication, orgasm satisfaction and pain with a normal population.

RESULTS:

There was no significant difference between the study population and controls for the domains of sexual desire, sexual arousal, and satisfaction with a sexual relationship. There was, however, a significant difference for vaginal lubrication and orgasm where the Rokitansky patients scored lower. 22.3% of patients reported some degree of dyspareunia following vaginal penetration. However, this did not affect their enjoyment of the sexual act.

CONCLUSION:

The use of graduated vaginal dilators for patients with Mullerian agenesis is highly successful in creating a neovagina. Although the lack of adequate lubrication, pain and difficulty in reaching orgasm is significantly higher in this group, the patients subsequently enjoy sexual satisfaction that is comparable to a normal population.

[PubMed - indexed for MEDLINE]
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