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Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices.
J Sex Med. 2012 Apr; 9(4):1065-73.JS

Abstract

INTRODUCTION

There has been little research published on the impact of intrauterine contraceptive (IUC) methods on sexual functioning.

AIMS

This study aimed: (i) to assess different aspects of sexual functioning, including the prevalence of sexual dysfunction in women using a levonorgestrel intrauterine system (LNG-IUS); (ii) to compare this prevalence with that among copper-releasing intrauterine device (Cu-IUD) users; and (iii) to identify the relationship between psychological variables and sexual functioning in women using one of the aforementioned IUCs.

METHODS

In a multicenter cross-sectional study, 845 women with an IUC were invited to fill out a questionnaire. The latter was returned by 402 (48%) of them: 353 women were LNG-IUS users (88%) and 49 were Cu-IUD users (12%). The questions asked pertained to depression, well-being, marital relation quality, and sexual functioning.

MAIN OUTCOME MEASURES

Sexual functioning was measured with the short sexual functioning scale.

RESULTS

One-third of LNG-IUS users (33%) reported a sexual dysfunction. Of those, 20% reported an increased sexual desire, 25% a decreased sexual desire, 5% arousal problems, and 8% orgasm problems. Women using a LNG-IUS did not differ significantly in distribution, type, or prevalence (32.9% vs. 36.7%) of sexual dysfunction, nor in depressive symptoms (Beck Depression Inventory score; 4.7 vs. 3.9; P = 0.33), general well-being (WHO-5 well-being scale score; 16.8 vs. 17.7; P = 0.170), or partner relationship quality (Dyadic Adjustment Scale score; 107 vs. 108; P = 0.74) compared to Cu-IUD users. Overall, the perceived influence of IUCs on sexual functioning was in the lower range and did not differentiate LNG-IUS greatly from Cu-IUD-users.

CONCLUSION

Women using a LNG-IUS do not differ from those wearing a Cu-IUD with regard to psychological and sexual functioning. The perceived impact of IUD use on sexuality should not be overestimated.

Authors+Show Affiliations

Catholic University Leuven-Institute for Family and Sexuality Studies, Leuven, Belgium. paul.enzlin@uzleuven.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

21492401

Citation

Enzlin, Paul, et al. "Sexual Functioning in Women Using Levonorgestrel-releasing Intrauterine Systems as Compared to Copper Intrauterine Devices." The Journal of Sexual Medicine, vol. 9, no. 4, 2012, pp. 1065-73.
Enzlin P, Weyers S, Janssens D, et al. Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices. J Sex Med. 2012;9(4):1065-73.
Enzlin, P., Weyers, S., Janssens, D., Poppe, W., Eelen, C., Pazmany, E., Elaut, E., & Amy, J. J. (2012). Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices. The Journal of Sexual Medicine, 9(4), 1065-73. https://doi.org/10.1111/j.1743-6109.2011.02266.x
Enzlin P, et al. Sexual Functioning in Women Using Levonorgestrel-releasing Intrauterine Systems as Compared to Copper Intrauterine Devices. J Sex Med. 2012;9(4):1065-73. PubMed PMID: 21492401.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual functioning in women using levonorgestrel-releasing intrauterine systems as compared to copper intrauterine devices. AU - Enzlin,Paul, AU - Weyers,Steven, AU - Janssens,Dirk, AU - Poppe,Willy, AU - Eelen,Christa, AU - Pazmany,Els, AU - Elaut,Els, AU - Amy,Jean-Jacques, Y1 - 2011/04/14/ PY - 2011/4/16/entrez PY - 2011/4/16/pubmed PY - 2012/8/16/medline SP - 1065 EP - 73 JF - The journal of sexual medicine JO - J Sex Med VL - 9 IS - 4 N2 - INTRODUCTION: There has been little research published on the impact of intrauterine contraceptive (IUC) methods on sexual functioning. AIMS: This study aimed: (i) to assess different aspects of sexual functioning, including the prevalence of sexual dysfunction in women using a levonorgestrel intrauterine system (LNG-IUS); (ii) to compare this prevalence with that among copper-releasing intrauterine device (Cu-IUD) users; and (iii) to identify the relationship between psychological variables and sexual functioning in women using one of the aforementioned IUCs. METHODS: In a multicenter cross-sectional study, 845 women with an IUC were invited to fill out a questionnaire. The latter was returned by 402 (48%) of them: 353 women were LNG-IUS users (88%) and 49 were Cu-IUD users (12%). The questions asked pertained to depression, well-being, marital relation quality, and sexual functioning. MAIN OUTCOME MEASURES: Sexual functioning was measured with the short sexual functioning scale. RESULTS: One-third of LNG-IUS users (33%) reported a sexual dysfunction. Of those, 20% reported an increased sexual desire, 25% a decreased sexual desire, 5% arousal problems, and 8% orgasm problems. Women using a LNG-IUS did not differ significantly in distribution, type, or prevalence (32.9% vs. 36.7%) of sexual dysfunction, nor in depressive symptoms (Beck Depression Inventory score; 4.7 vs. 3.9; P = 0.33), general well-being (WHO-5 well-being scale score; 16.8 vs. 17.7; P = 0.170), or partner relationship quality (Dyadic Adjustment Scale score; 107 vs. 108; P = 0.74) compared to Cu-IUD users. Overall, the perceived influence of IUCs on sexual functioning was in the lower range and did not differentiate LNG-IUS greatly from Cu-IUD-users. CONCLUSION: Women using a LNG-IUS do not differ from those wearing a Cu-IUD with regard to psychological and sexual functioning. The perceived impact of IUD use on sexuality should not be overestimated. SN - 1743-6109 UR - https://www.unboundmedicine.com/medline/citation/21492401/Sexual_functioning_in_women_using_levonorgestrel_releasing_intrauterine_systems_as_compared_to_copper_intrauterine_devices_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)33945-X DB - PRIME DP - Unbound Medicine ER -