{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T15:33:00Z","timestamp":1789745580877,"version":"4.0.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Student Research Committee and the Research and Technology Chancellor of Shahid Beheshti University Medical Sciences"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The primary reasons for labiaplasty usually revolve around aesthetic, sexual, and functional concerns. Upon delving deeper into these issues, it becomes apparent that sexual partners play a controversial role in influencing women\u2019s decisions to undergo surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to investigate the impact of sexual partners on women\u2019s choices to pursue labiaplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive search was conducted across electronic databases covering the period from January 2000 to February 2024. After removing duplicates, a total of 931 articles were retrieved by searching keywords in titles and abstracts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>The meta-analysis revealed that 36.7% of women who sought labiaplasty cited their partners\u2019 negative comments as a factor influencing their decision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After applying the eligibility criteria and excluding irrelevant articles, a total of 12 articles involving 962 participants were included in the analysis. With the exception of 2 articles, the majority of the studies suggested a discernible influence of male partners on women\u2019s decisions to seek labiaplasty. Frequently, sexual partners are not the primary decision makers, nor do they exert significant pressure when it comes to seeking labiaplasty. In certain instances, women seeking labiaplasty acknowledged that their sexual partners did influence their decisions, either by making disparaging comments about their genitalia or by directly pressuring or requesting them to undergo labiaplasty. Additionally, women might opt for labiaplasty out of fear of their partner\u2019s negative remarks or to enhance sexual pleasure for their partners. For a more accurate result, a meta-analysis was conducted noting a considerable heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>The findings of this study can be applied in prelabiaplasty counseling sessions to acknowledge and explore the role of the sexual partner in women\u2019s decision making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>This study stands as the inaugural systematic review examining the impact of sexual partners on women seeking labiaplasty, encompassing all original studies exploring the role of the sexual partner. However, a notable limitation lies in the varied interpretations of the sexual partner\u2019s role, that the heterogeneous nature of these interpretations poses a challenge to providing a more precise answer through meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on the findings of this systematic review, it is evident that sexual partners exert multifaceted influences on women\u2019s decisions to seek labiaplasty. While not serving as the primary decision makers, women opt for labiaplasty with the aim of enhancing attractiveness in sexual relationships and mitigating potential negative comments from their partners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdae091","type":"journal-article","created":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T10:02:51Z","timestamp":1721556171000},"page":"844-852","source":"Crossref","is-referenced-by-count":14,"title":["The role of sexual partner in women\u2019s seeking for labiaplasty: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"21","author":[{"given":"Fatemeh","family":"Alavi-Arjas","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences Student Research Committee, Department of Midwifery and Reproductive Health, , Tehran 1996835119,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Nahidi","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, , Tehran 1996835119,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoumeh","family":"Simbar","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, , Tehran 1996835119,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid Alavi","family":"Majd","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences Department of Biostatistics, School of Allied Medical Sciences, , Tehran 1971653313,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fereshteh","family":"Rastegar","sequence":"additional","affiliation":[{"name":"OB\/GYN, Modarres and 17th Shahrivar Hospital Complex , Saveh Faculty of Medical Sciences, Saveh University, of Medical Sciences, Saveh 3919676651,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"issue":"1","key":"2024100107253723000_ref1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s11930-019-00191-1","article-title":"Female cosmetic genital reconstruction: a review of current trends, treatments, and techniques","volume":"11","author":"Gonzales-Alabastro","year":"2019","journal-title":"Curr Sex Health Rep"},{"key":"2024100107253723000_ref2","article-title":"Aesthetic plastic surgery stats","author":"The Aesthetic Society","year":"2023"},{"issue":"4","key":"2024100107253723000_ref3","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1097\/PRS.0000000000003181","article-title":"Why women request labiaplasty","volume":"139","author":"Sorice","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"2024100107253723000_ref4","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1093\/asj\/sjv270","article-title":"Factors that influence the decision to undergo labiaplasty: media, relationships, and psychological well-being","volume":"36","author":"Sharp","year":"2016","journal-title":"Aesthet Surg J"},{"issue":"3","key":"2024100107253723000_ref5","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/08952841.2018.1529474","article-title":"Plastic surgery in gynaecology: factors affecting women's decision to undergo labiaplasty. 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