Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, CA.
Aesthet Surg J. 2020 Jul 13;40(8):876-883. doi: 10.1093/asj/sjz254.
With the American College of Obstetricians and Gynecologists reaffirming its 2007 opposition to labiaplasty in 2019, the procedure continues to be controversial. Particular emphasis on pornography as a major influencer on women seeking labiaplasty contributes to its controversy and distracts from other motivations. Few articles have established pornography's influence relative to functional and appearance-related symptoms.
The objective of this study was to investigate the relative influence of pornography on women's decision to seek labiaplasty relative to other factors compared with a control cohort.
In this prospective study, 124 consecutive patients consulting about labiaplasty and a control cohort of 50 women were questioned about 11 labia-related symptoms and the possible influence of pornography.
The mean age was 34.2 and 38.9 years in the labiaplasty and control cohorts, respectively. Women in the labiaplasty cohort had on average 2.8 of the 6 queried physical symptoms and 3.2 of the 5 queried appearance-related symptoms compared with control patients who reported an average of 0.3 of the 6 queried physical symptoms and 0.2 of the 5 queried appearance-related symptoms (P < 0.001). Less than one-half (47% of the labiaplasty and 42% of the control cohort) never viewed pornography. Pornography was not an influential factor to seek labiaplasty in 42% of the labiaplasty cohort and 54% of the control cohort. A minority (11% in the labiaplasty cohort and 4% in the control cohort) said that pornography influenced them to seek labiaplasty. There were no statistically significant differences between these 2 groups.
Pornography influences some women to seek labiaplasty, but relative to other motivating factors its role is minor.
2019 年，美国妇产科医师学会重申其 2007 年对阴唇整形术的反对意见，该手术仍存在争议。特别强调色情作品对寻求阴唇整形术的女性的主要影响因素，这加剧了其争议性，并使其偏离了其他动机。很少有文章确定色情作品相对于功能和外观相关症状的影响。
本研究旨在调查与对照组相比，色情作品对女性决定寻求阴唇整形术的相对影响，并与其他因素进行比较。
在这项前瞻性研究中，连续对 124 名咨询阴唇整形术的患者和 50 名对照组女性进行了 11 项与阴唇相关的症状询问，并询问了色情作品的可能影响。
阴唇整形术组的平均年龄为 34.2 岁，对照组为 38.9 岁。与对照组患者平均报告的 6 项询问的身体症状中的 0.3 项和 5 项询问的外观相关症状中的 0.2 项相比，阴唇整形术组的女性平均有 6 项询问的身体症状中的 2.8 项和 5 项询问的外观相关症状中的 3.2 项（P<0.001）。不到一半（阴唇整形术组的 47%和对照组的 42%）从未看过色情作品。在阴唇整形术组的 42%和对照组的 54%中，色情作品不是寻求阴唇整形术的影响因素。少数（阴唇整形术组的 11%和对照组的 4%）表示，色情作品影响了他们寻求阴唇整形术。这两组之间没有统计学上的显著差异。
色情作品影响了一些女性寻求阴唇整形术，但相对于其他动机因素，其作用较小。
