Psychological epidemiology of sexual function change after conization for cervical dysplasia

Purpose of investigation: To evaluate psychological impact of sexual function change after conization for cervical dysplasia. Materials and Method: Seventy-seven sexually active women enrolled in this study. Before conization, each participant's sexual function was assessed using the Female Sexual Function Index (FSFI) and trait anxiety was assessed. At least six months after surgery, each woman again completed the questionnaires. The authors compared the results before and after conization according to anxiety. Results: The patients with anxiety towards sex after conization had changes in all aspects of sexual function versus those without anxiety for sex (p < 0.05). Patients with mild trait anxiety showed sexual function changes in arousal, orgasm, dyspareunia, and satisfaction compared to those without trait anxiety. Conclusion: Changes in sexual function after conization are more pronounced in patients who express anxiety regarding sex, or have a trait anxiety, compared to those without anxiety. Therefore, psychological counseling should be emphasized before conization.