The Effect of Labiaplasty on Self-perception and Quality of Sexual Life in Women: Functional and Psychological Reflections.

BACKGROUND

Female genital cosmetic procedures, particularly labiaplasty, have become increasingly popular due to rising concerns about both aesthetic dissatisfaction and functional limitations. Enlarged or asymmetric labia may result in physical discomfort, hygiene-related problems, or reduced sexual satisfaction. Although labiaplasty is believed to improve genital self-image, emotional well-being, and sexual functioning, studies employing validated psychometric tools to assess these outcomes remain limited.

OBJECTIVES

In this study we aimed to evaluate the psychological, functional, and sexual outcomes of labiaplasty in women, focusing on changes in genital self-perception, depression levels, sexual function, and overall quality of sexual life.

METHODS

A total of 48 women, ages between 21 and 52 years, who underwent labiaplasty were included in the study. Standardized instruments including the Beck Depression Inventory (BDI), Female Genital Self-Image Scale (FGSIS), Female Sexual Function Index (FSFI), Quality of Sexual Experience scale (QSE), and Sexual Quality of Life Questionnaire-Female (SQoL-F) were administered before and after surgery to assess multidimensional outcomes.

RESULTS

The leading reasons for seeking labiaplasty were labial asymmetry (47.9%), low self-esteem (41.7%), and negative partner experiences (10.4%). Postoperative scores revealed significant improvements in all assessed domains. BDI scores decreased significantly (P = .037), and FGSIS, FSFI, QSE, and SQoL-F scores increased markedly (P < .001 for each), reflecting enhanced genital self-image, sexual function, and quality of life.

CONCLUSIONS

Labiaplasty appears to offer meaningful benefits beyond aesthetics, contributing to improved psychological well-being and sexual health. These findings support its value as a functional and psychosocially beneficial intervention in appropriately selected patients.