Uterine myomas, dyspareunia, and sexual function

Ferrero, Simone; Abbamonte, Luiza Helena; Giòrdano, Magda; Parisi, Mauro; Ragni, Nicola; Remorgida, Valentino

doi:10.1016/j.fertnstert.2006.04.025

Cited by 40 publications

(37 citation statements)

References 25 publications

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“…However, a fundal fibroid can be the cause of discomfort during intercourse, whereas fibroids in other locations are less likely to cause pain. 10 In our study too, 93 (79.49%) patients had pain and sexual dysfunction.…”

Section: Discussionsupporting

confidence: 52%

Female Sexual Dysfunction among Indian Infertile Females

Agarwal¹

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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Introduction: Female sexual dysfunction (FSD) is very common among infertile patients. Whether FSD leads to infertility or infertility leads to FSD is still less understood. Objectives:To study the prevalence of FSD and various factors that can lead to sexual dysfunction. Materials and methods:This is a cross-sectional observational study conducted at a tertiary care center in Ahmedabad from June 2015 to March 2016. A total of 240 infertile patients in reproductive age group (20-47 years) were studied, for which informed consent was obtained. Female sexual dysfunction was assessed with a detailed 19-item female sexual function index questionnaire. All six domains of sexual dysfunction, i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain, were studied. Various associated factors like gynecological and psychological disorders were also studied. Fertile patients were excluded. Results:The prevalence of FSD among infertile patients was 48.75%. The most common sexual dysfunction was arousal (94.01%) followed by lubrication (89.74%) and orgasm dysfunction (85.47%). Psychological status of patients had significant impact on sexual life. Conclusion:Sexuality is an important part of an individual's personality. With time, stress in life and sexual dysfunction are also increasing. Therefore, sexual function assessment should be included in the routine workup for infertility.

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Section: Discussionsupporting

confidence: 52%

Female Sexual Dysfunction among Indian Infertile Females

Agarwal¹

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…These short-term results cannot be generalized to mid- and long-term outcomes. Fibroid recurrence and persistent postoperative infertility can affect quality of life and sexual function in the long term, thereby; altering the long-term outcomes of initially successful treatment [19, 34]. We did not assess fibroid recurrence or fertility rates in this study because valid information could not be obtained within the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Quality of Life and Sexual Function in Premenopausal Women Undergoing Laparoscopic Myomectomy for Symptomatic Fibroids: A Prospective Observational Cohort Study

Radosa

Radosa²,

Mavrova

et al. 2016

PLoS ONE

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IntroductionUterine leiomyomas are the most common benign gynecologic tumors. To date laparoscopy myomectomy is the gold standard for treatment of symptomatic fibroids in reproductive-aged women. Detailed counseling about the effects of this procedure on postoperative sexuality and quality of life is important in these patients. However, available data on these subjects are limited and contradictory. The aim of this study was to assess sexual function and quality of life in premenopausal women undergoing laparoscopic myomectomy for symptomatic uterine fibroids.Material and MethodsAll premenopausal women who underwent laparoscopic myomectomy for symptomatic fibroids between April 2012 and August 2014 at a tertiary university center were enrolled in this prospective observational cohort study. Sexual function and quality of life were assessed for the pre- and postoperative (six months post-operatively) state using two validated questionnaires, the Female Sexual Function Index (FSFI) and the European Quality of Life Five-Dimension Scale (EQ-5D).ResultsNinety-five of the 115 (83%) eligible patients completed the study. Overall a significant improvement in quality of life and sexual function was observed in the study cohort: Median FSFI (28 (18.7–35.2)) and EQ-5D scores (1 (0.61–1) after laparoscopic myomectomy were significantly higher than preoperative scores (21.2 (5.2–33.5); 0.9 (0.2–1); p ≤ 0.01). The number, position and localization of the largest fibroids were not correlated with pre- or postoperative sexual function or quality of life.ConclusionLaparoscopic myomectomy might have positive short-term effects on postoperative quality of life and sexual function in premenopausal women suffering from symptomatic fibroids.

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“…Uterine myomata can cause sexual dysfunction through loss of sexual drive or dyspareunia. 137 Conservative treatment with intrauterine device and levonorgestrel do significantly improve anemia and women's wellbeing. 133,138 The Stable study suggested no inferior results of treatment with pill consisting of estradiol valerate and dienogest vs ethynyl estradiol and levonorgestrel, the latter being considered the gold standard when women complain of low libido under hormonal contraception, because of its androgenic progestins (levonorgestrel).…”

Section: Benign Gynecologic Diseasementioning

confidence: 99%