Özet:

Objective: The aim of the study is to objectively evaluate the effects of Loop Electrosurgical Excision Procedure (LEEP) on women’s sexual function using a validated questionnaire. Methods: This pre-post survey design study was conducted at a tertiary referral hospital gynecological oncology clinic. 80 sexually active patients who had undergone LEEP because of abnormal cervical cytology results between October 2018 and December 2018 were included. Participating patients answered the Female Sexual Function Index (FSFI) questionnaire before undergoing LEEP and at 3 and 6 months after the procedure. The FSFI questionnaire consists of 19 multiple choice questions and it evaluates the following six aspects of female sexuality: arousal, lubrication, desire, orgasm, satisfaction, and pain. 9 patients were excluded for not coming to the follow-up appointments. Patients who had any systemic or psychological disease were excluded in order to avoid any additional variables that could affect sexual function. Results: Arousal, lubrication, desire, orgasm, satisfaction, and pain were evaluated in 71 patients. There was no statistical difference in sexual desire, lubrication, sexual satisfaction, and pain in between follow-up results and the baseline scores. However, there was a significant decrease in patients’ orgasm scores and degree of arousal in the follow-up results compared to the baseline scores. Conclusion: Parameters such as orgasm and the degree of arousal, which are strongly connected with a patient’s physical and psychological well-being, are affected by the procedure. We believe detailed information, psychological support, and even psychiatric consultation can have a beneficial effect on patients. Further studies with a larger sample and a control group and a longer follow-up interval should be performed to assess the effect of psychological precautions and to avoid sexual function disorders resulting from LEEP.

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