Sexual activities and experiences in women who underwent genital cosmetic surgery: a cross-sectional study using data from the German Health and Sexuality Survey (GeSiD).

The aim of this study was to compare women who have undergone genital cosmetic surgery (FGCS) with women who have not regarding past sexual activities and experiences. It draws on data from the German Health and Sexuality Survey (GeSiD). The subsample of women who had undergone FGCS (n = 32) was compared to a subsample of women who had not had FGCS (n = 96); the samples were matched for age, education, relationship and marital status, and whether participants had born a child. Variables concerning the present relationship, recent/lifetime sexual activities, sexual orientation, pregnancy-related experiences, health, sexual boundary violations/violence, sexual difficulties, and migration background served as main outcome measures. Women who had undergone FGCS reported more often anal intercourse during their last sexual encounter (13% vs. 1%, p = 0.021), a pregnancy ending in miscarriage (34% vs. 16%, p = 0.016), and not to be satisfied with their own appearance (41% vs. 15%, p = 0.002) than women who had not undergone FGCS. The results indicate women's motivations for FGCS beyond the desire to improve genital appearance or function, and that contributing factors might be clinically relevant regarding more general psychological wellbeing.