Campaner Adriana Bittencourt, Vespa Junior Nelson, Giraldo Paulo César, Leal Passos Mauro Romero
Department of Obstetrics and Gynecology, School of Medicine of Santa Casa de São Paulo, Avenida Rebouças 1511, ap. 142, Jd. América, 05401-200 São Paulo, SP, Brazil.
Department of Obstetrics and Gynecology, Federal University of Campinas, Brazil.
J Sex Transm Dis. 2013;2013:264093. doi: 10.1155/2013/264093. Epub 2013 Mar 24.
Objective. To compare the psychosexual impact related to the treatment of genital warts and cervical intraepithelial neoplasia (CIN) in women. Methods. 75 patients presenting with HPV-induced genital lesions, belonging to one of two patient groups, were included in the study: 29 individuals with genital warts (GWs) and 46 individuals with CIN grades 2 or 3 (CIN 2/3). Initially, medical charts of each woman were examined for extraction of data on the type of HPV-induced infection and treatment administered. Subjects were interviewed to collect sociodemographic data as well as personal, gynecologic, obstetric, and sexual history. After this initial anamnesis, the Sexual Quotient-Female Version (SQ-F) questionnaire was applied to assess sexual function. After application of the questionnaire, patients answered specific questions produced by the researchers, aimed at assessing the impact of the disease and its treatment on their sexual lives. Results. It is noteworthy that patients with CIN 2/3 had statistically similar classification of sexual quotient to patients with GWs (P = 0.115). However, patients with GWs more frequently gave positive answers to the specific questions compared to patients with CIN 2/3. Conclusion. Based on these findings, it is clear that GWs have a greater impact on sexual behavior compared to CIN 2/3.
目的。比较女性尖锐湿疣和宫颈上皮内瘤变(CIN)治疗相关的性心理影响。方法。本研究纳入了75例患有HPV诱导的生殖器病变的患者,她们分属于两个患者组之一:29例患有尖锐湿疣(GWs),46例患有2级或3级CIN(CIN 2/3)。最初,检查每位女性的病历以提取HPV诱导感染类型和所接受治疗的数据。对受试者进行访谈以收集社会人口学数据以及个人、妇科、产科和性病史。在进行这一初步问诊后,应用女性性功能指数问卷(SQ-F)评估性功能。在应用问卷后,患者回答研究人员提出的特定问题,旨在评估疾病及其治疗对其性生活的影响。结果。值得注意的是,CIN 2/3患者的性功能指数分类与GWs患者在统计学上相似(P = 0.115)。然而,与CIN 2/3患者相比,GWs患者对特定问题给出肯定回答的频率更高。结论。基于这些发现,显然与CIN 2/3相比,GWs对性行为的影响更大。