The Impact of HPV Diagnosis and the Electrosurgical Excision Procedure (LEEP) on Mental Health and Sexual Functioning: A Systematic Review

Author:

Sikorska Michalina1ORCID,Pawłowska Adriana2,Antosik-Wójcińska Anna3ORCID,Zyguła Aleksandra4ORCID,Suchońska Barbara5ORCID,Dominiak Monika6ORCID

Affiliation:

1. Medical Center of Postgraduate Education, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland

2. Nowowiejski Hospital, Nowowiejska 27, 00-667 Warsaw, Poland

3. Department of Psychiatry, Faculty of Medicine, Collegium Medicum, Cardinal Wyszynski University in Warsaw, Woycickiego 1/3, 01-938 Warsaw, Poland

4. OVIklinika Infertility Center, 01-377 Warsaw, Poland

5. 1st Department of Obstetrics and Gynaecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq, 02-015 Warsaw, Poland

6. Department of Pharmacology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, Poland

Abstract

The impact of HPV diagnosis and subsequent treatment with the electrosurgical excision procedure (LEEP) on anxiety, depression, psychosocial quality of life, and sexual functioning has not been thoroughly investigated. The aim of this review was to systematically summarize the available knowledge on this topic, according to PRISMA guidelines. Data from observational and intervention studies were analyzed. A total of 60 records were included, of which 50 papers addressed the impact of HPV diagnosis on patients’ psychosocial status, while 10 studies addressed the impact of the implemented LEEP procedure on patients’ mental health and sexual functioning. The results indicated a negative impact of HPV diagnosis on the occurrence of depressive and anxiety symptoms, poorer quality of life, as well as on the sexual functioning of the affected women. The results of the studies to date have not confirmed the negative impact of the LEEP procedure on mental health and sexual life, although more research is needed in this area. It is necessary to implement additional procedures to minimize anxiety and distress in patients receiving a diagnosis of HPV or abnormal cytology and to improve awareness of sexually transmitted pathogens.

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Reference76 articles.

1. (2022, December 08). Human Papillomavirus (HPV). Available online: https://www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/vaccine-standardization/human-papillomavirus.

2. (2022, December 08). Human Papillomavirus (HPV)—NHS. Available online: https://www.nhs.uk/conditions/human-papilloma-virus-hpv/.

3. (2022, October 22). Human Papillomavirus (HPV) Infection—STI Treatment Guidelines, Available online: https://www.cdc.gov/std/treatment-guidelines/hpv.htm.

4. (2022, October 22). What Can I Do to Reduce My Risk of Cervical Cancer?|CDC, Available online: https://www.cdc.gov/cancer/cervical/basic_info/prevention.htm.

5. Problemy edukacji seksualnej w Polsce;Przegląd Socjol.,2009

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