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[Impact of the loop electrosurgical excision procedure for cervical dysplasia on sexual function]
C Sadoun1, A Ohannessian2, X Carcopino3
1Service de gynécologie obstétrique, hôpital Sainte-Musse, 83200 Toulon, France.
Objective:
To assess the consequences of loop electrosurgical excision procedure (LEEP) on the quality of sexual life.
Material And Methods:
A prospective observational study in two university hospital departments in Marseille, France, including women requiring a LEEP. Sexual quality of life was assessed before LEEP and three months after the procedure with a self-administered validated questionnaire: the Brief Index of Sexual Functioning for Women (BISF-W).
Results:
Among the 100 women included, 69 filled both questionnaires. Among the 69 women whose outcomes were available, composite BISF-W score was significantly lower before LEEP than three months after LEEP (28.3±13 vs 30.1±13.2; P=0.01). The items scores concerning desire (D1) and orgasm (D5) were significantly improved after LEEP (4.3±2.3 vs 5±2.2 [P<0.001] and 4.3±2.5 vs 4.7±2.6 [P<0.001]).
Conclusions:
This study found an improved quality of sexual life after LEEP. These findings suggest that the psychological impact of HPV infection on sexual function is greater than the anatomical and functional impact of LEEP.
