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Federación Mexicana de Ginecología y Obstetricia, A.C.

2024, Number 08

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Ginecol Obstet Mex 2024; 92 (08)

Sexual dysfunction in patients with diagnosis of intraepithelial lesion treated with cervical cone

Desachy GVE, Ramírez AMC, López LIJ, Longoria PJR, Tapia MEA

Language: Spanish
References: 14
Page: 341-351
PDF size: 219.43 Kb.


ABSTRACT

Objective: To determine the frequency of sexual dysfunction in patients diagnosed with intraepithelial lesion treated with cervical cone.
Materials and Methods: A longitudinal, observational, descriptive, and prospective study included women with an active sexual life diagnosed by biopsy of high-grade cervical intraepithelial lesion who underwent the cone technique with an electrosurgical loop and a questionnaire to assess sexual function before and 12 weeks after the procedure. The Female Sexual Function Index with a cut-off of 26.5 points or less was used to determine whether the patient had sexual dysfunction.
Results: Thirty-one patients were examined with a mean age of 44 years (SD ± 9) with cut-offs of 29 and 58 years. Ten patients were smokers, and the same number were menopausal. Two with hypertension and three with diabetes. A statistically significant (p = 0.046) higher frequency of sexual dysfunction was observed after the intervention. The desire factor was lower before the intervention (p = 0.023). Desire and arousal were lower after the intervention, but there was no statistically significant difference (p = 0.077). There was no trend between the remaining factors.
Conclusions: Cervical cone with electrosurgical loop, as a treatment option for patients with cervical high-grade intraepithelial lesion, is associated with a higher percentage of sexual dysfunction three months after the procedure. The domains of sexual function most affected were desire and arousal.


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