The impact of cryotherapy for symptomatic cervical ectropion on female sexual function and quality of life.

Abstract

In rare cases, cervical ectropion causes symptoms such as abundant leucorrhoea, postcoital bleeding, recurrent cervicitis, pelvic pain, and dyspareunia. Cryotherapy is a commonly used treatment for symptomatic cervical ectropion. We assessed the impact of cryotherapy on sexual function and quality of life among patients with symptomatic cervical ectropion. In this prospective observational study, 73 patients were assessed before and six months after cryotherapy treatment using the Female Sexual Function Index (FSFI) and Short Form-12 Health Survey questionnaires. The double-freeze cryotherapy procedure was performed using a cryotherapy unit, and liquid nitrogen was used as a refrigerant. The mean physical and mental quality of life scores were significantly improved after treatment. With the exception of the pain domain, the overall and domain FSFI scores exhibited no significant differences before and after cryotherapy. The sexual pain domain scores were significantly increased after treatment. There was a statistically significant improvement in vaginal discharge, pelvic pain, and postcoital bleeding symptoms after the cryotherapy. We concluded that cryotherapy is an effective and feasible treatment for symptomatic cervical ectropion. Although cryotherapy results in improved quality of life scores, it has no significant impact on female sexual function.Impact statementWhat is already known on this subject? Cryotherapy is the most preferred treatment option for symptomatic cervical ectropion. Its feasibility and effectiveness with respect to symptom relief have been observed in previous studies. No study has evaluated quality of life and sexual function after cryotherapy among patients with symptomatic cervical ectropion.What do the results of this study add? Although the patients' quality of life scores were significantly improved after treatment, no significant improvement was observed in overall and domain sexual function scores, with the exception of the pain domain. The sexual pain domain scores were significantly improved after cryotherapy.What are the implications of these findings for clinical practice and/or further research? Patients should not expect better sexual function after cryotherapy. Comparative studies should seek to identify the ideal treatment option, which would result in both symptom relief and better sexual function.

• Authors: Sukru Yildiz, Ismail Alay, Ecem Eren, Ibrahim Karaca, Gul Gultekin, Cihan Kaya, Huseyin Cengiz
• Journal: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology (J Obstet Gynaecol) Vol. 41 Issue 5 Pg. 815-820 (Jul 2021) ISSN: 1364-6893 [Electronic] England
• PMID: 33073648 (Publication Type: Journal Article, Observational Study)

Topics

• Adult
• Cervix Uteri (abnormalities)
• Cryotherapy (methods)
• Dyspareunia (etiology, therapy)
• Female
• Humans
• Prospective Studies
• Quality of Life
• Sexual Behavior (psychology)
• Sexual Dysfunction, Physiological (etiology, therapy)
• Sexual Dysfunctions, Psychological (etiology, therapy)
• Surveys and Questionnaires
• Treatment Outcome
• Uterine Cervical Diseases (complications, psychology, therapy)