This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Uterine fibroids are a common problem in women. Treatments for fibroids are typically successful in controlling the fibroid disease, yet sexual function following invasive surgical treatments for fibroids can be jeopardized. In this paper three case reports are evaluated by the FSFI and compared between the following treatment groups:
Examining the Relationship between Fibroids and Dyspareunia among Premenopausal Women in the US
sex, lies, and uterine fibroids
Abstract Introduction Despite estimates of a high prevalence of deep dyspareunia DD among women in the US, risk factors for this important area of sexual dysfunction have been largely understudied. Aims The purpose of this study was to examine the relationship between uterine fibroids and the prevalence of deep dyspareunia DD. Participating women were ages 35—49 and were randomly selected from the membership rolls of a prepaid health plan. The analysis included women, after restriction to participants who were premenopausal with an intact uterus, sexually active, completed the symptom questionnaire, and had fibroid status adequately assessed. Logistic regression was conducted to estimate the adjusted prevalence odds ratio aPOR for the association of DD with presence of fibroids, after adjusting for age, ethnicity, education, depression, physical activity, parity, and pelvic pathology. However, there was not a significant dose response relationship between fibroid burden measured by uterine volume and DD. Fundal fibroids were more strongly associated with DD than other fibroids.
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Before we can even begin to look at the issue of sexual dysfunction potentially occurring as the direct result of a pelvic surgical procedure, we must first recognize that there is quite clearly a problem in this nation with female sexual function that desperately demands attention. The information gathered for this particular study used a national probability sample of women and men aged 18 to 59 years. While the results written about in this study didn't identify prior surgical procedures that any of the women may have possibly undergone, it was still an astounding collection of data filled with valuable nuggets of information. As a woman ages, sexual problems tend to decrease -- with the exception of those who report trouble with lubrication.