title: [Impact of the loop electrosurgical excision procedure for cervical dysplasia on sexual function].
abstract: OBJECTIVE
  To assess the consequences of loop electrosurgical excision procedure (LEEP) on the quality of sexual life.
  
  
  METHODS
  A prospective observational study in two university hospital departments in Marseille, France, including women requiring a LEEP. Sexual quality of life was assessed before LEEP and three months after the procedure with a self-administered validated questionnaire: the Brief Index of Sexual Functioning for Women (BISF-W).
  
  
  RESULTS
  Among the 100 women included, 69 filled both questionnaires. Among the 69 women whose outcomes were available, composite BISF-W score was significantly lower before LEEP than three months after LEEP (28.3±13 vs 30.1±13.2; P=0.01). The items scores concerning desire (D1) and orgasm (D5) were significantly improved after LEEP (4.3±2.3 vs 5±2.2 [P<0.001] and 4.3±2.5 vs 4.7±2.6 [P<0.001]).
  
  
  CONCLUSIONS
  This study found an improved quality of sexual life after LEEP. These findings suggest that the psychological impact of HPV infection on sexual function is greater than the anatomical and functional impact of LEEP.
authors.affiliation: Service de gynécologie obstétrique, hôpital Sainte-Musse, 83200 Toulon, France.
authors.forename: C
authors.initials: C
authors.lastname: Sadoun
authors.affiliation: Service de gynécologie obstétrique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille cedex 05, France.
authors.forename: A
authors.initials: A
authors.lastname: Ohannessian
authors.affiliation: Service de gynécologie obstétrique, hôpital Nord, 13015 Marseille, France.
authors.forename: X
authors.initials: X
authors.lastname: Carcopino
authors.affiliation: Service de gynécologie obstétrique, hôpital Sainte-Musse, 83200 Toulon, France.
authors.forename: F
authors.initials: F
authors.lastname: Mauviel
authors.affiliation: Service de gynécologie obstétrique, hôpital Nord, 13015 Marseille, France.
authors.forename: L
authors.initials: L
authors.lastname: Boubli
authors.affiliation: Service de gynécologie obstétrique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille cedex 05, France. Electronic address: aubert.agostini@ap-hm.fr.
authors.forename: A
authors.initials: A
authors.lastname: Agostini
mesh_terms: D000328:Adult; D004564:Electrocoagulation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004598:Electrosurgery / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D005602:France; D006801:Humans; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011788:Quality of Life; D012725:Sexual Behavior / Q000502:physiology; D019529:Sexuality / Q000502:physiology*; D011795:Surveys and Questionnaires; D002578:Uterine Cervical Dysplasia / Q000601:surgery*
keywords: Cervical dysplasia; Conisation cervicale; Dysplasie cervicale; Loop electrosurgical excision procedure (LEEP); Qualité de vie sexuelle; Sexual function