Prevalence and Associating Factors of Sexual Dysfunction
in Women Who Use Intrauterine Device (IUD)
for Contraception
Tachjaree Panchalee MD*, Thanyarat Wongwananuruk MD*,
Surasak Augsuwatana MD*, Korakot Sirimai MD*, Manopchai Tammakunto MD*,
Chanon Neangton MD*, Savinee Bunsuk MD*, Jaratporn Inthawong MA*
Affiliation :
* Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To study the prevalence and associating factors of sexual dysfunction in Thai women using contraception with
intrauterine device (IUD).
Material and Method: A cross-sectional study was conducted in IUD users at the Family Planning Unit, Siriraj Hospital.
Data were recruited between October 2012 and June 2013. The participants answered the questionnaires to collect
demographic, obstetric-gynecological data, and female sexual function index (FSFI) score.
Results : Two hundred seventy one IUD users participated in this study. The mean age was 32.17.1 years old, mean body
mass index (BMI) was 24.15.3 kg/m2. The prevalence of sexual dysfunction in IUD users was 50.9%. The associating
factor that affected the sexual dysfunction significantly was observed in BMI group (p-value 0.033). Subgroup analysis
illustrated that the underweight group had more sexual dysfunction. The lowest FSFI score was observed in the underweight
group. The score was 23.504.52. The significant domains were found to be desirable and arousal domains.
Conclusion : The prevalence of female sexual dysfunction in the period after IUD using was 50.9%. The BMI was a significant
associating factor. Underweight women showed higher trend of sexual dysfunction than other group, especially in the desire
and arousal domain.
Keywords : Sexual function, Female sexual function index (FSFI), Intrauterine device (IUD)
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