The Impact of Psychosexual Education on Promoting Sexual Function, Genital Self-Image, and Sexual Distress among Women with Rokitansky Syndrome: A Randomized Controlled Clinical Trial.

Abstract

STUDY OBJECTIVE\nTo assess the effectiveness of psychosexual education on promoting sexual function & genital self-image and reducing sexual distress through e-learning among women with MRKH syndrome.\n\n\nSTUDY DESIGN\nA randomized controlled trial SETTING: : Imam Khomeini Hospital s Pelvic Floor Clinic in Tehran PARTICIPANTS: Thirty-eight 15-49-year-old women with MRKH syndrome who had undergone surgical or non-surgical vaginal reconstruction techniques more than 6 months prior to the intervention were assigned to two parallel intervention and control groups of 19 each.\n\n\nINTERVENTION\nPsychosexual education was delivered through e-learning for the intervention group over an 8-week period, with no limitations of time and space. Sexual function, genital self-image, and sexual distress were evaluated at baseline, 4 and 8 weeks after the intervention.\n\n\nMAIN OUTCOME MEASURES\nThe data collection tools included the Persian version of the Female Sexual Function Index (FSFI), Female Genital Self-Image Scale (FGSIS), and the Revised Female Sexual Distress Scale (FSDS-R).\n\n\nRESULTS\nThe between-group mean differences (95% CI) of sexual function, genital self-image and sexual distress after 4 weeks (-1.2, CI: -2.1, -0.1, P= 0.025), (-1.9, CI: -2.9, -0.9, P<0.001), (4.2, CI: 2.0, 6.4, P<0.001) as well as 8 weeks (-1.8, CI: -3.1, -0.5, P= 0.009), (-3.0, CI: -4.5, -1.5, P<0.001), (6.7, CI: 3.9, 9.6, P<0.001) after baseline were significant, respectively.\n\n\nCONCLUSION\nPsychosexual education improved sexual function & genital self-image and reduced sexual distress in women with MRKH syndrome. Therefore, through this approach, we can raise individuals sexual knowledge & skills and correct their sexual beliefs and attitudes.