{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T12:27:09Z","timestamp":1763641629968},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T00:00:00Z","timestamp":1356048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to compare the psychological impact of loop electrosurgical excision procedure (<jats:styled-content style=\"fixed-case\">LEEP<\/jats:styled-content>) in pre\u2010 and postmenopausal women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This was an observational comparative study including 231 pre\u2010 and 108 post\u2010menopausal women undergoing <jats:styled-content style=\"fixed-case\">LEEP<\/jats:styled-content> who were subjected to an interview inquiring specific psychological domains concerning the impact of this surgical procedure. The associations between women's answers and their hormonal status were tested by logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multivariate analysis showed that after <jats:styled-content style=\"fixed-case\">LEEP<\/jats:styled-content>, postmenopausal women were associated with answers that indicated significant psychological changes concerning the impact of cervix disease (<jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>dds <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>atio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u2009=\u20092.38, 95% <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onfidence <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nterval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 1.22\u20134.66), their body image (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20096.80, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.30\u201320.08), interpersonal relationship with their partner (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20098.32, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.77\u201338.99) and sexual health quality (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u2009=\u20092.25, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.15\u20134.39).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Limited to our sample, the psychological impact of <jats:styled-content style=\"fixed-case\">LEEP<\/jats:styled-content> seems to be greater in postmenopausal than in premenopausal women. We speculate that <jats:styled-content style=\"fixed-case\">LEEP<\/jats:styled-content> could cause failure of psychological domains already weakened by menopause.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1447-0756.2012.02061.x","type":"journal-article","created":{"date-parts":[[2012,12,22]],"date-time":"2012-12-22T05:19:45Z","timestamp":1356153585000},"page":"842-848","source":"Crossref","is-referenced-by-count":9,"title":["Loop electrosurgical excision procedure as a life event that impacts on postmenopausal women"],"prefix":"10.1111","volume":"39","author":[{"given":"Luca","family":"Giannella","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynecology Cesare Magati Hospital  Scandiano Italy"},{"name":"Cervical Cancer Screening Centre IRCCS\u2010Arcispedale Santa Maria Nuova  Reggio Emilia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabala","family":"Mfuta","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and 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