Abstract
Objective: The aim of the study is to objectively evaluate the effects of Loop Electrosurgical Excision Procedure (LEEP) on women’s sexual function using a validated questionnaire.
Methods: This pre-post survey design study was conducted at a tertiary referral hospital gynecological oncology clinic. 80 sexually active patients who had undergone LEEP because of abnormal cervical cytology results between October 2018 and December 2018 were included. Participating patients answered the Female Sexual Function Index (FSFI) questionnaire before undergoing LEEP and at 3 and 6 months after the procedure. The FSFI questionnaire consists of 19 multiple choice questions and it evaluates the following six aspects of female sexuality: arousal, lubrication, desire, orgasm, satisfaction, and pain. 9 patients were excluded for not coming to the follow-up appointments. Patients who had any systemic or psychological disease were excluded in order to avoid any additional variables that could affect sexual function.
Results: Arousal, lubrication, desire, orgasm, satisfaction, and pain were evaluated in 71 patients. There was no statistical difference in sexual desire, lubrication, sexual satisfaction, and pain in between follow-up results and the baseline scores. However, there was a significant decrease in patients’ orgasm scores and degree of arousal in the follow-up results compared to the baseline scores.
Conclusion: Parameters such as orgasm and the degree of arousal, which are strongly connected with a patient’s physical and psychological well-being, are affected by the procedure. We believe detailed information, psychological support, and even psychiatric consultation can have a beneficial effect on patients. Further studies with a larger sample and a control group and a longer follow-up interval should be performed to assess the effect of psychological precautions and to avoid sexual function disorders resulting from LEEP.
Keywords
cervical dysplasia sexual function Loop Electrosurgical Excision Procedure Female Sexual Function Index sexuality
References
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- Cendejas BR, Smith-Mccune KK, & Khan MJ.. Does treatment for cervical and vulvar dysplasia impact women’s sexual health? American Journal of Obstetrics and Gynecology, 2015;212(3):291–297. https://doi.org/10.1016/j.ajog.2014.05.039
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- Frederiksen M E, Njor S, Lynge E, & Rebolj M. Psychological effects of diagnosis and treatment of cervical intraepithelial neoplasia: A systematic review. Sexually Transmitted Infections, 2015;91(4):248–256. https://doi.org/10.1136/sextrans-2014-051754
- Hatzichristou D, Rosen RC, Broderick G, Clayton A, Cuzin B, Derogatis L, et al. Dysfunction in Men and Women. Journal Of Sexual Medicine. 2004
- Hellsten C, Lindqvist PG, & Sjöström K. A longitudinal study of sexual functioning in women referred for colposcopy: A 2-year follow up. BJOG: An International Journal of Obstetrics and Gynaecology, 2008;115(2):205–211. https://doi.org/10.1111/j.1471-0528.2007.01503.x
- Howells REJ, Dunn PDJ, Isasi T, Chenoy R, Calvert E, JonesPW, et al. Is the provision of information leaflets before colposcopy beneficial? A prospective randomised study. BJOG: An International Journal of Obstetrics and Gynaecology, 1999;106(6):528–534. https://doi.org/10.1111/j.1471-0528.1999.tb08319.x
- Inna N, Phianmongkhol Y, & Charoenkwan K.. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. Journal of Sexual Medicine, 2010a;7(3):1291–1297. https://doi.org/10.1111/j.1743-6109.2009.01633.x
- Inna N, Phianmongkhol Y, & Charoenkwan K.. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. Journal of Sexual Medicine, 2010b;7(3):1291–1297. https://doi.org/10.1111/j.1743-6109.2009.01633.x
- McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al.Risk Factors for Sexual Dysfunction Among Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. The Journal of Sexual Medicine, 2016;13(2):153–167. https://doi.org/10.1016/j.jsxm.2015.12.015
- Rahman MM, Jahan R, Ferdous J, Islam F, & Lipi LB.. The impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on female sexual function. Bangladesh Journal of Obstetrics and Gynecology, 2016;31(2):81–85. https://doi.org/10.3329/bjog.v31i2.34215
- Sadoun C, Ohannessian A, Carcopino X, Mauviel F, Boubli L, & Agostini A.. Impact de la conisation cervicale à l’anse diathermique sur la qualité de vie sexuelle. Journal de Gynecologie Obstetrique et Biologie de La Reproduction, 2016;45(2):120–123. https://doi.org/10.1016/j.jgyn.2015.11.004
- Serati M, Salvatore S, Cattoni E, Zanirato M, Mauri S, Siesto G, et al. The Impact of the Loop Electrosurgical Excisional Procedure for Cervical Intraepithelial Lesions on Female Sexual Function. The Journal of Sexual Medicine, 2010;7(6):2267–2272. https://doi.org/10.1111/j.1743-6109.2010.01819.x
- Sparić R, Papoutsis D, Kadija S, Stefanović R, Antonakou A, Nejković L, et al. Psychosexual outcomes in women of reproductive age at more than two-years from excisional cervical treatment–a cross-sectional study. Journal of Psychosomatic Obstetrics and Gynecology, 2019;40(2):128–137. https://doi.org/10.1080/0167482X.2018.1445220
- WHO | Sexual health. 2016. WHO. https://www.who.int/topics/sexual_health/en/
Abstract
References
- Aygin D, & Eti Aslan F. The Turkish adaptation of the female sexual function index. Turkiye Klinikleri Journal of Medical Sciences. 2005
- Cendejas BR, Smith-Mccune KK, & Khan MJ.. Does treatment for cervical and vulvar dysplasia impact women’s sexual health? American Journal of Obstetrics and Gynecology, 2015;212(3):291–297. https://doi.org/10.1016/j.ajog.2014.05.039
- Connor MO, Gallagher P, Waller J, Martin CM, Leary J J O, & Sharp, L.. Adverse psychological outcomes following colposcopy and related procedures : a systematic review. 2015;24–38. https://doi.org/10.1111/1471-0528.13462
- Frederiksen M E, Njor S, Lynge E, & Rebolj M. Psychological effects of diagnosis and treatment of cervical intraepithelial neoplasia: A systematic review. Sexually Transmitted Infections, 2015;91(4):248–256. https://doi.org/10.1136/sextrans-2014-051754
- Hatzichristou D, Rosen RC, Broderick G, Clayton A, Cuzin B, Derogatis L, et al. Dysfunction in Men and Women. Journal Of Sexual Medicine. 2004
- Hellsten C, Lindqvist PG, & Sjöström K. A longitudinal study of sexual functioning in women referred for colposcopy: A 2-year follow up. BJOG: An International Journal of Obstetrics and Gynaecology, 2008;115(2):205–211. https://doi.org/10.1111/j.1471-0528.2007.01503.x
- Howells REJ, Dunn PDJ, Isasi T, Chenoy R, Calvert E, JonesPW, et al. Is the provision of information leaflets before colposcopy beneficial? A prospective randomised study. BJOG: An International Journal of Obstetrics and Gynaecology, 1999;106(6):528–534. https://doi.org/10.1111/j.1471-0528.1999.tb08319.x
- Inna N, Phianmongkhol Y, & Charoenkwan K.. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. Journal of Sexual Medicine, 2010a;7(3):1291–1297. https://doi.org/10.1111/j.1743-6109.2009.01633.x
- Inna N, Phianmongkhol Y, & Charoenkwan K.. Sexual function after loop electrosurgical excision procedure for cervical dysplasia. Journal of Sexual Medicine, 2010b;7(3):1291–1297. https://doi.org/10.1111/j.1743-6109.2009.01633.x
- McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al.Risk Factors for Sexual Dysfunction Among Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. The Journal of Sexual Medicine, 2016;13(2):153–167. https://doi.org/10.1016/j.jsxm.2015.12.015
- Rahman MM, Jahan R, Ferdous J, Islam F, & Lipi LB.. The impact of loop electrosurgical excision procedure for cervical intraepithelial neoplasia on female sexual function. Bangladesh Journal of Obstetrics and Gynecology, 2016;31(2):81–85. https://doi.org/10.3329/bjog.v31i2.34215
- Sadoun C, Ohannessian A, Carcopino X, Mauviel F, Boubli L, & Agostini A.. Impact de la conisation cervicale à l’anse diathermique sur la qualité de vie sexuelle. Journal de Gynecologie Obstetrique et Biologie de La Reproduction, 2016;45(2):120–123. https://doi.org/10.1016/j.jgyn.2015.11.004
- Serati M, Salvatore S, Cattoni E, Zanirato M, Mauri S, Siesto G, et al. The Impact of the Loop Electrosurgical Excisional Procedure for Cervical Intraepithelial Lesions on Female Sexual Function. The Journal of Sexual Medicine, 2010;7(6):2267–2272. https://doi.org/10.1111/j.1743-6109.2010.01819.x
- Sparić R, Papoutsis D, Kadija S, Stefanović R, Antonakou A, Nejković L, et al. Psychosexual outcomes in women of reproductive age at more than two-years from excisional cervical treatment–a cross-sectional study. Journal of Psychosomatic Obstetrics and Gynecology, 2019;40(2):128–137. https://doi.org/10.1080/0167482X.2018.1445220
- WHO | Sexual health. 2016. WHO. https://www.who.int/topics/sexual_health/en/
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case reports |
| Authors | |
| Publication Date | August 31, 2020 |
| Published in Issue | Year 2020 Volume: 6 Issue: 2 |
Cited By
e-ISSN 2149-7796