207: Impact of Labiaplasty in Young Adults: Sexual Function, Body Image and Psychosocial Effects, case study

Vollständiger Abstract

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Labiaplasty, one of the most frequently performed genital cosmetic procedures, has seen a marked rise among young adults over the past decade. While commonly presented as a means of improving comfort or genital aesthetics, the psychological, sexual, and social implications of this procedure remain complex and multifactorial. Understanding its broader impact on sexual function and well-being is essential for ethical and patient-centred practice. To explore the current evidence on the outcomes of labiaplasty in young women, with a particular focus on sexual function, genital self-image, body satisfaction, and psychosocial well-being. Also to illustrate the impact of labioplasty in my case A narrative review of recent studies (2018–2024) examining the physical and psychosocial outcomes of labiaplasty was conducted. Emphasis was placed on validated measures such as the Female Sexual Function Index (FSFI), Genital Self-Image Scale (FGSIS), and standardised body image and mood assessments. Evidence suggests that labiaplasty is associated with significant improvements in genital appearance satisfaction, self-confidence, and sexual function domains, including desire, arousal, and satisfaction. Many patients report reduced embarrassment and improved relational intimacy. However, methodological limitations are notable—most studies are small-scale, retrospective, and lack long-term follow-up. A minority of patients experience negative outcomes as in my case such as psychological impact ,altered genital sensitivity, unmet aesthetic expectations, or persistent body image distress. The role of sociocultural influences—especially pornography, social media, and peer comparison—is increasingly recognised in shaping motivation for surgery. Labiaplasty can have positive effects on sexual satisfaction and body image in carefully selected young women, but the evidence base remains limited and ethically complex. Comprehensive preoperative counselling, psychological screening, and multidisciplinary collaboration (including psychosexual therapy) are crucial to ensuring informed consent and realistic expectations. Further longitudinal research is needed to clarify long-term sexual and psychosocial outcomes.