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. 2024 Oct 8;12(1):541.
doi: 10.1186/s40359-024-02042-8.

Predictors of genital self-image in Iranian women: a cross-sectional study

Mina Malary  1 , Zeinab Hamzehgardeshi  2   3 , Afsaneh Keramat  4   5 , Masoud Yunesian  6   7 , Maryam Farjamfar  8
Affiliations

Predictors of genital self-image in Iranian women: a cross-sectional study

Mina Malary et al. BMC Psychol. .

Abstract

Background and aim: Several factors influence women's perception of their genitalia. Understanding the elements associated with genital self‑image (GSI) can significantly contribute to enhancing women's sexual experiences. Therefore, the present study aimed to identify the predictors of GSI in Iranian women.

Materials and methods: This online cross-sectional study was conducted on 722 healthy married reproductive-aged women with records in Amol-Iran health centers during 2022. Participants were selected using a random sampling method from all the healthcare centers. Data were collected through a checklist of socio-demographic and obstetrics information, the Female Genital Self-Image Scale (FGSI), the 6-item Female Sexual Function Index (FSFI-6), the Female Sexual Distress Scale - revised (FSDS-R), and the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) for assessing sexual esteem and sexual satisfaction. The general linear model was employed to assess the impact of each independent variable (socio-demographic and obstetrics characteristics, sexual function, sexual distress, sexual esteem, and sexual satisfaction) on the dependent variable (GSI).

Results: The mean score of GSI was 21.70 ± 3.82. Based on the Pearson correlation test, there were significant correlations between GSI and sexual function, sexual esteem, sexual satisfaction, and sexual distress (r = 0.20, r = 0.43, r = 0.42, r = -0.28 respectively; p < 0.001). Using the adjusted general linear model, with the increasing scores of sexual esteem and sexual satisfaction, the GSI score also increased (β = 0.19, 95% CI: 0.10 to 0.27, β = 0.14, 95% CI: 0.06 to 0.22, respectively; p < 0.001). Additionally, age, abnormal vaginal discharge, genital feedback from partners, and satisfaction with body image were identified as other predictors of GSI.

Conclusion: Based on the study results, it was observed that sexual esteem, sexual satisfaction, and certain socio-demographic variables served as predictors of GSI. Consequently, considering the potential impact of GSI on various aspects of women's lives, healthcare providers can enhance their counseling techniques to improve GSI by gaining an appropriate understanding of the factors that influence it.

Keywords: Genital self-image; Sexual distress; Sexual esteem; Sexual function; Sexual satisfaction.

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Conflict of interest statement

The authors declare no competing interests.

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References

    1. Benabe E, Fuentes Y, Roldan G, Ramos M, Pastrana M, Romaguera J. The perceptions of female genital self-image and its associations with female sexual distress. Int J Gynaecol Obstet. 2022;157:90–5. - PubMed
    1. DeMaria AL, Meier SJ, Dykstra C. It’s not perfect but it’s mine: genital self-image among women living in Italy. Body Image. 2019;29:140–8. - PubMed
    1. Herbenick D, Reece M. Development and validation of the female genital self-image Scale. J Sex Med. 2010;7:1822–30. - PubMed
    1. Smith NK, Butler S, Wagner B, Collazo E, Caltabiano L, Herbenick D. Genital self-image and considerations of elective genital surgery. J Sex Marital Ther. 2017;43:169–84. - PubMed
    1. Berman L, Windecker MA. The relationship between women’s genital self-image and female sexual function: a national survey. Curr Sex Health Rep. 2008;5:199–207.

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