A Sexual Dysfunction And Quality Of Life Problems Caused By Perineal Pain Cicatrix In A Woman: A Case Report

Authors

  • Edy Fakhrizal Obstetric and Gynecology Department, Faculty of Medicine, Riau University, Pekanbaru, Riau, Indonesia;
  • M. Lingga Primananda Obstetric and Gynecology Resident, Faculty of Medicine, Riau University, Pekanbaru, Riau, Indonesia.

DOI:

https://doi.org/10.25077/aoj.7.1.338-341.2023

Keywords:

sexual dysfunction, dyspareunia, quality of life

Abstract

Introduction: Sexual dysfunction is a complaint that could happened because of disturbance in complex process
which coordinated by neurology system, vascular and endocrine system.1 One cause of sexual disfunction is
dyspareunia which also followed by quality of life problems. Problems of dyspareunia, sexual dysfunction and
quality of life can be measure with VAS, FSFI and WHOQOL instruments. VAS, Visual Analogue Scale, is one of
the pain rating scales used in epidemiologic and clinical research to measure the intensity or frequency of various
symptoms.2 FSFI, Female Sexual Function Index, is a multidimensional questionnaire that can show female sexual
function. This questionnaire consists of 6 domains in which sexual desire, sexual arousal, lubrication, orgasm,
sexual satisfaction and pain.3,4,5 WHOQOL-BREF, World Health Organization Quality-of-Life Scale, is a quality
of life assessment developed by the WHOQOL Group with fifteen international field centres, simultaneously, in
an attempt to develop a quality of life assessment that would be applicated by cross-culturally.
Case Report : Patient came with complaint of pain in genital opening and perineum that felt since 5 months ago.
Patient also came with complaint of dyspareunia. Patient had history of vaginal delivery which causing her a
perineal rupture. For 5 months, patient could not get intercourse and made her desperated and suffered because
of her husband desire. Patient also felt inferiority and these problems disturbed her daily activity. VAS was 8,
FSFI was 3, and WHOQOL was 71. The perinel ruptured was sutured at the moment of delivery, but after 1 week
patient started to felt pain at her birth canal. It was the first pregnancy, delivery process was without any
problems, baby born with 2900 gram of birth weight. From gynecology examination, found a cicatrix at 5 o’clock
direction, any other gynecology organs within normal limit. Diagnose was dyspareunia ec perineal cicatrix with
sexual dysfunction and quality of life problems, then urogynecologist decided to do surgery

References

Junizaf, Santoso BI. Disfungsi seksual pada wanita. Buku Ajar Uroginekologi Indonesia.

Indonesia: HUGI FK UI; 2011.

Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, MorenoMR, et al.

Validation of digital visual analog scale pain scoring with a traditional paper-based visual

analog scale in adults. JAAOS: Global Research and Reviews. 2018;2(3):Article e088.

https://doi.org/10.5435/jaaosglobal-d-17-00088

Domoney C, Symonds T. Questionnaires to assess sexual function. Textbook of Female

Urology and Urogynecology, 4th Edition. USA: CRC Press; 2017.

Rosen C, Brown J, Heiman S, Leib R. The female sexual function index (fsfi): a

multidimensional self-report instrument for the assessment of female sexual function.

Journal of Sex & Marital Therapy. 2000;26(2):191–208.

https://doi.org/10.1080/009262300278597

Pangastuti N, Santoso BI, Agustiningsih D, Emilia O. Validation test of indonesian female

sexual function index (indonesian fsfi). Bali Medical Journal. 2018;8(1):

https://doi.org/10.15562/bmj.v8i1.1138

The Whoqol Group. The world health organization quality of life assessment (whoqol):

development and general psychometric properties. Social Science & Medicine.

;46(12):1569–85. https://doi.org/10.1016/s0277-9536(98)00009-4

World Health Organization. Indonesian_WHOQOL-BREF [Internet]. WHO. 2022 [cited

December 2022]. Available from: https://www.who.int/tools/whoqol/whoqolbref/

docs/default-source/publishing-policies/whoqol-bref/indonesian-whoqol-bref

Published

2023-03-02

Issue

Vol. 7 No. 1 (2023)

Section

CASE REPORT

License

Copyright

Authors who publish with this journal agree to the following terms:

  1. Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

License:

Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.