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

Abstract

Introduction and hypothesis

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

Methods

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).

Results

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.

Conclusions

Vaginal size did not affect sexual activity or function.

Keywords

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

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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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