Psychosexual trauma of an abnormal cervical smear |
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| Authors: | M. J. CAMPION Research Fellow J. R. BROWN Intern D. J. MCCANCE Senior Lecturer W. ATIA Consultant in Genito-urinary Medicine R. EDWARDS Research Officer J. CUZICK Head A. SINGER Consultant Gynaecologist |
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| Affiliation: | Royal Northern Hospital, London N7 6LD;Concord Repatriation Hospital, Concord, New Sout Wales, Australia;Department of Microbiology, United Medical and Dental Schools, Guy's Campus, London SE1 9RT;Department of Mathematics, Statistics and Epidemiology, Imperial Cancer Research Fund, Lincolns Inn Fields, London WC2A 3PX |
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| Abstract: | Summary. The psychosexual sequelae of diagnosis and treatment of pre-invasive cervical atypia were assessed in three groups of women. The first group included 30 women referred to a colposcopy clinic with an abnormal cervical smear indicating cervical intraepithelial neoplasia (CIN), the second comprised 50 women who were traced as sexual partners of men with penile human papillomavirus (HPV) infection; 26 of them had histologically proven cervical atypia and 24 had no such evidence. The third group included 25 women traced as partners of men with non-specific urethritis and who did not have cervical disease. Before and after questionnaires assessed six aspects of sexual behaviour and responses before diagnosis and 6 months after treatment in women with cervical atypia. These were compared with answers given by women investigated and treated, if necessary, as partners of men with sexually transmitted disease (control group). There were statistically significant adverse psychosexual sequelae associated with diagnosis and treatment of pre-invasive cervical epithelial disease. |
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