Female Sexual Function Improves After Endometrial Ablation

Mary L. Marnach, Margaret E. Long, Michaela E. McGree, Amy L. Weaver, Petra M. Casey
Journal of women's health (2002) · 2015 · vol. 25(2) , pp. 149–154 · doi:10.1089/jwh.2015.5309 · PMID:26579584 · W2178841362
Non-randomised trial OA: closed CC0
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-15 ⓘ

Endometrial ablation for heavy menstrual bleeding improved female sexual function and reduced sexual distress, alongside enhancements in physical and mental quality of life.

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Abstract

BACKGROUND: Many women have heavy menstrual bleeding during perimenopause that may interfere with overall quality of life and contribute to sexual dysfunction. We aimed to determine whether sexual function in women improves after endometrial ablation for heavy menstrual periods. METHODS: Validated surveys (Female Sexual Function Index [FSFI], Female Sexual Distress Scale [FSDS], and Short-Form Health Survey [SF-12]) were administered to 136 women before and after endometrial ablation from August 2008 through June 2013. Scores at baseline and 6 months after surgery were compared using the paired t test. RESULTS: A total of 97 women completed the FSFI and FSDS surveys at baseline and 6 months after ablation. Mean full-scale FSFI score increased from 26.5 to 28.8 (p < .001), with improvement in 5 of 6 FSFI domains. Mean FSDS score decreased from 13.6 to 9.7 (p < .001), showing decreased personal distress regarding sexual function. In assessing quality of life, SF-12 scores improved for global physical function (p < .001) and mental function (p = .002). CONCLUSIONS: Female sexual function improved and personal distress associated with sexual function decreased after endometrial ablation for heavy menstrual cycles.

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MeSH descriptors

Endometrial Ablation Techniques Menorrhagia Quality of Life Sexual Behavior Sexual Dysfunctions, Psychological Adult Female Follow-Up Studies Health Surveys Humans Menorrhagia Menstruation Menstruation Middle Aged Prospective Studies Sexual Behavior Sexual Dysfunctions, Psychological Stress, Psychological Stress, Psychological Surveys and Questionnaires

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