TY - JOUR
T1 - Loop electrosurgical excision procedure as a life event that impacts on postmenopausal women
AU - Giannella, Luca
AU - Mfuta, Kabala
AU - Lamantea, Ruggiero
AU - Boselli, Fausto
AU - Torrini, Barbara
AU - Prandi, Sonia
PY - 2013/4
Y1 - 2013/4
N2 - Aim: The aim of this study was to compare the psychological impact of loop electrosurgical excision procedure (LEEP) in pre- and postmenopausal women. Material and Methods: This was an observational comparative study including 231 pre- and 108 postmenopausal women undergoing LEEP 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. Results: Multivariate analysis showed that after LEEP, postmenopausal women were associated with answers that indicated significant psychological changes concerning the impact of cervix disease (Odds Ratio [OR] = 2.38, 95% Confidence Interval [CI] 1.22-4.66), their body image (OR = 6.80, 95% CI 2.30-20.08), interpersonal relationship with their partner (OR = 8.32, 95% CI 1.77-38.99) and sexual health quality (OR = 2.25, 95% CI 1.15-4.39). Conclusion: Limited to our sample, the psychological impact of LEEP seems to be greater in postmenopausal than in premenopausal women. We speculate that LEEP could cause failure of psychological domains already weakened by menopause.
AB - Aim: The aim of this study was to compare the psychological impact of loop electrosurgical excision procedure (LEEP) in pre- and postmenopausal women. Material and Methods: This was an observational comparative study including 231 pre- and 108 postmenopausal women undergoing LEEP 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. Results: Multivariate analysis showed that after LEEP, postmenopausal women were associated with answers that indicated significant psychological changes concerning the impact of cervix disease (Odds Ratio [OR] = 2.38, 95% Confidence Interval [CI] 1.22-4.66), their body image (OR = 6.80, 95% CI 2.30-20.08), interpersonal relationship with their partner (OR = 8.32, 95% CI 1.77-38.99) and sexual health quality (OR = 2.25, 95% CI 1.15-4.39). Conclusion: Limited to our sample, the psychological impact of LEEP seems to be greater in postmenopausal than in premenopausal women. We speculate that LEEP could cause failure of psychological domains already weakened by menopause.
KW - Loop electrosurgical excision procedure
KW - Postmenopausal woman
KW - Premenopausal woman
KW - Psychological impact
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U2 - 10.1111/j.1447-0756.2012.02061.x
DO - 10.1111/j.1447-0756.2012.02061.x
M3 - Article
C2 - 23279072
AN - SCOPUS:84880007573
VL - 39
SP - 842
EP - 848
JO - Journal of Obstetrics and Gynaecology Research
JF - Journal of Obstetrics and Gynaecology Research
SN - 1341-8076
IS - 4
ER -