Evruke Ipek, Tas Inci Sema
Obstetrics and Gynecology, Akcakoca State Hospital, Duzce, TUR.
Obstetrics and Gynecology, Istanbul University School of Medicine, Istanbul, TUR.
Cureus. 2023 Mar 12;15(3):e36035. doi: 10.7759/cureus.36035. eCollection 2023 Mar.
Background This study aims to evaluate the effect of operative hysteroscopy and levonorgestrel-releasing intrauterine system (LNG-IUS) insertion for abnormal uterine bleeding on sexual function and, if it improves sexual function, to examine differences in sexual function between women undergoing hysteroscopy and women using LNG-IUS. Methods Ninety women aged between 25 and 52 enrolled in the study. Participants were divided into two groups, including 45 operative hysteroscopy patients and 45 LNG-IUS patients. All patients completed the Female Sexual Function Index (FSFI) questionnaire pre-treatment and after three months post-treatment. Pre- and post-treatment FSFI scores were compared both within and between groups. Results The mean FSFI scores at three months following both treatments were significantly higher than baseline in both groups (p<0.05). When the two groups were compared, no significant difference was observed between baseline and three-month post-treatment differences in FSFI scores except for the pain domain. In the pain domain of the FSFI questionnaire, a more significant improvement was found in the LNG - IUS inserted group compared to the operative hysteroscopy group. Conclusion Patients had improvement in sexual functions after both operative hysteroscopy and LNG - IUS insertion treatment. No significant difference was observed in hysteroscopy and LNG-IUS patients after both treatments in terms of sexual function according to scores calculated by FSFI, except for the pain domain. Significant improvement was observed in the pain domain of the FSFI for the LNG - IUS inserted group compared to the operative hysteroscopy group, thus demonstrating a significant effect and improvement for dyspareunia and chronic pelvic pain complaint in the LNG-IUS inserted group.
背景 本研究旨在评估宫腔镜手术和放置左炔诺孕酮宫内节育系统（LNG-IUS）治疗异常子宫出血对性功能的影响，若其能改善性功能，则检查接受宫腔镜手术的女性与使用LNG-IUS的女性在性功能方面的差异。方法 90名年龄在25至52岁之间的女性纳入本研究。参与者被分为两组，包括45名接受宫腔镜手术的患者和45名使用LNG-IUS的患者。所有患者在治疗前及治疗后三个月完成女性性功能指数（FSFI）问卷。对组内和组间治疗前和治疗后的FSFI评分进行比较。结果 两组治疗后三个月的平均FSFI评分均显著高于基线水平（p<0.05）。两组比较时，除疼痛领域外，FSFI评分的基线与治疗后三个月的差异无显著差异。在FSFI问卷的疼痛领域，与宫腔镜手术组相比，放置LNG-IUS组有更显著的改善。结论 宫腔镜手术和放置LNG-IUS治疗后患者性功能均有改善。根据FSFI计算的评分，除疼痛领域外，宫腔镜手术组和LNG-IUS组在两种治疗后的性功能方面未观察到显著差异。与宫腔镜手术组相比，放置LNG-IUS组在FSFI的疼痛领域有显著改善，从而表明放置LNG-IUS组在性交困难和慢性盆腔疼痛主诉方面有显著效果和改善。
