title: Sexual function in women treated with dilators for vaginal agenesis.
abstract: OBJECTIVE
  To discover the sexual satisfaction of young women treated with vaginal dilators for vaginal agenesis.
  
  
  METHODS
  Anonymous questionnaire study.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: National 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.
authors.forename: S
authors.initials: S
authors.lastname: Nadarajah
authors.forename: J
authors.initials: J
authors.lastname: Quek
authors.forename: G L
authors.initials: GL
authors.lastname: Rose
authors.forename: D K
authors.initials: DK
authors.lastname: Edmonds
mesh_terms: D000293:Adolescent; D000328:Adult; D001143:Arousal; D000013:Congenital Abnormalities / Q000628:therapy*; D004106:Dilatation / Q000379:methods*; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D007989:Libido; D008875:Middle Aged; D009948:Orgasm; D010147:Pain Measurement; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D014621:Vagina / Q000002:abnormalities*