Voluntary Interruption of Pregnancy on Women's Sexuality

Study Overview
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Brief Summary
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The impact on sexuality has been less studied and there is no French study on this subject and the rare studies are contradictory. The aim of this study is to evaluate the impact of abortion (medical or surgical) on female sexuality, to look for a difference in the impact on sexuality according to the method used for the termination (medical or surgical) just after the procedure and at 1, 3 and 6 months and to look for risk factors and protective factors for the existence or occurrence of sexual dysfunction before and after abortion.

Detailed Description
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The medical consequences of abortion are low. However, there is an undeniable emotional and psychological impact on these women (40-45% of anxiety-type symptoms, approximately 20% of depressive symptoms after the discovery of the pregnancy and 30% of emotional disorders, particularly anxiety, in the month following the abortion). The impact on sexuality has been less studied and there is no French study on this subject and the rare studies are contradictory. The aim of this study is to evaluate the impact of voluntary termination of pregnancy (medical or surgical) on female sexuality, to look for a difference in the impact on sexuality according to the method used for the termination (medical or surgical) just after the procedure and at 1, 3 and 6 months and to look for risk factors and protective factors for the existence or occurrence of sexual dysfunction before and after a termination.

Official Title
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Description of the Evolution of Women's Sexuality After a Voluntary Interruption of Pregnancy

Conditions
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Abortion

Intervention / Treatment
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* Other: questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patient (≥ 18 years) Patient performing a medical or surgical abortion Patient with health insurance No opposition to participation in the study Exclusion Criteria: Patient who does not speak French and/or is illiterate Patient under legal protection Patient unable to complete the study procedures (no internet connection, no smart phone or tablet) Patient with diagnosed psychiatric comorbidities.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Abortion<br>Adult women performing a medical or surgical abortion | Other: questionnaire<br>* Female Sexual Function Index (FSFI) and self-administrative questionnaires on sexuality just after abortion and repeated at 1, 3 and 6 months<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients with sexual dysfunction | Sexual dysfunction is assessed using the Female Sexual Function Index (FSFI) questionnaire, which takes into account several aspects of female sexuality: desire, arousal, lubrication, orgasm, satisfaction and pain. The threshold for differentiating between patients with and without sexual dysfunction is 26.55 | Month 6 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Marital status | single, couple, married | Baseline | 
| Number of sexual partners in the last 12 months | Number of sexual partners via self-questionnaire : 1 ; from 2 to 5 ; from 6 to 10 ; from 11 to 15 ; from 16 to 20 ; up to 20 | Baseline | 
| Number of sexual partners in the whole life | Number of sexual partners via self-questionnaire : 1 ; from 2 to 5 ; from 6 to 10 ; from 11 to 15 ; from 16 to 20 ; up to 20 | Baseline | 
| Number of sexual partners in the last 4 weeks | Number of sexual partners via self-questionnaire : 0, 1, from 2 to 5, up to 5 | Baseline | 
| Frequency of sexual activity in the last month before pregnancy discovery | < 1 /month ; from 1 from 3 /month ; 1 /week ; twice /week ; 3 or more times /week | Baseline, Month 1, Month 3, Month 6 | 
| Existence of physical violence in the whole life | binary variable (yes/no) | Baseline | 
| Existence of psychological violence in the whole life | binary variable (yes/no) | Baseline | 
| Existence of sexual violence in the whole life | binary variable (yes/no) | Baseline | 
| Existence of psychological symptoms before pregnancy's discovery | asthenia, sadness, anxiety, guilt, none | Baseline | 
| Existence of psychological symptoms in the last month | asthenia, sadness, anxiety, guilt, none | Month 1, Month 3, Month 6 | 
| Existence of sexual difficulties since pregnancy's discovery | Decreased desire, arousal, lubrication, quantity or quality of orgasms, sexual satisfaction or relationship with the partner, appearance or increase of pain during sexual intercourse, no change in these different areas of sexuality | Baseline | 
| Sexual activity the last month | Decreased sexual activity (fear of another pregnancy, waiting to start contraception, conflict with partner after abortion, other reason), Not concerned about decreased sexual activity | Month 1, Month 3, Month 6 | 
| Contraception in the last month | none, removal/cycles, condoms, pill, intrauterine devic, implant, ring/patch, other | Month 1, Month 3, Month 6 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Abortion, Female sexuality, FSFI