人乳头瘤病毒和 LEEP 对性功能的影响。
Effects of human papillomavirus and LEEP on sexual function.
机构信息
Faculty of Medicine, Department of Obstetrics and Gynecology, Division of gynecologic oncology, Sıtkı Koçman University, Muğla, Turkey.
Department of Obstetrics and Gynecology, Özgü Clinic, Muğla, Turkey.
出版信息
Ir J Med Sci. 2024 Feb;193(1):285-288. doi: 10.1007/s11845-023-03415-5. Epub 2023 Jun 1.
BACKGROUND
Human papillomavirus (HPV) infection is the most common sexually transmitted viral infection in humans.
AIMS
We evaluated the sexual function of human papillomavirus positive patients after colposcopy and loop electrosurgical excision procedure (LEEP).
METHODS
This study enrolled 344 patients with an HPV infection detected on routine screening in 2020-2022. Sexual function was evaluated using the Female Sexual Function Index (FSFI), which consists of six sections: desire, arousal, lubrication, orgasm, satisfaction, and pain.
RESULTS
The mean age of the 344 HPV-positive patients was 37.2 ± 8.2 years, and 28.2% of them were unmarried. Colposcopy, cervical biopsy, and LEEP were performed in 251 (73.0%), 189 (54.9%), and 42 (12.2%) patients, respectively. The sexual history and FSFI scores of the patients were recorded. The total and individual parameter scores on the FSFI decreased significantly after colposcopy. Similarly, the total and individual parameter scores on the FSFI were lower at 8 weeks after LEEP compared to those before LEEP.
CONCLUSION
Cancer-related fear and anxiety and LEEP may cause sexual dysfunction in HPV-positive patients.
背景
人乳头瘤病毒（HPV）感染是人类最常见的性传播病毒感染。
目的
我们评估了阴道镜检查和环形电切术（LEEP）后 HPV 阳性患者的性功能。
方法
本研究纳入了 2020 年至 2022 年期间常规筛查中检测到 HPV 感染的 344 例患者。使用女性性功能指数（FSFI）评估性功能，该指数由六个部分组成：欲望、唤起、润滑、高潮、满意和疼痛。
结果
344 例 HPV 阳性患者的平均年龄为 37.2±8.2 岁，其中 28.2%未婚。251 例（73.0%）患者行阴道镜检查、宫颈活检和 LEEP，189 例（54.9%）和 42 例（12.2%）患者分别行宫颈活检和 LEEP。记录患者的性生活史和 FSFI 评分。阴道镜检查后，FSFI 的总分和各参数评分显著降低。同样，LEEP 后 8 周的 FSFI 总分和各参数评分也低于 LEEP 前。
结论
癌症相关的恐惧和焦虑以及 LEEP 可能导致 HPV 阳性患者发生性功能障碍。
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