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Effects of human papillomavirus and LEEP on sexual function

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Abstract

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.

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Authors and Affiliations

  1. Faculty of Medicine, Department of Obstetrics and Gynecology, Division of gynecologic oncology, Sıtkı Koçman University, Muğla, Turkey

    Özgü Çelikkol & Kemal Güngördük

  2. Department of Obstetrics and Gynecology, Özgü Clinic, Muğla, Turkey

    Özgü Çelikkol

  3. Faculty of Medicine, Department of Obstetrics and Gynecology, Division of gynecologic oncology, Erciyes University, Kayseri, Turkey

    Varol Gülseren

  4. Department of Obstetrics and Gynecology, Division of gynecologic oncology, Medipol University, İstanbul, Turkey

    İsa Aykut Özdemir

Authors
  1. Özgü Çelikkol
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  2. Varol Gülseren
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  3. Kemal Güngördük
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  4. İsa Aykut Özdemir
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Contributions

Literature research: Kemal Güngördük. Write: Özgü Çelikkol. Editing: İsa Aykut Özdemir. Statistics: Varol Gülseren. Data collecting: Kemal Güngördük.

Corresponding author

Correspondence to Varol Gülseren.

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Prepared in accordance with ethical standards.

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Local ethical approval was obtained from our center.

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Informed consent was not obtained due to the retrospective study.

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The authors declare that they have no conflict of interest.

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Çelikkol, Ö., Gülseren, V., Güngördük, K. et al. Effects of human papillomavirus and LEEP on sexual function. Ir J Med Sci 193, 285–288 (2024). https://doi.org/10.1007/s11845-023-03415-5

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  • DOI: https://doi.org/10.1007/s11845-023-03415-5

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