A comprehensive interventional program based on the needs and concerns related to female genital cosmetic surgeries: protocol for a multistage mixed methods study.

Publisher: BioMed Central Country of Publication: England NLM ID: 101224380 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-4755 (Electronic) Linking ISSN: 17424755 NLM ISO Abbreviation: Reprod Health Subsets: MEDLINE

Original Publication: [London] : BioMed Central, 2004-

Sexual Behavior* ; Sexuality*; Adolescent ; Female ; Humans ; Reproductive Health/education ; Women's Health ; Genitalia, Female ; Review Literature as Topic

Background: Dissatisfaction with one's body and the subsequent rise in the cosmetic surgery trend pose significant public health concerns today. One unusual cosmetic surgical procedure involves enhancing the genital area. Numerous healthy women and girls have recently sought Genital Cosmetic Surgery (GCS) for beauty or improved sexual performance. There is a concern that this phenomenon may be linked to developing a new standard for vulvovaginal appearance. This stringent standard could potentially adversely affect women's mental health in the future, growing feelings of insecurity and possibly leading teenagers to consider plastic surgery. Implementing empowering and awareness-raising programs for women and girls is crucial, especially in light of the constantly evolving gender norms and the medicalization of sexuality and beauty as social constructs. It is essential that such training is integrated into comprehensive sexual education programs for adolescents. These efforts align perfectly with the SDG, recognizing that education in sexual and reproductive health, ensuring access to health, and empowering women are fundamental rights for women and girls. To accomplish these objectives, we will conduct this study to elucidate the needs and concerns related to the increasing trend of GCS. By doing so, we can concentrate on the factors motivating women to undergo GCS. This approach will enable us to develop effective interventions to empower women and girls considering GCS, thus enhancing their sexual and reproductive health.
Methods and Objectives: The objectives of this multistage exploratory sequential mixed-method study will be structured into three phases: First phase: qualitative study. 1. In-depth interviews will be conducted to elucidate the needs and concerns associated with GCS with women with a history of GCS, spouses of willing participants, and women actively seeking these procedures. 2. A literature review in parallel with the qualitative phase will be conducted to gain insights into the needs and concerns of women worldwide considering GCS. Second phase: program design. 1. To formulate an intervention grounded in the primary priorities identified during the qualitative stage and informed by the literature review. 2. To prioritize the needs and concerns of women seeking GCS and to validate and endorse the intervention through input from an expert panel. Third phase: quantitative study. To assess and determine the effectiveness of the intervention designed to address the needs and concerns of women applying for GCS procedures.
Discussion: This study marks the first attempt to design and assess an intervention addressing the needs and concerns of cosmetic surgeries performed on the female genital and reproductive system. The hope is that this study's compilation and implementation will yield substantial evidence and documentation regarding the impact of educational interventions on women's and girls' sexual and reproductive empowerment. Given the rising prevalence of GCS among unmarried teenagers, this approach is of utmost significance. It underscores the necessity for gynecological and midwifery service providers to have comprehensive guidance on GCS. Such guidance can be an essential resource for healthcare providers in this field.
(© 2023. The Author(s).)

Obstet Gynecol. 2007 Sep;110(3):737-8. (PMID: 17766626)
J Sex Med. 2012 Feb;9(2):514-23. (PMID: 22146084)
J Adolesc Health. 2020 Aug;67(2):245-252. (PMID: 32284295)
BJOG. 2012 Mar;119(4):389-92. (PMID: 22276916)
BJOG. 2014 May;121(6):761-6. (PMID: 24354731)
Health Care Women Int. 2013;34(6):522-36. (PMID: 23514572)
Reprod Health Matters. 2010 May;18(35):56-63. (PMID: 20541084)
J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. (PMID: 10782451)
BJOG. 2005 May;112(5):643-6. (PMID: 15842291)
Int J Womens Health. 2017 Jul 21;9:513-519. (PMID: 28860864)
J Sex Res. 2012;49(4):307-10. (PMID: 22720821)
Curr Sex Health Rep. 2018;10(1):25-34. (PMID: 29541004)
J Sex Res. 2014;51(6):646-53. (PMID: 24168018)
Cult Health Sex. 2016 Dec;18(12):1363-1378. (PMID: 27259098)
Int J Gynaecol Obstet. 2013 Aug;122(2):169-72. (PMID: 23735570)
J Sex Med. 2010 May;7(5):1822-30. (PMID: 20233278)
Anat Sci Educ. 2022 Aug;15(5):943-956. (PMID: 35098676)
Cult Health Sex. 2013;15(7):774-87. (PMID: 23656558)
Obstet Gynecol. 2012 Jun;119(6):1083-4. (PMID: 22617570)

Keywords: Empowerment; Genital cosmetic surgery; Mix-method; Qualitative; Sexual health
Local Abstract: [plain-language-summary] Contemporary concerns about body dissatisfaction and the growing trend of cosmetic surgery, including unusual trends of genital cosmetic surgery (GCS), are raising public health issues. This study addresses the needs and concerns related to the increasing trend of GCS among women.A multistage exploratory sequential mixed-method study will be structured into three phases, incorporating both quantitative and qualitative components: 1. A qualitative phase involving in-depth interviews and a literature review 2. A program design phase to formulate an intervention through input from an expert panel. 3. A quantitative phase to assess the intervention's effectiveness. The objectives include understanding the motivations behind GCS, developing an intervention grounded in these insights, and evaluating its impact on women's sexual and Reproductive empowerment. Given the rising prevalence of GCS among unmarried teenagers, this research holds significant importance. It emphasizes the need for comprehensive guidance on GCS for healthcare providers, aligning with empowering women and ensuring access to sexual and reproductive health education.

Date Created: 20231204 Date Completed: 20231206 Latest Revision: 20231207

20240829

PMC10696663

10.1186/s12978-023-01717-6

38049840