Factors Associated with Sexual Dysfunction in Women
Experiencing Anogenital Warts at Siriraj Hospital
Parkpinyo N, MD, FRTCOG¹, Chayachinda C, MD, MSc, FRTCOG¹, Thamkhantho M, MD, FRCOG (UK), MSc, FRTCOG¹
Affiliation : ¹ Unit of Gynecologic Infectious Disease and Female STD’s, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background: Women with genital warts often suffer not only from pain and discomfort but also the impact of psychosocial
function and lower quality of life. The prominent and highly recurrent nature of genital warts may directly and negatively impact
libido and female sexual function.
Objective: To explore the rate of female sexual dysfunction in women experiencing genital warts and determine the associated factors.
Materials and Methods: Of the 215 female patients diagnosed with anogenital warts attending the sexually transmitted disease (STD) clinic at Siriraj Hospital, 129 of them currently had lesions and 39 of them denied any history of sexual relations in the previous four weeks. Forty-seven participants were enrolled in the study. According to the Thai version of Female Sexual Function Index (TFSFI), a total score of less than 26.55 is classified as having sexual dysfunction.
Results: Prevalence of female sexual dysfunction in the study group was 62%. Mean total score of the study group was 24.3±5.0. In having and not having female sexual dysfunction group, mean total score were 21.5±4.2 and 28.9±2.0, respectively, with statistically significance (p<0.001). Education level of at least Bachelor’s degree and diagnosis duration of 12 months or longer were found to be less associated with female sexual dysfunction (OR 0.19, 95% CI 0.04 to 0.79 and OR 0.18, 95% CI 0.03 to 0.92). However, number of warts, maximum size of wart, number of treatments, treatment duration, and partnership duration in both groups were different but did not meet statistical significance.
Conclusion: Genital warts have negative impact on patients’ quality of life since these affect self-esteem and social affiliation. Because it affects all domains of sexual function, genital warts have negative effect on sexual life. Adequate information and effective treatment are requisites to diminish undesirable sexual problems.
Received 22 Feb 2020 | Revised 4 Mar 2020 | Accepted 10 Mar 2020
Keywords : Sexual dysfunction, Genital warts, Quality of life
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