Cervix human papilloma virus positivity: Does it cause sexual dysfunction?

Abstract

PRECIS: Human papilloma virus results of the patients does not related to sexual dysfunction. Öz Amaç: Çalışmadaki amacımız servikal human papilloma virüsler (HPV) taramasında pozitif sonuç alan hastalarda cinsel fonksiyonlarda değişiklik olup olmadığını araştırmaktır. Gereç ve Yöntemler: Tek merkezli prospektif, tanımlayıcı-kesitsel olarak planlanan bu çalışma HPV testi yapılan 300 kadın hasta rastgele seçildi [HPV pozitif (n=187) ve HPV negatif (n=113)]. Yüz yüze görüşülerek Arizona Cinsel Yaşantılar Ölçeği (ACY) ve Kadın Cinsel İşlev Ölçeği (FSFI) uygulandı. Bulgular: HPV pozitif ve negatif hastalar ile cinsel fonksiyonlar arasındaki ilişki açısından bakıldığında ACY ve FSFI ölçeklerinde anlamlı bir farklılık olmadığı izlenmiştir (p=0,343, 0,604). Ayrıca HPV tanısı alması anında ve takip süresince seksüel fonksiyonların etkilenip etkilenmemesine bakıldığında (tanıdan sonraki ilk 2 haftada, 2 hafta-1 ay, 1-3 ay, 3-6 ay, 6-12 ay ve 1 yıldan fazla) anlamlı bir farklılık bulunmamıştır (p>0,05). Evli kadınlarda ACY ölçeğine göre cinsel fonksiyon bozukluğu (CFB) daha az görülmektedir (p=0,03), bu fark FSFI ölçeği uygulandığında saptanmamıştır. Çalışan kadınlarda CFB görülme oranı çalışmayan ve emeklilere göre daha sıktır (p=0,006, 0,01). Sonuç: Eğitim düzeyi, sosyo-ekonomik durum, yaş, işte çalışıyor olmak ve medeni durumun cinsel fonksiyon üzerine istatistiksel olarak anlamlı olarak bulunmuştur. HPV tanısının pozitif ya da negatif olması ve HPV pozitif tanısı alan hastalarda tanı süresinin cinsel fonksiyonlar üzerine etkisi saptanmamıştır. Anahtar Kelimeler: Cinsel fonksiyon bozukluğu, fizyolojik, HPV, serviks Objective: To investigate whether testing positive for human papilloma virus (HPV) in cervical screening has an impact on female sexual functioning. Materials and Methods: This study was designed as a single-center, prospective, descriptive-cross-sectional study and 300 women who received HPV testing in our hospital [HPV-positive (n=187) or HPV-negative (n=113)]. The Arizona Sexual Experiences (ASEX) scale and Female Sexual Functioning index (FSFI) were administered to study participants during face-to-face interviews. Results: No significant differences were found between women who were HPV-positive and HPV-negative in sexual functions as assessed using the ASEX and FSFI scales (p=0.343 and p=0.604, respectively). In addition, the analyses addressing whether sexual functioning was affected by a positive test result, at diagnosis or during the follow-up (before 2 weeks, 2 weeks-1 month, 1-3 months, 3-6 months, 6 months-1 year and over 1 year) revealed no significant differences between HPV-positive and HPV-negative women in sexual functioning (p>0.05). Sexual dysfunction was less common in married women than in the ASEX scale (p=0.03), and this difference was not detected when the FSFI scale was applied. The incidence of dysfunction was more frequent in working women than in retirees (p=0.006, p=0.01). Conclusion: Educational attainment, socioeconomic status, age, employment status, and marital status were fo...

The Impact of HPV Diagnosis and Abnormal Cervical Cytology Results on Sexual Dysfunction and Anxiety

“…Patients with HPV infection may display different psychological reactions depending on the diagnosis and treatment of the infection [ 1 ]. Denial of HPV infection, fear of cancer, reluctance to engage in sexual activity and anxious and depressive symptoms are among the common reactions reported in these patients [ 1 , 5 , 9 , 12 ]. Several authors speculated that genital lesions might also develop in pre-cancerous HPV patients, leading to increased anxiety and sexual dysfunction [ 20 ].…”

“…It has been reported that sexual and reproductive complications, including sexual difficulty or dysfunction, were observed in women who were otherwise sexually active after the diagnosis of HPV infection or an abnormal Papanicolaou smear test result [ 1 , 7 ]. It was speculated that all these factors might cause women to feel less sexually attractive and not to be satisfied with sexual intercourse [ 7 , 9 , 10 ].…”

“…This may be due to fear of infecting the partner, fear of rejection, guilt, and anger at having been betrayed [ 8 ]. The results of the studies available in the literature on the effect of having tested positive for HPV on women’s sexual function and psychosexual condition are contradictory [ 1 , 4 , 7 , 8 , 9 ]. These discrepancies in results might be attributed to the differences in the methodologies of these studies, as well as to the differences in the cultural, social, and religious characteristics of the study samples.…”

The effects of anogenital condylomas on female sexuality and psychology: a case-control study

“…Although there have been many previous studies on HPV positivity, HPV-related cervical precancerous lesions, sexual dysfunction, depression, marital relationship status, and anxiety, there number of studies on anogenital warts due to low-risk HPV types is insufficient (6,(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

FSFI score and timing of tubal ligation in patients: preliminary results of an online survey

“…These results identified several risk and contributing factors for sexual dysfunction. Several risk factors that can be influenced like cultural and socioeconomic background [15,16] seem to influence the FSFI.…”