Sexual Function Disorders after Hormonal Therapy or Surgery for Endometriosis in Moewardi General Hospital, Surakarta

Sexual Function Disorders after Hormonal Therapy or Surgery for Endometriosis in Moewardi General Hospital, Surakarta DOI: https://doi.org/10.21776/ub.jkb.2026.034.01.1Keywords: Endometriosis, FSFI, hormonal therapy, sexual function, surgeryAbstract Endometriosis significantly affects women’s sexual health, manifesting as pain and dyspareunia, which reduces quality of life. In Indonesia, hormonal and surgical interventions are both used to manage endometriosis. However, the study of their effect on sexual function among Indonesia’s population is still unclear. This quasi-experimental study included 60 women, divided into two groups based on the type of therapy. This study was conducted from June to September 2024 at the Department of Obstetrics and Gynecology, Dr. Moewardi General Hospital. Outcomes were assessed with the Female Sexual Function Index (FSFI) questionnaire, before and after treatment. The analysis showed the mean rank of the surgical intervention (44.97) is higher than the hormonal intervention (16.03). The Mann-Whitney U test revealed a significant difference between the two groups of intervention (p=0.000). These findings indicate that surgical intervention is superior to hormonal therapy in improving the FSFI score that reflects sexual function among women. Downloads References 1. World Health Organization. Sexual Health. (Online) WHO; 2025. https://www.who.int/health-topics/sexual-health#tab=tab_2 [Accessed 19 February 2025] 2. Saunders PTK and Horne AW. Endometriosis: Etiology, Pathobiology, and Therapeutic Prospects. Cell. 2021; 184(11): 2807–2812. 3. Sánchez-Sánchez B, Navarro-Brazález B, Arranz-Martín B, Sanches-Mendez O, de la Rosa-Diaz I, and Torres-Lacomba M. The Female Sexual Function Index: Transcultural Adaptation and Psychometric Validation in Spanish Women. International Journal of Environmental Research and Public Health. 2020; 17(3): 1-13 . 4. 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