Study Objective

To assess the effectiveness of psychosexual education on promoting sexual function and genital self-image and reducing sexual distress through e-learning among women with Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome.

Design

Randomized controlled trial.

Setting

Imam Khomeini Hospital “Pelvic Floor Clinic” in Tehran.

Participants

Thirty-eight 15- to 49-year-old women with MRKH syndrome who had undergone surgical or nonsurgical vaginal reconstruction techniques more than 6 months before the intervention were assigned to 2 parallel intervention and control groups of 19 each.

Interventions

Psychosexual education was delivered through e-learning for the intervention group over an 8-week period, with no limitations of time and space. Sexual function, genital self-image, and sexual distress were evaluated at baseline, and at 4 and 8 weeks after the intervention.

Main Outcome Measures

The data collection tools included the Persian version of the Female Sexual Function Index, Female Genital Self-Image Scale, and the Revised Female Sexual Distress Scale.

Results

The between group mean differences of sexual function, genital self-image, and sexual distress after 4 weeks (−1.2 [95% CI, −2.1 to −0.1], P = .025; −1.9 [95% CI, −2.9 to −0.9], P < .001; 4.2 [95% CI, 2.0-6.4], P < .001, respectively), as well as after 8 weeks (−1.8 [95% CI, −3.1 to −0.5], P = .009; −3.0 [95% CI, −4.5 to −1.5], P < .001; 6.7, 95% CI, 3.9-9.6], P <0.001, respectively) after baseline were significant.

Conclusion

Psychosexual education improved sexual function and genital self-image and reduced sexual distress in women with MRKH syndrome. Therefore, using this approach, we can raise individuals’ sexual knowledge and skills and correct their sexual beliefs and attitudes.

中文翻译：

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性心理教育对促进 Rokitansky 综合征女性性功能、生殖器自我形象和性窘迫的影响：一项随机对照临床试验

学习目标

评估性心理教育在促进 Mayer-Rokitansky-Küster-Hauser (MRKH) 综合征女性中通过电子学习促进性功能和生殖器自我形象以及减少性困扰的有效性。

设计

随机对照试验。

环境

德黑兰的伊玛目霍梅尼医院“盆底诊所”。

参与者

38 名 15 至 49 岁的 MRKH 综合征女性在干预前 6 个月以上接受了手术或非手术阴道重建技术，被分配到 2 个平行干预组和对照组，每组 19 人。

干预措施

在为期 8 周的时间内，通过电子学习为干预组提供性心理教育，没有时间和空间的限制。在基线以及干预后 4 周和 8 周评估性功能、生殖器自我形象和性窘迫。

主要观察指标

数据收集工具包括波斯语版本的女性性功能指数、女性生殖器自我形象量表和修订的女性性窘迫量表。

结果

4 周后性功能、生殖器自我形象和性困扰的组间平均差异（-1.2 [95% CI，-2.1 至 -0.1]，P  = .025；-1.9 [95% CI，-2.9 至-0.9]，P < .001；4.2 [95% CI，2.0-6.4]，P < .001），以及 8 周后（-1.8 [95% CI，-3.1 至 -0.5]，P  = .009;-3.0 [95% CI, -4.5 to -1.5], P < .001; 6.7, 95% CI, 3.9-9.6], P <0.001) 基线后显着。

结论

性心理教育改善了患有 MRKH 综合征的女性的性功能和生殖器自我形象，并减少了性困扰。因此，通过这种方式，我们可以提高个人的性知识和技能，纠正他们的性观念和态度。