Attractiveness of women with rectovaginal endometriosis: a case-control study. "OBJECTIVE: To evaluate physical attractiveness in women with and without endometriosis... A total of 31 of 100 women in the rectovaginal endometriosis group (cases) were judged as attractive or very attractive, compared with 8 of 100 in the peritoneal and ovarian endometriosis group and 9 of 100 in the group of subjects without endometriosis. A higher proportion of cases first had intercourse before age 18 (53%, 39%, and 30%, respectively). The mean ± SD body mass index in women with rectovaginal endometriosis, in those with other disease forms, and in those without endometriosis was, respectively, 21.0 ± 2.5, 21.3 ± 3.3, and 22.1 ± 3.6. The median (interquartile range) waist-to-hip ratio and breast-to-underbreast ratio were, respectively, 0.75 (0.71-0.81), 0.76 (0.71-0.81), and 0.78 (0.73-0.83), and 1.15 (1.12-1.20), 1.14 (1.10-1.17), and 1.15 (1.11-1.18). CONCLUSION(S): Women with rectovaginal endometriosis were judged to be more attractive than those in the two control groups. Moreover, they had a leaner silhouette, larger breasts, and an earlier coitarche." Bonus quote from the full text: "multiple studies have contributed to the definition of a general phenotype associated with the disease. Intriguingly, such an emerging phenotype appears to be indirectly linked with attractiveness, because several of the physical characteristics studied, including body size, body mass index (BMI), and pigmentary traits have an impact on perception of beauty. A biological gradient between the degree of expression of these traits and the degree of severity of endometriosis has also emerged. As an example, with regard to body size and figure, an inverse relationship has been observed between BMI and severity of the disease in general, and in particular in patients with deep endometriosis. Despite this growing body of evidence, studies formally investigating attractiveness in women with endo-metriosis are lacking."
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