Effects of contraception methods on female sexual function and quality of life

Abstract

Aim: Many women of reproductive age who use contraceptive methods have sexual dysfunction and reduced quality of life. This study aimed to evaluate the effects of various contraceptive methods on female sexual function index (FSFI) and quality of life scale (SF-12). Methods: This prospective observational study was conducted on the patients admitted to the Gynecology and Obstetrics outpatient clinic between August and October 2020. FSFI total score and FSFI sub-domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) and SF- 12 were used to compare the differences between the groups using various contraceptive methods (Mirena, Copper RIA, tubal ligation, condom, and oral contraceptive pill). The demographic characteristics of the patients, the FSFI, and SF-12 data were collected by the researchers face to face. Results: A total of 228 subjects with a mean age of 30.32 years participated in the study. FSFI scores of the patients using and not using contraceptive methods were significantly different (P<0.001), while PCS-12 (P=0.122) and MCS-12 (P=0.122) scores were similar. The mean total FSFI score was 23.36. Conclusion: The study concluded that women using contraceptive methods had lower total FSFI scores than those who did not, and statistically significant differences were found between the two groups in terms of lubrication, desire, and pain subdomains. We found that contraception methods significantly affected the sexual function of women, but not their quality of life.

Keywords

• Female Sexual Dysfunction
• Sexual Function
• Quality of Life
• Contraception
• Female Sexual Function Index

Kontrasepsiyon yöntemlerinin kadın cinsel fonksiyonu ve yaşam kalitesi üzerindeki etkisi

Öz

Amaç: Bu çalışmamızda, kontrasepsiyon yöntemlerinin kadın cinsel fonksiyonuna ve yaşam kalitesine etkisinin, Kadın Cinsel Fonksiyon Ölçeği (KCFÖ) ve Yaşam Kalitesi Ölçeği (SF-12) doğrultusunda ölçülmesi amaçlandı. Yöntemler: Bu prospektif gözlemsel araştırmaya, Ağustos-Ekim 2020 tarihleri arasında Kadın hastalıkları ve doğum polikliniğimize başvuran hastalar dahil edildi. KCFÖ ve alt grupları skorları (arzu, uyarılma, lubrikasyon, orgasm, memnuniyet ve ağrı ) ile SF-12 skorları korunma yöntemleri (Mirena, Bakır RIA, tüp ligasyonu, kondom, ve oral kontraseptif hap) kullananlar ile kullanmayanların cinsel işlevleri ve yaşam kaliteleri açısından farklılık olup olmadığını araştırmak amacıyla kullanıldı. Hastaların demografik özellikleri, KCFÖ ve SF-12 skorları araştırmacılar tarafından yüz yüze toplandı. Bulgular: Çalışmaya 228 kişi dahil edildi, çalışmaya katılan kadınların ortalama yaşı 30,32 saptandı. Toplam KCFÖ skoru bakımından, gruplar arasında istatistiksel olarak anlamlı bir fark söz konusudur (P<0,001). Ortalama toplam KCFÖ skoru 23.36 olarak ölçüldü. PCS-12 (P=0,122) ve MCS-12 (P=0,122) arasında istatistiksel olarak anlamlı bir fark tespit edilmedi. Sonuç: Kontrasepsiyon yöntemi kullanan kadınların, kontrasepsiyon yöntemi kullanmayan kadınlara göre daha düşük toplam KCFÖ skorlarına sahip olduğu ve her iki grubun da arzu, lubrikasyon ve ağrı alt gruplarında istatistiksel olarak anlamlı bir fark bulunduğu gösterildi. Kontrasepsiyon yöntemleri kadın cinsel fonksiyon bozukluğu üzerinde önemli bir etkiye sahipken, kadınların yaşam kalitesi kontrasepsiyon yöntemlerinden etkilenmemektedir.

Anahtar Kelimeler

• Kadın cinsel fonksiyon bozukluğu
• Yaşam kalitesi
• Doğum kontrolü
• Kadın cinsel fonksiyon ölçeği

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