International Urogynecology Journal

, Volume 21, Issue 4, pp 447–452 | Cite as

Does vaginal size impact sexual activity and function?

  • Megan O. Schimpf
  • Heidi S. Harvie
  • Tola B. Omotosho
  • Lee B. Epstein
  • Marjorie Jean-Michel
  • Cedric K. Olivera
  • Kristin E. Rooney
  • Sunil Balgobin
  • Okechukwu A. Ibeanu
  • Rajiv B. Gala
  • Rebecca G. Rogers
  • for the Society of Gynecologic Surgeons Fellows’ Pelvic Research Network
Original Article


Introduction and hypothesis

This study seeks to determine if total vaginal length (TVL) or genital hiatus (GH) impact sexual activity and function.


Heterosexual women ≥ 40 years were recruited from urogynecology and gynecology offices. TVL and GH were assessed using the Pelvic Organ Prolapse Quantification exam. Women completed the Female Sexual Function Index (FSFI) and were dichotomized into either normal function (FSFI total > 26) or sexual dysfunction (FSFI ≤ 26).


Five hundred five women were enrolled; 333 (67%) reported sexual activity. While sexually active women had longer vaginas than women who were not active (9.1 cm ± 1.2 versus 8.9 cm ± 1.3, p = 0.04), significance was explained by age differences. GH measurements did not differ (3.2 cm ± 1.1 versus 3.1 cm ± 1.1, p = 0.58). In sexually active women, TVL was weakly correlated with FSFI total score, but GH was not. TVL and GH did not differ between women with normal FSFI scores and those with sexual dysfunction.


Vaginal size did not affect sexual activity or function.


Sexual activity Sexual function Vaginal anatomy Total vaginal length Genital hiatus Questionnaires 


  1. 1.
    Swift S, Woodman PL, O’Boyle A, Kahn M, Valley M, Bland D et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806CrossRefPubMedGoogle Scholar
  2. 2.
    Weber AM, Walters MD, Schover LR, Mitchinson A (1995) Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 85(4):483–487CrossRefPubMedGoogle Scholar
  3. 3.
    Weber AM, Walters MD, Schover LR, Mitchinson A (1995) Vaginal anatomy and sexual function. Obstet Gynecol 86:946–949CrossRefPubMedGoogle Scholar
  4. 4.
    Weber AM, Walters MD, Piedmonte MR (2000) Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 182:1610–1650CrossRefPubMedGoogle Scholar
  5. 5.
    Jeffcoate TN (1959) Posterior colporrhaphy. Am J Obstet Gynecol 77:490–502PubMedGoogle Scholar
  6. 6.
    Francis WJ, Jeffcoate TN (1961) Dyspareunia following vaginal operations. J Obstet Gynaecol Br Commonw 68:1–10PubMedGoogle Scholar
  7. 7.
    Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMedGoogle Scholar
  8. 8.
    Hanley J, Capewell A, Hagen S (2001) Validity study of the severity index, a simple measure of urinary incontinence in women. Br Med J 322:1096–1097CrossRefGoogle Scholar
  9. 9.
    Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for assessment of female sexual function. J Sex Marital Ther 26:191–208CrossRefPubMedGoogle Scholar
  10. 10.
    Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31(1):1–20CrossRefPubMedGoogle Scholar
  11. 11.
    Celik H, Gurates B, Yavuz A, Nurkalem C, Hanay F, Kavak B (2008) The effect of hysterectomy and bilaterally salpingo-oophorectomy on sexual function in post-menopausal women. Maturitas 61:358–363CrossRefPubMedGoogle Scholar
  12. 12.
    Jewett JG (1952) Vaginal length and incidence of dyspareunia following total abdominal hysterectomy. Am J Obstet Gynecol 63(2):400–407PubMedGoogle Scholar
  13. 13.
    Murina F, Bernorio R, Palmiotto R (2008) The use of Amielle vaginal trainers as adjuvant in the treatment of vestibulodynia: an observational multicentric study. Medscape J Med 10(1):23PubMedGoogle Scholar
  14. 14.
    Fitzgerald MP, Link CL, Litman HJ, Travison TG, McKinlay JB (2007) Beyond the lower urinary tract: the association of urologic and sexual symptoms with common illnesses. Eur Urol 52(2):326–330CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Megan O. Schimpf
    • 1
    • 10
  • Heidi S. Harvie
    • 1
  • Tola B. Omotosho
    • 2
  • Lee B. Epstein
    • 3
  • Marjorie Jean-Michel
    • 4
  • Cedric K. Olivera
    • 5
  • Kristin E. Rooney
    • 6
  • Sunil Balgobin
    • 7
  • Okechukwu A. Ibeanu
    • 8
  • Rajiv B. Gala
    • 9
  • Rebecca G. Rogers
    • 2
  • for the Society of Gynecologic Surgeons Fellows’ Pelvic Research Network
  1. 1.Obstetrics and GynecologyUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Obstetrics and GynecologyUniversity of New MexicoAlbuquerqueUSA
  3. 3.Florida Urogynecology and Pelvic Reconstructive Pelvic Surgery, PAJacksonvilleUSA
  4. 4.Department of Obstetrics and GynecologyBronx-Lebanon Hospital CenterBronxUSA
  5. 5.Obstetrics and Gynecology, SUNY-DownstateBrooklynUSA
  6. 6.Women’s Continence Center of Greater RochesterRochesterUSA
  7. 7.Obstetrics and GynecologyUniversity of Texas Southwestern Medical CenterDallasUSA
  8. 8.Obstetrics and GynecologyLouisiana State UniversityNew OrleansUSA
  9. 9.Obstetrics and GynecologyOchsner Clinic FoundationNew OrleansUSA
  10. 10.PhiladelphiaUSA

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