The Evaluation Of Dysmenorrhea, Quality Of Life, And Sexual Functions In Patients With And Without Conization

INTRODUCTION: Conization is a surgical procedure performed to treat precancerous lesions. HPV is the most predisposing cause known. In our study, we aimed to evaluate and compare patients who were followed up as HPV positive and had conization due to cervical pathology in terms of dysmenorrhea, quality of life and sexual function.

METHODS:
HPV positive patients who underwent conization at Selcuk University Faculty of Medicine Obstetrics and Gynecology Department were evaluated.
4 main surveys were used in the study. Personal and Demographic Information Form, Dysmenorrhea Scale - Visual Analogue Scale (VAS), Female Sexual Function Index (FSFI); It was evaluated using (Turkish Female Sexual Function Scale), and European Organisation for Research and Treatment of Cancer Quality of Life (Turkish EORTC QLQ-C30 (version 3.0)). In our study, we considered two groups: those without hpv positive conization and those with hpv positive conization.

RESULTS: Dysmenorrhea scores of patients who underwent conization are higher than those of patients who did not undergo conization. Female sexual function scores of patients who underwent conization are higher than those of patients who did not undergo conization. There was no significant difference between the QoL scores of patients who underwent conization and those who did not.


DISCUSSION AND CONCLUSION: The cervix has an anatomically important neurovascular network. Care should be taken at this point in terms of conization procedures. Surgical complications should be carefully evaluated in the treatment of precancerous lesions. HPV is a sexually transmitted disease and the treatment of lesions caused by it can affect anxiety, quality of life, sexual function and menstrual cyclus.