Well-being and sexual function outcomes in women with vaginal agenesis

Objective: To assess long-term quality of life and sexual satisfaction outcomes of women treated for vaginal agenesis. Design: An audit project using questionnaires to assess quality of life (World Health Organization Quality of Life Bref [WHOQoL-Bref]) and sexual satisfaction (Golombok Rust Inventory of Sexual Satisfaction [GRISS]). Setting: Gynecology Department of Royal Children's Hospital. Patient(s): Women with vaginal agenesis. Intervention(s): Medical data were extracted from notes. Women were contacted at their review consultation or were offered the opportunity for review and participation in the audit. Main Outcome Measure(s): WHOQoL-Bref and GRISS were measured. Correlation with medical details and treatment method was undertaken. Result(s): Age range was 16–71 years (median, 23 years). WHOQoL-Bref (n = 28) scores (mean ± SD, 4.2 ± 0.8), were similar to the mean Australian population score. The GRISS questionnaire (n = 20) revealed that 75% of women had overall satisfactory scores. WHOQoL scores had a high correlation with GRISS scores. Time since diagnosis correlated to GRISS scores with 12 of 13 diagnosed >5 years earlier having satisfactory results. Women without a hymen had more problems with vaginismus. Conclusion(s): General outcomes are good for these women, although vaginismus was an issue. There was a correlation between lower health satisfaction scores, feeling less feminine and feeling down, but not GRISS.

Fertility and Sterility

Fertility and Sterility

95

1556-5653

N/A

1

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