Publication date: Jul 01, 2024

The Mayer-Rokitansky-KcFCster-Hauser (MRKH) syndrome is a rare condition with significant psychological implications. However, our understanding of its impact on postoperative sexual function and mental health is still limited. Evaluate the mental health status and sexual functioning of women with MRKH syndrome after vaginoplasty surgery. We enrolled 53 cases with MRKH syndrome who underwent artificial vaginoplasty. The participants were asked to participate in a two-round survey conducted between February 2021 during the covid-19 period and March 2023. The survey included questionnaires to measure depression, anxiety, self-esteem, and sexual functioning. Differences between scores over time were analysed using a paired sample t-test, and we assessed the correlation between mental health and sexual functioning. In the first round, patients’ mean +/- SD age at surgery was 23. 6 +/- 4. 5 years old, and the mean +/- SD time that had elapsed since surgery at the time of the survey was 34. 2 +/- 20. 8 months. None of the patients reported low self-esteem, 45. 3 % reported mild-to-moderate depression, and 34. 0 % reported mild anxiety. Thirty patients have had vaginal intercourse during the last six months. The mean +/- SD Female Sexual Functioning Index score was 24. 6 +/- 4. 4, and 60. 0 % had a score of 23. 5 or higher, indicating high sexual functioning. The sexual functioning scores were positively correlated with self-esteem scores and negatively correlated with depression or anxiety scores (p

Semantics

Original Article