Effect of Genital Tract Injury During Consensual Sexual Intercourse on FSFI in Women?

Contrary to popular belief, there is evidence that GTI can occur not only in women who have had their first sexual intercourse but also in married women or those with children during CSI. The aim is to evaluate sexual function with Female Sexual Function Index (FSFI) scores before and after surgical repair of genital tract injury (GTI) that occurred during consensual sexual intercourse (CSI).

All women aged 18-45 who underwent surgical repair for GTI due to CSI at the Gynecology Clinic between January 2016 and 2020 were included in this retrospective study. Patients were routinely followed up for 1 year after surgery. All patients received counseling for sexual dysfunction following the surgical repair. Only patients with regular sexual activity had their FSFI scores evaluated both before and after surgery.

Out of 45 patients, the mean age was 29.36 ± 8.24 years. Half of the patients (53.1%, 23/45) were between 20 and 40 years old. Among them, 73.3% (33/45) were married, and 72.73% (24/33) had been married for more than 1 year. A significant increase in FSFI scores was observed in all patients after surgery (p < 0.05), along with counseling for sexual dysfunction. However, all patients had preoperative and postoperative FSFI scores below 26.

Low FSFI scores and the improvement observed after sexual counseling highlight its importance. Therefore, clinicians should pay attention to providing sexual counseling alongside GTI repair and ensure they inform married women or those with children about its benefits.