The impact on sexuality has been less studied and there is no French study on this subject and the rare studies are contradictory. The aim of this study is to evaluate the impact of abortion (medical or surgical) on female sexuality, to look for a difference in the impact on sexuality according to the method used for the termination (medical or surgical) just after the procedure and at 1, 3 and 6 months and to look for risk factors and protective factors for the existence or occurrence of sexual dysfunction before and after abortion.
The medical consequences of abortion are low. However, there is an undeniable emotional and psychological impact on these women (40-45% of anxiety-type symptoms, approximately 20% of depressive symptoms after the discovery of the pregnancy and 30% of emotional disorders, particularly anxiety, in the month following the abortion). The impact on sexuality has been less studied and there is no French study on this subject and the rare studies are contradictory. The aim of this study is to evaluate the impact of voluntary termination of pregnancy (medical or surgical) on female sexuality, to look for a difference in the impact on sexuality according to the method used for the termination (medical or surgical) just after the procedure and at 1, 3 and 6 months and to look for risk factors and protective factors for the existence or occurrence of sexual dysfunction before and after a termination.
Study Type
OBSERVATIONAL
Enrollment
209
Female Sexual Function Index (FSFI) and self-administrative questionnaires on sexuality just after abortion and repeated at 1, 3 and 6 months
CHU Bordeaux
Bordeaux, France
Number of patients with sexual dysfunction
Sexual dysfunction is assessed using the Female Sexual Function Index (FSFI) questionnaire, which takes into account several aspects of female sexuality: desire, arousal, lubrication, orgasm, satisfaction and pain. The threshold for differentiating between patients with and without sexual dysfunction is 26.55
Time frame: Month 6
Marital status
single, couple, married
Time frame: Baseline
Number of sexual partners in the last 12 months
Number of sexual partners via self-questionnaire : 1 ; from 2 to 5 ; from 6 to 10 ; from 11 to 15 ; from 16 to 20 ; up to 20
Time frame: Baseline
Number of sexual partners in the whole life
Number of sexual partners via self-questionnaire : 1 ; from 2 to 5 ; from 6 to 10 ; from 11 to 15 ; from 16 to 20 ; up to 20
Time frame: Baseline
Number of sexual partners in the last 4 weeks
Number of sexual partners via self-questionnaire : 0, 1, from 2 to 5, up to 5
Time frame: Baseline
Frequency of sexual activity in the last month before pregnancy discovery
\< 1 /month ; from 1 from 3 /month ; 1 /week ; twice /week ; 3 or more times /week
Time frame: Baseline, Month 1, Month 3, Month 6
Existence of physical violence in the whole life
binary variable (yes/no)
Time frame: Baseline
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Existence of psychological violence in the whole life
binary variable (yes/no)
Time frame: Baseline
Existence of sexual violence in the whole life
binary variable (yes/no)
Time frame: Baseline
Existence of psychological symptoms before pregnancy's discovery
asthenia, sadness, anxiety, guilt, none
Time frame: Baseline
Existence of psychological symptoms in the last month
asthenia, sadness, anxiety, guilt, none
Time frame: Month 1, Month 3, Month 6
Existence of sexual difficulties since pregnancy's discovery
Decreased desire, arousal, lubrication, quantity or quality of orgasms, sexual satisfaction or relationship with the partner, appearance or increase of pain during sexual intercourse, no change in these different areas of sexuality
Time frame: Baseline
Sexual activity the last month
Decreased sexual activity (fear of another pregnancy, waiting to start contraception, conflict with partner after abortion, other reason), Not concerned about decreased sexual activity
Time frame: Month 1, Month 3, Month 6
Contraception in the last month
none, removal/cycles, condoms, pill, intrauterine devic, implant, ring/patch, other
Time frame: Month 1, Month 3, Month 6