Comparative Changes in Sexual Dysfunction of Married Women after Colpoperineorrhaphy Versus Colpoperineorrhaphy with Additional Platelet Rich Plasma Injection

Female sexual dysfunction is a persistent or recurrent difficulty in sexual response, desire, orgasm or pain, which distress or strains the relationship, and is medically known as sexual dysfunction. It has physiological, medical, psychological, and social components. There is an ongoing need to find out practical solutions to improve their lives and wellbeing.

To compare sexual function following posterior colpoperineorrhaphy versus posterior colpoperineorrhaphy with additional platelets rich plasma injection.

Comparative interventional study.

Outpatient department of AL_Elywia Maternity Teaching Hospital-Baghdad.

A comparative interventional study included 20 women in reproductive age who were complaining of a sensation of the wide vagina and sexual dysfunction and seeking for sexual life improvement. Group A (10 women, operated upon by posterior colpoperineorrhaphy) and group B (another 10 women, operated upon by posterior colpoperineorrhaphy with two additional shots of platelets rich plasma injection, one intraoperative and the other four weeks later). Women sexual functions were assessed by Arabic Sexual self-rating scale questionnaire, both preoperative and 10 weeks postoperative. Same treatment and instructions were given postoperatively on discharging home next day. The studied groups A and B were advised to have their normal sexual activity six weeks postoperatively.

In both groups, mean total Sabbatsberg Sexual Self-Rating Scale was significantly increased compared to that preoperatively. Sexual interest, activity, life, pleasure, ability to reach orgasm, and importance of sex were all significantly increased compared to that preoperatively. Sexual interest, activity, and pleasure in women managed with platelets rich plasma injections were significantly increased compared to that in women managed with colpoperineorrhaphy alone.

Colpoperineorrhaphy to address the sensation of the wide vagina is associated with high patient's satisfaction rate assessed by Sabbatsberg sexual self-rating scale. This satisfaction is significantly improved in regards to sexual interest, pleasure and activity when adding two Platelet Rich Plasma injections to the operation site.