Impact of Anogenital Distance Parameters on Female Sexual DysfunctionAslıhan Ergül, Bahar Yüksel Özgör
Objective: The aim of this study was to investigate the relation between anogenital distance (AGD) and female sexual dysfunction. Materials and Methods: The present study was done prospectively between January 2021 - July 2022. All patients filled out the Female Sexual Function Index (FSFI) score and the Sexual Quality of Life-Female score (SQOL-F). Also, AGD was measured in all patients. Patients were classified into two groups according to FSFI (FSFI <27 and FSFI ≥27) and into three groups according to SQOL-F (SQOL-F 18-51, SQOL-F 52-84, SQOL-F >84). Groups were compared according to age, body mass index (BMI), parity status, anogenital anoclitoral distance (AGDAC), anus to fourchette distance (AGDAF), and genital hiatus (GH). Also, correlation analysis was performed between sexual function scores and AGD. Results: Totally, 280 patients were enrolled into the study and 89 (31.8%) patients had sexual dysfunction according to FSFI. AGDAC (74.7 mm vs 64.6 mm, p= 0.001) and GH length (27.8 mm vs 22.0 mm, p= 0.001) were significantly longer in patients with sexual dysfunction. In addition, GH and AGDAC were significantly shorter in patients with the highest SQOL-F. Correlation analysis showed no significant correlation between AGDAF and sexual function (p= 0.671 for FSFI and p=0.294 for SQOL-F). However, longer AGDAC was significantly and negatively correlated with healthy sexual status (r= - 0.546, p= 0.001 for FSFI and r= - 0.604, p= 0.001 for SQOL-F). In addition, longer GH distance was significantly associated with female sexual dysfunction (p= 0.001 for FSFI and p= 0.001 for SQOL-F). Conclusion: The present study demonstrated that almost one third of women had sexual dysfunction. Also, the present study found that longer AGDAC and GH were significantly associated with female sexual dysfunction and female sexual dissatisfaction according to FSFI and SQOL-F for the first time.