THE EFFECTS OF CERVICAL CONIZATION PROCEDURE ON FEMALE SEXUAL FUNCTIONS DURING REPRODUCTIVE PERIOD: A PROSPECTIVE STUDY. Reprodüktif Dönemde Yapılan Servikal Konizasyon İşleminin Kadın Cinsel Fonksiyonları Üzerine Etkisi: Prospektif Bir Çalışma
Abstract
ABSTRACT
Objective: The aim of our study is to investigate the effects of cervical conization on female sexual functions.
Material and Methods: Between February and May 2018, a total of 60 patients aged 18-49, sexually active
and not in menopause, who were scheduled for cervical conization in the gynecological oncology outpatient clinic were included in the study. One week before and 3 months after conization procedure, sexual
functions were measured using FSFI and compared statistically. Statistical significance level was accepted
as p <0.05.
Results: The mean age of the women was 37.87 ± 6.48 years, and the mean BMI was 25.68 ± 2.67. While
63.3% of the cases before conization had poor sexual function, it was evaluated as poor in 56.7% after conization. There was no significant difference in FSFI total score before and after the procedure (p = 0.222).
When the scale subgroups are examined; The decrease in desire (p = 0.049), lubrication (p = 0.050) and
orgasm (p = 0.022) scores after conization was statistically significant.
Conclusion: Conization procedure applied in the treatment of cervical dysplasia doesn’t affect women’s
sexuality. In our study, total FSFI score did not show significant change after conization procedure except
desire, orgasm and lubrication domains which have a low score.
Keywords: Cervical Neoplasia; Cervical Conization; Sexual Function; FSFI
ÖZET
Amaç: Çalışmamızın amacı, servikal konizasyonun kadın cinsel fonksiyonları üzerine etkilerini araştırmaktır.
Gereç ve Yöntemler: Şubat-Mayıs 2018 tarihleri arasında jinekolojik onkoloji polikliniğinde servikal konizasyon planlanan, cinsel yönden aktif ve menopozda olmayan 18-49 yaş arası toplam 60 hasta çalışmaya dahil
edildi. Konizasyon işleminden 1 hafta önce ve 3 ay sonra cinsel işlevler FSFI ile ölçülerek istatistiksel olarak
karşılaştırıldı. İstatistiksel anlamlılık düzeyi p <0,05 olarak kabul edildi.
Bulgular: Kadınların ortalama yaşı 37,87 ± 6,48 ve ortalama VKİ 25,68 ± 2,67 idi. Konizasyon öncesi olguların
%63,3'ü düşük düzeyde cinsel fonksiyona sahipken, konizasyon sonrası %56,7'sinde düşük düzeyde olarak
değerlendirildi. İşlem öncesi ve sonrası FSFI toplam skorunda anlamlı farklılık yoktu (p = 0,222). Ölçek alt
grupları incelendiğinde; Konizasyon sonrası istek (p = 0,049), kayganlık (p = 0,050) ve orgazm (p = 0,022)
puanlarındaki azalma istatistiksel olarak anlamlıydı.
Sonuç: Servikal displazinin tedavisinde uygulanan konizasyon prosedürü kadın cinselliğini etkilememektedir.
Çalışmamızda düşük puana sahip istek, orgazm ve kayganlaşma alanları dışında konizasyon işlemi sonrası
toplam FSFI skoru anlamlı değişiklik göstermedi.
Anahtar Kelimeler: Servikal Neoplazi; Servikal Konizasyon, Cinsel Fonksiyon; FSFI
Keywords
THE EFFECTS OF CERVICAL CONIZATION PROCEDURE ON FEMALE SEXUAL FUNCTIONS DURING REPRODUCTIVE PERIOD: A PROSPECTIVE STUDY. Reprodüktif Dönemde Yapılan Servikal Konizasyon İşleminin Kadın Cinsel Fonksiyonları Üzerine Etkisi: Prospektif Bir Çalışma
References
- 1. Çayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E: The Prevalence of Female Sexual Dysfunction and Potential Risk Factors That May Impair Sexual Function in Turkish Women. Urol Int 2004;72:52-7.
- 2. Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol. 2006;175(2):654-8.
- 3. Clayton AH, Valladares Juarez EM. Female Sexual Dysfunction. Med Clin North Am. 2019 Jul;103(4):681-98.
- 4. Siegel R, Ward E, Brawley O, Jemal A. Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin. 2011;61(4):212-36.
- 5. Melnikow J, Nuovo J, Willan AR, Chan BK, Howell LP. Natural history of cervical squamous intraepithelial lesions: a meta-analysis. Obstet Gynecol. 1998;92(4 Pt 2):727-35.
- 6. Inna N, Phianmongkhol Y, Charoenkwan K. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. J Sex Med. 2010;7(3):1291-7.
- 7. Heinzler J, Brucker J, Bruckner T, Dinkic C, Hoffmann J, Dornhöfer N et al. Impact of a cervical dysplasia and its treatment on quality of life and sexual function. Arch Gynecol Obstet. 2018;298(4):737-45.
- 8. Courtois F, Alexander M, McLain ABJ. Women's Sexual Health and Reproductive Function After SCI. Top Spinal Cord Inj Rehabil. 2017 Winter;23(1):20-30.
- 9. Rees PM, Fowler CJ, Paas CP. Sexual function in men and women with neurological disorders. Lancet. 2007; 369: 512–25.
- 10. Giuliano F, Rampin O, Allard J. Neurophysiology and pharmacology of female genital sexual response J. Sex Marital Ther. 2002; 28
Abstract
References
- 1. Çayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E: The Prevalence of Female Sexual Dysfunction and Potential Risk Factors That May Impair Sexual Function in Turkish Women. Urol Int 2004;72:52-7.
- 2. Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol. 2006;175(2):654-8.
- 3. Clayton AH, Valladares Juarez EM. Female Sexual Dysfunction. Med Clin North Am. 2019 Jul;103(4):681-98.
- 4. Siegel R, Ward E, Brawley O, Jemal A. Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin. 2011;61(4):212-36.
- 5. Melnikow J, Nuovo J, Willan AR, Chan BK, Howell LP. Natural history of cervical squamous intraepithelial lesions: a meta-analysis. Obstet Gynecol. 1998;92(4 Pt 2):727-35.
- 6. Inna N, Phianmongkhol Y, Charoenkwan K. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. J Sex Med. 2010;7(3):1291-7.
- 7. Heinzler J, Brucker J, Bruckner T, Dinkic C, Hoffmann J, Dornhöfer N et al. Impact of a cervical dysplasia and its treatment on quality of life and sexual function. Arch Gynecol Obstet. 2018;298(4):737-45.
- 8. Courtois F, Alexander M, McLain ABJ. Women's Sexual Health and Reproductive Function After SCI. Top Spinal Cord Inj Rehabil. 2017 Winter;23(1):20-30.
- 9. Rees PM, Fowler CJ, Paas CP. Sexual function in men and women with neurological disorders. Lancet. 2007; 369: 512–25.
- 10. Giuliano F, Rampin O, Allard J. Neurophysiology and pharmacology of female genital sexual response J. Sex Marital Ther. 2002; 28
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | December 16, 2021 |
| Published in Issue | Year 2021 Volume: 11 Issue: 4 |
