International Urogynecology Journal

, Volume 27, Issue 11, pp 1681–1687 | Cite as

Radiofrequency in female external genital cosmetics and sexual function: a randomized clinical trial

  • Patrícia LordêloEmail author
  • Mariana Robatto Dantas Leal
  • Cristina Aires Brasil
  • Juliana Menezes Santos
  • Maria Clara Neves Pavie Cardoso Lima
  • Marair Gracio Ferreira Sartori
Original Article


Introduction and hypothesis

Female sexual behavior goes through cultural changes constantly, and recently, some women have shown the desire the ideal genitalia. In this study, we aimed to evaluate clinical responses to nonablative radiofrequency (RF) in terms of its cosmetic outcome in the female external genitalia and its effect on sexual function.


A single-masking randomized controlled trial was conducted in 43 women (29 sexually active) who were unsatisfied with the appearance of their external genitalia. The women were divided into an RF group (n = 21, 14 sexually active) and a control group (n = 22, 15 sexually active). Eight sessions of RF were performed once a week. Photographs (taken before the first session and 8 days after the last session) were evaluated by the women and three blinded health professionals by using two 3-point Likert scales (unsatisfied, unchanged, and satisfied; and worst, unchanged, and improved). Sexual function was evaluated using the Female Sexual Function Index (FSFI) and analyzed using the Student t test. Women’s satisfaction and health professional evaluation were analyzed using the chi-square test and inter- and intragroup binomial comparisons.


Satisfaction response rates were 76 and 27 % for the RF and control groups, respectively (p = 0.001). All professionals found a clinical improvement association in the treated group with RF in comparison with the control group (p < 0.01). The overall FSFI sexual function score increased by 3.51 points in the RF group vs 0.1 points in the control group (p = 0.003).


RF is an alternative for attaining a cosmetic outcome for the female external genitalia, with positives changes in patients’ satisfaction and FSFI scores.


Pulsed radiofrequency Collagen Female Urogenital atrophy Cosmetic 



This study was developed with financial and material support by the academic Escola Bahiana de Medicina e Saúde Pública and financial support by the governmental research foundation Fundação de Amparo a Pesquisa do Estado da Bahia –FAPESB.

Compliance with ethical standards

Conflicts of interest


Supplementary material


(MOV 8765 kb)


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Copyright information

© The International Urogynecological Association 2016

Authors and Affiliations

  • Patrícia Lordêlo
    • 1
    Email author
  • Mariana Robatto Dantas Leal
    • 1
  • Cristina Aires Brasil
    • 1
  • Juliana Menezes Santos
    • 1
  • Maria Clara Neves Pavie Cardoso Lima
    • 1
  • Marair Gracio Ferreira Sartori
    • 2
  1. 1.Bahiana School of Medicine and Public HealthSalvadorBrazil
  2. 2.Federal University of São Paulo StateSão PauloBrazil

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