Defining Ideal External Female Genital Anatomy via Crowdsourcing Analysis

Aesthetic Surgery Journal
Volume 42, Issue 5, May 2022, Pages 505–515
Published on Aug 10, 2021
Status: Published
Researcher(s):
Gianfranco Frojo, MD, et al.
Grant Name:
Interim Research Grant
Amount Awarded:
$16,250
Project Name:
Defining Ideal External Female Genital Anatomy via Crowdsourcing Analysis
Project Summary:

Background

Despite existing anthropometric data in the literature regarding the variation of female external genital anatomy, the ideal aesthetic characteristics have yet to be defined.

Objectives

The authors utilized crowdsourcing to better evaluate preferred anatomic characteristics of external female genitalia.

Methods

Fifty-six total images were digitally created by altering the proportions of the labia minora, labia majora, and clitoral hood. Images with differing ratios were presented in pairs to Amazon Mechanical Turk (Seattle, WA, USA) raters. Three different experiments were performed with each varying 2 of the 3 image characteristics to permit 2-factor modeling. The Bradley-Terry-Luce model was applied to the pairwise comparisons ratings to create a rank order for each image. Preferences for each anatomic variable were compared with chi-squared tests.

Results

A total of 5000 raters participated. Experiment 1 compared differing widths of the labia majora and labia minora and determined a significant preference for larger labia majora width and mid-range labia minora width (P = 0.007). Experiment 2 compared labia minora width vs clitoral hood length and showed a statistically significant preference for wider majoras (P < 0.001) but no significant preference in clitoral hood length (P = 0.54). Experiment 3 compared clitoral hood length vs labia minora width and showed a statistically significant preference for mid-range labia minora widths (P < 0.001) but no significant preference in clitoral hood length (P = 0.78).

Conclusions

Raters preferred a labia majora to labia minora width ratio of 3:1 with minimal preference in clitoral hood length.

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