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KMID : 0311120190600080791
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Yonsei Medical Journal
2019 Volume.60 No. 8 p.791 ~ p.795
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Uterine Leiomyoma Is Associated with Female Sexual Dysfunction in Postmenopausal Women
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Chang Jae-Hoon
Shin Dong-Wook
Jeon Myung-Jae
Hong Hye-Ri
Kim Sun-Min
An Ah-Reum
Son Ki-Young
Park Jin-Ho
Cho Be-Long
Kim Seul-Ki
Lee Seung-Mi
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Abstract
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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.
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KEYWORD
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Sexual dysfunction, sexual behavior, leiomyoma, menopause, dyspareunia
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