Study of Sexual Dysfunction among Females with Combined Oral Contraception [COC] versus Intrauterine Hormonal Device

Background: Sexuality in females is a multidimensional issue of psychological, physiological and cultural components. Evaluation of sexual partner, intimate relationships, and past abusive relationships or sexual trauma is crucial in female sexual dysfunction (FSD).  Aim of the work: The present study was designed to evaluate the sexual dysfunction among female using combined oral contraception and a hormone releasing intra-uterine device [IUD] as a method of contraception. Patients and Methods:This was observational study which was conducted on 80 women to show the effect of contraception on sexual dysfunctions from February 2019 to last of August 2019. This study includes two groups; Group I: 40 women on combined oral contraceptives [COC] and group II: 40 women on hormonal intrauterine device. All females had been assessed for different domains of sexual function by Female Sexual Function Index [FSFI] questionnaire. Results: Age, parity and body mass index were comparable between both groups; group I [COC] and group II [IDU]. On the other side, females on COC had lower sexual function index (49.4±4.15) than women with hormonal IUD (67.27±6.88). These results confirmed on nearly all domains of FSFI. Thus, sexual dysfunction is significantly higher among COC group. Conclusion: Intrauterine hormonal device contraception is better than combined oral contraception (COC) which has little side effect and has better results on sexual desire, arousal, lubrication and satisfaction in addition to little effect on sexual pain than combined oral contraception.