{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:23:44Z","timestamp":1792819424642,"version":"4.5.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T00:00:00Z","timestamp":1639267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T00:00:00Z","timestamp":1639267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diagnosis of cervical dysplasia and subsequent conization of the uterine cervix might affect women\u2019s\u2019 sexual health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the effect of cervical conization on women\u2019s sexual function and psychological wellbeing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing conization of the cervix were assessed before, and 6 months after conization. Assessment of sexual distress and function was done using the female sexual distress scale-revised (FSDS-r) and the female sexual function inventory (FSFI), respectively. Risk for anxiety and depression, was assessed using the Hospital Anxiety and Depression Scale (HADS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>FSDS-r, FSFI and HADS scores before and after conization<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From October 2018 to March 2021, 55 patients undergoing cervical conization were recruited. No significant differences were found in FSDS-r scores before and after conization. An equal number of patients indicated having sexual distress (29 patients, 53%, before and after conization, P=1.0). No significant changes were noticed on any FSDS domains or the total FSDS score before and after conization, (26.8 vs. 26.0, p=0.461). The percent of patients that indicated an overall sexual dysfunction, increased from 49 percent before conization, to 59 percent after conization, P=0.388. A high percent of patients indicated signs of anxiety on the HADS questionnaire, both before and after conization (49% and 47%, respectively). The median anxiety and depression scores did not change after conization, p=1.0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical implications<\/jats:title><jats:p>A high percent of patients undergoing conization suffer from sexual distress, sexual dysfunction and general anxiety, both before and after conization. The conization procedure itself did not seem to effect questionnaire scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths and limitations<\/jats:title><jats:p>This was a prospective cohort, with comprehensive assessment of female sexual and psychological wellbeing after conization. Not all subjects reported sexual intercourse prior to questionnaire completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Gynecologists should be aware of the psychological and sexual effect of the diagnosis and treatment of cervical pre-cancerous lesions, patients should be counselled accordingly.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2021.11.006","type":"journal-article","created":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T20:12:26Z","timestamp":1639339946000},"page":"257-262","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Effect of Cervical Conization on Women\u2019s\u2019 Sexual Function and Psychological Health, A Prospective Observational Study"],"prefix":"10.1093","volume":"19","author":[{"given":"Nadav","family":"Michaan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Loboda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifat","family":"Ochshorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yossi","family":"Tzur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aviad","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Grisaru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ido","family":"Laskov","sequence":"additional","affiliation":[{"name":"Gynecologic Oncology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University , Tel Aviv , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,12]]},"reference":[{"key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1080\/0092623X.2019.1586019","article-title":"Sexual behavior of women with diagnosed HPV","volume":"45","author":"Caruso","year":"2019","journal-title":"J Sex Marital Ther"},{"key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1002\/pon.5198","article-title":"The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): A systematic review","volume":"28","author":"Bennett","year":"2019","journal-title":"Psychooncology"},{"key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/j.1471-0528.2007.01503.x","article-title":"A longitudinal study of sexual functioning in women referred for colposcopy: A 2-year follow up","volume":"115","author":"Hellsten","year":"2008","journal-title":"BJOG An Int J Obstet Gynaecol"},{"key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.jsxm.2015.12.012","article-title":"Sexual activity, psychosexual distress, and fear of progression in women with human papillomavirus-related premalignant genital lesions","volume":"13","author":"Nagele","year":"2016","journal-title":"J Sex Med"},{"issue":"3","key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.ajog.2014.05.039","article-title":"Does treatment for cervical and vulvar dysplasia impact women\u2019s sexual health?","volume":"212","author":"Cendejas","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"2023041407165496800_","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.clinthera.2019.02.006","article-title":"Total Versus subtotal hysterectomy: systematic review and meta-analysis of intraoperative outcomes and postoperative short-term events","volume":"41","author":"Aleixo","year":"2019","journal-title":"Clin. 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