Title: Sexual dysfunction in women with genital warts: A systematic review
Version: 7 Date: 06 Oct 2022
Reviewer's report:
Title: Sexual dysfunction in women with genital warts: A systematic review
Overall comments: The writing has improved, but there is still room for improvement. There
was still grammatical error in some of the sentences that were difficult to understand. For
example, it should be 1 article, not 1 articles.  In the revision under the abstract’s conclusion,
it was stated that “Conclusion: This study provides up-to-date evidence of the changes in
sexual function in women with genital warts. Although most studies showed that women with
genital warts experienced sexual dysfunction in all dimensions, differences and variations in
quantitative study designs and study populations make it difficult to accurately determine the
sexual dysfunction in women with genital warts.” What is meant by difficult to determine the
sexual dysfunction in women with genital warts accurately? What is the meaning of accurate
here? What sexual dysfunction are you referring to? Is it the prevalence, effect, or dimension
(sexual desire, arousal, etc.)?
Regarding introduction. The articulation of why the author needs to study this area is deficient
and unclear. Rather than focusing on the type of infections, i.e.., HPV, the authors should focus
on why sexual dysfunction is expected to occur among patients with genital warts. Is your
hypothesis that sexual dysfunction will be higher among patients with sexual dysfunction than in
the general population? The objective mentioned was vague, i.e., “This review aims to provide an
understanding of the changes in sexual function in women with genital warts. So, our hypothesis
in this review study was that genital warts can change the sexual function in women.”
Regarding methods. No comments.
Regarding results. It was stated in Fig.1, “Remove unrelated articles: The studies that only
examined the quality of life without considering their sex life were excluded from the study (180
articles).” Please give an example of studies that have been removed.
Regarding results. Please check and correct the grammar mistakes, i.e., it should be “the sexual
effects”, not “sexual effects”,  “the quality of life”, not “quality of life”, and “the methods”, not
“method”.
Regarding discussion. In the first paragraph, please correct the grammar for “measurers” which
should be “measures.” Please state the juice of your results in this paragraph. What are your
findings? Contradictory findings? Findings that support your hypothesis?
It should be “intercourse”, and “decrease” for the sentences below:
The change in the frequency of sexual intercourses is one of the most obvious changes in the
sexual behavior of patients. Sometimes, this decreases in the frequency  of sexual intercourse
occurred in the early stages of the disease, which improved over time. Lin et al. (2011) reported
that many participants reduced or eliminated the number of sexual intercourses after being
diagnosed with HPV (36). “
Regarding discussion, it is worth incorporating the relationship between male and female sexual
functioning, as the association is considered vital in the articulation of topics between male
sexual dysfunction and female sexual dysfunction. Genital warts could be the issues that bridge
male and female sexual functioning.
Poh Yih Chew. Chia Lip Choy. Hatta bin Sidi. Hajar Mohd Salleh Sahimi, Farah Deena Abdul
Samad, Arun Ravindran. The Association Between Female Sexual Dysfunction and Sexual
Dysfunction in the Male Partner: A Systematic Review and Meta-Analysis. JSexMed, 2021; 18:
99 – 112. DOI: https://doi.org/10.1016/j.jsxm.2020.10.001
Lastly, is there any role in using condoms for patients with genital warts for sexual intercourse?
Are the surgical interventions may be appropriate to help the patients?