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.


METHODS
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]).


METHODS
Gynecology Department of Royal Children's Hospital.


METHODS
Women with vaginal agenesis.


METHODS
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.


METHODS
WHOQoL-Bref and GRISS were measured. Correlation with medical details and treatment method was undertaken.


RESULTS
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.


CONCLUSIONS
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.
Kimberley
Natalie
N
Department of Pediatrics, University of Melbourne, and Department of Urology, Royal Children's Hospital, Melbourne, Victoria, Australia.
Hutson
John M
JM
Southwell
Bridget R
BR
Grover
Sonia R
SR
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008485:Medical Audit; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000523:psychology / Q000601:surgery; D019529:Sexuality / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult