(O-36) Sexual life, emotional bonding and relational satisfaction: a case–control study among women with Mayer-Rokitansky-Küster-Hauser syndrome

Abstract Objective Mayer–Rokitansky–Küster–Hauser (MRKH) Syndrome is a rare congenital condition (1:5000 women, 46,XX) characterized by uterine and vaginal agenesis, with preserved ovarian function and hormonal activity. Anatomical limitation of vaginal canal (≤3 cm) often results in penetration-related pain, which may persist even after procedures aimed at lengthening the canal. Clinically, these features align with Genito–Pelvic Pain/Penetration disorder, a category of sexual dysfunction associated with impaired sexual response, avoidance behaviors, lower sexual satisfaction, and dysfunctional sexual cognitive schemas—factors that can negatively impact relationship satisfaction and may contribute to relationship dissolution. This study investigated how levels of sexual function, sexual satisfaction, emotional bond and relationship satisfaction interacted among women with MRKH syndrome. Materials and Methods Thirty-four brazilian women with MRKH (Rokitansky group – RG) and 80 women without the condition (control group – CG), aged 18–64 years, in romantic relationships lasting more than 6 months, completed online questionnaires assessing sexual practices, sexual function (FSFI), sexual satisfaction (NSSS), relationship satisfaction (IMS-R) and emotional bond (MARQ Love Scale). Results In RG, relationship satisfaction was associated only with emotional bond, whereas in CG, it was associated with sexual satisfaction and emotional bond. Sexual practices and levels of sexual satisfaction were similar between groups (p = 0.5), despite a higher frequency of penetration-related pain reported in the RG. Conclusion The findings are consistent with previous research suggesting that, in individuals with sexual dysfunctions, investing in emotional bonding may serve as a strategy to preserve intimacy and relationship quality, thereby contributing to relationship maintenance. Financing FAPESPA.