“…Psychological outcomes (including, for example, anxiety, depression, anger, distress, well-being) had to be measured in both study and control situations (longitudinal studies), or in both study and control groups (cross-sectional studies). Although psychological and physiological aspects are sometimes difficult to distinguish from each other,15 sexual outcomes were considered to be an indicator of psychological outcomes. Other outcomes, such as preferences for, or satisfaction with, procedures and somatic consequences (pain, bleeding, discomfort, disability) were not considered here.…”