Abstract
Purpose of investigation: To evaluate psychological impact of sexual function change after conization for cervical dysplasia. Materials and Method: Seventy-seven sexually active women enrolled in this study. Before conization, each participant’s sexual function was assessed using the Female Sexual Function Index (FSFI) and trait anxiety was assessed. At least six months after surgery, each woman again completed the questionnaires. The authors compared the results before and after conization according to anxiety. Results: The patients with anxiety towards sex after conization had changes in all aspects of sexual function versus those without anxiety for sex (p < 0.05). Patients with mild trait anxiety showed sexual function changes in arousal, orgasm, dyspareunia, and satisfaction compared to those without trait anxiety. Conclusion: Changes in sexual function after conization are more pronounced in patients who express anxiety regarding sex, or have a trait anxiety, compared to those without anxiety. Therefore, psychological counseling should be emphasized before conization.
Highlights
Conization of the cervix is defined as excision of a coneshaped or cylindrical wedge from the uterine cervix that includes the transformation zone and all or a portion of the endocervical canal
The present study assessed the psychological epidemiology of sexual function change after conization for treatment of cervical intraepithelial neoplasia (CIN), by assessing sexual function before and after the procedure using the Female Sexual Function Index (FSFI), and assessing trait anxiety using the State-Trait Anxiety Index (STAI)
The final pathology after conization was confirmed as CIN1 (5.2%), CIN2 (18.2%), CIN3 (40.3%), or carcinoma in situ (32.5%; Table 2)
Summary
Conization of the cervix is defined as excision of a coneshaped or cylindrical wedge from the uterine cervix that includes the transformation zone and all or a portion of the endocervical canal. The procedure appears to have a negative effect on sexual function, but anxiety may be the underlying cause of the sexual function change [3]. The authors emphasized that psychological aspects of sexuality cause sexual function change after conization. Several studies have reported that psychological aspects of the diagnosis and the treatment of gynecological diseases, including cervical dysplasia, could influence sexual function [6-8]. Other studies have suggested that benign gynecologic surgery or conization for cervical dysplasia do not influence sexual dysfunction [4, 9, 10]. No studies to date have considered sexual function change after conization according to anxiety levels. The present study assessed the psychological epidemiology of sexual function change after conization for treatment of CIN, by assessing sexual function before and after the procedure using the FSFI, and assessing trait anxiety using the State-Trait Anxiety Index (STAI)
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