Letter to the editor: The relation between female genital perception and genital measurements: does size matter?

I commend Kurtoğlu et al. for their study examining whether anatomical size of the labia minora and clitoral hood affects women’s perceptions of their genitalia. Despite increasing demand for genital aesthetic surgeries, this remains an understudied topic. In their study, 200 women aged 18–45 who were not seeking labiaplasty had their genital dimensions measured and completed the Female Genital Self-Image Scale (FGSIS). The authors found wide variation in labial and clitoral-hood sizes, but no significant correlation between these measurements and genital self-image scores. Demographic factors such as age, body mass index, parity, education and sexual activity were also unrelated to genital perception. The authors concluded that genital anatomy varies greatly and dissatisfaction with appearance is not associated with size.