Changes in Sexual Function after Medical or Surgical Termination of Pregnancy. (18th March 2014)

• Record Type: Journal Article
• Authors: Morotti, Matteo; Calanni, Luana; Gianola, Gaia; Anserini, Paola; Venturini, Pier Luigi; Ferrero, Simone
• Is Part Of: Journal of sexual medicine. Volume 11:Number 6(2014:Jun.)
• Page Start: 1495
• Page End: 1504
• Publication Date: 2014-03-18
• Subjects: Sexual disorders -- Periodicals; Sex -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1111/jsm.12506
• Languages: English
• ISSNs: 1743-6095

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jsm12506-sec-0001" sec-type="section"> <title>Introduction</title> <p>Voluntary termination of pregnancy (TOP) is a social issue; however, even if it is one of the most common procedures performed in the world, few studies evaluated sexual function changes after medical or surgical TOP.</p> </sec> <sec id="jsm12506-sec-0002" sec-type="section"> <title>Aim</title> <p>The aim of this study was to evaluate how first trimester TOP by either surgical (group 1) or medical procedure (group 2) affects sexual function.</p> </sec> <sec id="jsm12506-sec-0003" sec-type="section"> <title>Methods</title> <p>This prospective observational study included 211 patients (132 in group 1 and 79 in group 2) who requested first trimester TOP between September 2010 and May 2012. Medical TOP (mifepristone and misoprostol) was offered to patients up to 49 days of gestation. Surgical TOP was performed up to 12 weeks. The Female Sexual Function Index (FSFI) was used to evaluate sexual function before TOP, after 1, 3, and 6 months from TOP.</p> </sec> <sec id="jsm12506-sec-0004" sec-type="section"> <title>Main Outcome Measures</title> <p>Changes in the FSFI values and number of sexual active patients after 1, 3, and 6 months from the TOP and the self‐reported quality of sexual life at 6 months, with the two different procedures, were the main outcome measures.</p> </sec> <sec id="jsm12506-sec-0005" sec-type="section"> <title>Results</title> <p>At 4‐week follow‐up, 23.6% of women in group 1 did not resume sexual intercourse compared with 5.4% of women in group 2 (<italic>P</italic> = 0.003). At 6 months, 3.3% of women in the group 1 and no women in the group 2 did not resume sexual intercourses (<italic>P</italic> = 0.123). Compared with women in group 2, those in group 1 had lower FSFI score and number of sexual intercourses at 1, 3, and 6 months follow‐up (<italic>P</italic> < 0.001).</p> </sec> <sec id="jsm12506-sec-0006" sec-type="section"> <title>Conclusions</title> <p>This study shows that the number of sexually active women and the overall FSFI are reduced in women undergoing surgical TOP compared with those undergoing medical TOP. Counseling regarding sexual function changes should be included in the discussion of morbidity related to medical or surgical TOP. <bold>Morotti M, Calanni L, Gianola G, Anserini P, Venturini PL, and Ferrero S. Changes in sexual function after medical or surgical termination of pregnancy. J Sex Med 2014;11:1495–1504.</bold></p> </sec> </abstract>