(889) The Impact of Body Image and Appearance on Sexual Satisfaction and Functioning in Women with Sexual Pain

Introduction Sexual pain has a significant impact on female sexual well-being. Psychological variables such as body image, relationship with appearance, and genital self-image are important for better sexual functioning and increased sexual satisfaction. The existing literature has gaps, as it does not holistically integrate these variables in this context. It is important to address this gap to develop more effective clinical assessment and intervention and to deepen knowledge about female sexuality. Objective The present study aims to explore the relationship and effect of body image, the relationship with appearance, and genital self-image on sexual functioning, sexual satisfaction, and levels of sexual pain intensity in Portuguese women with and without sexual pain. Methods The sample included 90 women with sexual pain, aged between 18 and 60 years (M = 31.90), and 103 women without sexual pain, aged between 20 and 60 years (M = 33.27). Participants completed a self-report questionnaire protocol that included a general introductory questionnaire with sociodemographic information, the Female Sexual Function Index, the Female Genital Self-Image Scale, the Body Appreciation Scale, and the Appearance Research Salience Center Scale. Results The study revealed that women with sexual pain have a more negative body image and genital self-image than women without sexual pain. Body image and appearance were found to be significant for better sexual functioning and satisfaction. Unexpectedly, genital self-image did not have a significant impact on sexual functioning or satisfaction. A moderating effect of population type (women with and without sexual pain) was found in the relationship between body image and sexual functioning and satisfaction in women with sexual pain. The significant effect was also found in the relationship between appearance and sexual satisfaction in women with sexual pain. Conclusions We emphasise the importance of these variables for women experiencing sexual pain, low sexual functioning, and low sexual satisfaction, to facilitate more appropriate assessment and intervention. Disclosure No