{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:41:40Z","timestamp":1790077300375,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003554","name":"Lundbeck Foundation","doi-asserted-by":"publisher","award":["#R403\u20102022\u20101385"],"award-info":[{"award-number":["#R403\u20102022\u20101385"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore how women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser (MRKH) syndrome experience dilation or surgical vaginal lengthening treatment, and their current sexual well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative interview study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Women aged \u226525\u2009years diagnosed with MRKH syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured video interviews were conducted with 18 women. Interviews lasted a median of 92\u2009min and were digitally recorded, transcribed and anonymised. Data were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>A qualitative analysis of women's experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The analysis identified three themes. Firstly,\n                      <jats:italic>Experiences with dilation treatment<\/jats:italic>\n                      revealed dilation as an awkward routine, especially for adolescents living with parents and yet to sexually debut. While some experienced successful vaginal lengthening, others faced treatment failure leading to frustration and self\u2010blame. Secondly,\n                      <jats:italic>Experiences with neovaginal surgery<\/jats:italic>\n                      described the procedure as extremely painful but resulting in a \u2018normal size\u2019 vagina. Some women felt that the procedure had negatively impacted their self\u2010confidence, and all underscored the importance of maturity before opting for surgery. Lastly,\n                      <jats:italic>Current sex life and sexual well\u2010being<\/jats:italic>\n                      indicated a well\u2010functioning sex life for many women, but with reported low sexual confidence and genital self\u2010image due to the perceived \u2018deviance\u2019 of their genitalia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For women with MRKH syndrome, vaginal lengthening treatment, whether through dilation or surgery, may result in a \u2018normal size\u2019 vagina. However, according to the women's experiences, vaginal lengthening treatment does not adequately foster positive sexual esteem and genital self\u2010image.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17916","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:44:53Z","timestamp":1721695493000},"page":"1841-1850","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Experiences of vaginal lengthening treatment and sexual well\u2010being in women with Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser (\n                    <scp>MRKH<\/scp>\n                    ) syndrome: An interview study"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-0295","authenticated-orcid":false,"given":"Amalie Hahn","family":"Jensen","sequence":"first","affiliation":[{"name":"DEFACTUM \u2013 Public Health Research Central Denmark Region  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