Yonsei Med J.  2019 Aug;60(8):791-795. 10.3349/ymj.2019.60.8.791.

Uterine Leiomyoma Is Associated with Female Sexual Dysfunction in Postmenopausal Women

Affiliations
  • 1Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea. smleemd@hanmail.net
  • 2Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Family Medicine & Supportive Care Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. skkim@snubh.org
  • 5Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
  • 6Health Promotion Center, Seoul National University Hospital, Seoul, Korea.
  • 7Department of Family Medicine, Asan Medical Center, Seoul, Korea.
  • 8Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

PURPOSE
To determine the relationship between uterine leiomyoma and female sexual dysfunction (FSD) among premenopausal and postmenopausal women.
MATERIALS AND METHODS
The study population consisted of consecutive women who underwent gynecologic screening tests, including transvaginal ultrasound, and completed the questionnaires on FSD. A total of 841 women were included from January 2010 to December 2011. FSD was defined as Female Sexual Function Index (FSFI) ≤26.55. The relationship between uterine leiomyoma and FSD were compared according to menopausal status.
RESULTS
In premenopausal group (n=564), there were no differences in the frequency of FSD (55.0% vs. 58.8%, p=0.387) and total FSFI score. However, in postmenopausal group (n=277), women with uterine leiomyoma had a lower frequency of FSD than those without uterine leiomyoma (71.3% vs. 86.4%, p=0.003). This relationship between uterine leiomyoma and lower frequency of FSD in postmenopausal women remained significant after adjusting for confounding variables.
CONCLUSION
The relationship between uterine leiomyoma and FSD is different depending on the menopausal status.

Keyword

Sexual dysfunction; sexual behavior; leiomyoma; menopause; dyspareunia

MeSH Terms

Confounding Factors (Epidemiology)
Dyspareunia
Female*
Humans
Leiomyoma*
Mass Screening
Menopause
Sexual Behavior
Ultrasonography
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