Sexual functioning and psychological well-being after uterine artery embolization in women with symptomatic uterine fibroids

ObjectiveTo assess the effects of uterine artery embolization (UAE) on psychological and sexual well-being 3 months after treatment.DesignProspective study.SettingLarge teaching hospital in Tilburg, the Netherlands.Patient(s)141 Premenopausal women with symptomatic uterine fibroids.Intervention(s)UAE for symptomatic fibroids.Main Outcome Measure(s)Changes in scores on a questionnaire concerning sexual well-being (ranging from 0 to 32, a higher score indicating better functioning) and a questionnaire concerning psychological well-being (SCL-90, ranging from 0 to 360, a higher score indicating more emotional and somatic concerns).Result(s)The total score for sexual functioning showed a statistically significant increase from 20.3 to 22.7, 3 months after UAE, indicating that sexual functioning improved. Thirty-four percent and 37% of women reported an increase in sexual activity and desire. The percentage of women reporting sexual problems of lubrication, orgasm, or pain decreased 7%, 36%, and 14%, respectively. The total SCL-90 score showed a statistically significant decrease from 133 to 116, 3 months after UAE, indicating a decrease in emotional and somatic concerns.Conclusion(s)Sexual and psychological well-being improved significantly 3 months after UAE in women with symptomatic uterine fibroids. Sixty-eight percent had an increase in the total score for sexual functioning. Problems with sexual functioning were statistically significantly decreased.