title: Female Sexual Function Improves After Endometrial Ablation.
abstract: BACKGROUND
  Many women have heavy menstrual bleeding during perimenopause that may interfere with overall quality of life and contribute to sexual dysfunction. We aimed to determine whether sexual function in women improves after endometrial ablation for heavy menstrual periods.
  
  
  METHODS
  Validated surveys (Female Sexual Function Index [FSFI], Female Sexual Distress Scale [FSDS], and Short-Form Health Survey [SF-12]) were administered to 136 women before and after endometrial ablation from August 2008 through June 2013. Scores at baseline and 6 months after surgery were compared using the paired t test.
  
  
  RESULTS
  A total of 97 women completed the FSFI and FSDS surveys at baseline and 6 months after ablation. Mean full-scale FSFI score increased from 26.5 to 28.8 (p < .001), with improvement in 5 of 6 FSFI domains. Mean FSDS score decreased from 13.6 to 9.7 (p < .001), showing decreased personal distress regarding sexual function. In assessing quality of life, SF-12 scores improved for global physical function (p < .001) and mental function (p = .002).
  
  
  CONCLUSIONS
  Female sexual function improved and personal distress associated with sexual function decreased after endometrial ablation for heavy menstrual cycles.
authors.affiliation: 1 Department of Obstetrics and Gynecology, Mayo Clinic , Rochester, Minnesota.
authors.forename: Mary L
authors.initials: ML
authors.lastname: Marnach
authors.affiliation: 1 Department of Obstetrics and Gynecology, Mayo Clinic , Rochester, Minnesota.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Long
authors.affiliation: 2 Division of Biomedical Statistics and Informatics, Mayo Clinic , Rochester, Minnesota.
authors.forename: Michaela E
authors.initials: ME
authors.lastname: McGree
authors.affiliation: 2 Division of Biomedical Statistics and Informatics, Mayo Clinic , Rochester, Minnesota.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Weaver
authors.affiliation: 1 Department of Obstetrics and Gynecology, Mayo Clinic , Rochester, Minnesota.
authors.forename: Petra M
authors.initials: PM
authors.lastname: Casey
mesh_terms: D000328:Adult; D055356:Endometrial Ablation Techniques; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008595:Menorrhagia / Q000601:surgery*; D008598:Menstruation / Q000502:physiology; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012725:Sexual Behavior / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology*; D013315:Stress, Psychological / Q000175:diagnosis; D011795:Surveys and Questionnaires