Psychological correlates of sexual self-esteem in young women with Mayer-Rokitansky-Küster-Hauser syndrome


  • Maria J. Beisert Adam Mickiewicz University
  • Aleksandra M. Chodecka Adam Mickiewicz University
  • Katarzyna Walczyk-Matyja Poznan University of Medical Sciences
  • Marta E. Szymańska-Pytlińska Adam Mickiewicz University
  • Witold Kędzia Poznan University of Medical Sciences
  • Karina Kapczuk Poznan University of Medical Sciences

Słowa kluczowe:

MMPI-2, global self-esteem, sexual self-esteem, disorders of sex development, MRKHS



Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a difference (disorder) of sex development that results from Müllerian duct aplasia in 46,XX females. The diagnosis of MRKHS is usually established in late adolescence. The purpose of the study was to assess the impact of congenital absence of uterus and vagina (CAUV) on a patient’s psychosexual functioning.

Participants and procedure

Thirty-two women with MRKHS (mean age 22.9 years) and 32 matched healthy controls (mean age 24.75 years) completed three study questionnaires: the Sexual SelfEsteem Inventory for Women, the Rosenberg Self-Esteem Scale, and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Statistical analysis was performed by IBM SPSS Statistics 22.


There was no difference in global self-esteem between the two study groups. MRKHS females had lower sexual selfesteem and experienced higher intensity of some psychological functioning characteristics (paranoia, psychasthenia, schizophrenia) than their peers. Correlations between sexual self-esteem and results on depression, psychopathic deviate, schizophrenia, social introversion and anxiety scales were observed in patients with MRKHS. Global self-esteem and schizophrenia results were significant predictors of sexual self-esteem in the clinical group. Higher global self-esteem and lower results in the schizophrenia scale were associated with higher sexual self-esteem in patients with MRKHS.


Psychological and medical counseling of women with MRKHS should address their impaired sexual self-esteem, especially sexual skills and experiences. While the number of diagnostic responses indicating the presence of specific symptoms in MRKHS females is statistically significantly different, the level of scores obtained does not exceed the threshold of clinical pathology.


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Jak cytować

Beisert, M. J., Chodecka, A. M., Walczyk-Matyja, K., Szymańska-Pytlińska, M. E., Kędzia, W., & Kapczuk, K. (2022). Psychological correlates of sexual self-esteem in young women with Mayer-Rokitansky-Küster-Hauser syndrome. Current Issues in Personality Psychology, 10(4), 333–342. Pobrano z




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