The Effect of Psychosexual Education on Promoting Sexual Function, Genital Self-Image, and Sexual Distress among Women with Rokitansky Syndrome: A Randomized Controlled Clinical Trial

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. Randomized controlled trial. Imam Khomeini Hospital “Pelvic Floor Clinic” in Tehran. 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. 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. 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. 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