Uterine leiomyoma is associated with female sexual dysfunction in postmenopausal women

Jae Hoon Chang, Dong Wook Shin, Myung Jae Jeon, Hyeri Hong, Sun Min Kim, Ahreum An, Ki Young Son, Jin Ho Park, Belong Cho, Seul Ki Kim, Seung Mi Lee

Research output: Contribution to journalArticle

2 Scopus citations


Purpose: To determine the relationship between uterine leiomyoma and female sexual dysfunction (FSD) among premenopausal and postmenopausal women. Materials and Methods: The study population consisted of consecutive women who underwent gynecologic screening tests, including transvaginal ultrasound, and completed the questionnaires on FSD. A total of 841 women were included from January 2010 to December 2011. FSD was defined as Female Sexual Function Index (FSFI) ≤26.55. The relationship between uterine leiomyoma and FSD were compared according to menopausal status. Results: In premenopausal group (n=564), there were no differences in the frequency of FSD (55.0% vs. 58.8%, p=0.387) and total FSFI score. However, in postmenopausal group (n=277), women with uterine leiomyoma had a lower frequency of FSD than those without uterine leiomyoma (71.3% vs. 86.4%, p=0.003). This relationship between uterine leiomyoma and lower frequency of FSD in postmenopausal women remained significant after adjusting for confounding variables. Conclusion: The relationship between uterine leiomyoma and FSD is different depending on the menopausal status.

Original languageEnglish
Pages (from-to)791-795
Number of pages5
JournalYonsei Medical Journal
Issue number8
StatePublished - Aug 2019



  • Dyspareunia
  • Leiomyoma
  • Menopause
  • Sexual behavior
  • Sexual dysfunction

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