Aim: To evaluate the relation between vaginal discharge and female sexual function (FSD) by using the female sexual function index (FSFI).
Study design: An analytical cross-sectional study
Place and Duration: Obstetrics and Gynecology department of Isra University Hospital and Hajiani day and night hospital Hyderabad Pakistan from January to December 2021
Methodology: A total of 81 women were included in this study. Women were divided into 3 groups, having 27 women in each group. Group A included women having physiologic vaginal discharge, in group B women had itching with abnormal vaginal discharge and in group C, women had abnormal vaginal discharge and no itching. The study excluded women who had chronic diseases, were older than 40 years, had given birth within the previous year, were single or did not live with their husbands, or had a partner who had a sexual dysfunction because these conditions could hurt sexual function. The FSFI survey was then completed by the participants. It is a questionnaire with 19 items divided into the following 6 domains: pain, satisfaction, orgasm, lubrication, desire, and arousal. Each response is given a score between 0 and 5. A domain score is produced by adding and multiplying the results of the questions in each domain by a fixed factor.
Results: ANOVA showed a significant mean difference for Desire, Lubrication and satisfaction scores concerning the three studied groups, p<0.05. Post hoc analysis on desire, lubrication and satisfaction scores between vaginal discharge groups, results showed samples of abnormal vaginal discharge without itching have significantly lower scores on desire as compared to samples of itching along with vaginal discharge and physiologic vaginal discharge samples, (p<0.01).
Conclusion: In conclusion, the characteristics of vaginal discharge and its link to FSD have been investigated. Women with the pathological vaginal discharge with itching had more problems in desire, arousal, lubrication, orgasm, satisfaction and pain when compared to women with physiologic vaginal discharge or vaginal discharge without itching.
Keywords: Female sexual dysfunction, women, vaginal discharge, itching, vaginal health