<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412024000800341</article-id>
<article-id pub-id-type="doi">10.24245/gom.v92i8.9599</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disfunción sexual en pacientes con diagnóstico de lesión intraepitelial tratadas con cono cervical]]></article-title>
<article-title xml:lang="en"><![CDATA[Sexual dysfunction in patients with diagnosis of intraepithelial lesion treated with cervical cone.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Desachy García]]></surname>
<given-names><![CDATA[Vania Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Arredondo]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López López]]></surname>
<given-names><![CDATA[Igor Jesualdo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Longoria Piña]]></surname>
<given-names><![CDATA[Julia Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tapia Medina]]></surname>
<given-names><![CDATA[Erika Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional 1º de Octubre ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional 1º de Octubre ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional 1º de Octubre ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>92</volume>
<numero>8</numero>
<fpage>341</fpage>
<lpage>351</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412024000800341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412024000800341&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412024000800341&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Determinar la frecuencia de disfunción sexual en pacientes con diagnóstico de lesión intraepitelial tratadas con cono cervical.  MATERIALES Y MÉTODOS: Estudio longitudinal, observacional, descriptivo y prospectivo al se incluyeron mujeres con vida sexual activa, con diagnóstico por biopsia de lesión cervical intraepitelial de alto grado a quienes se aplicó la técnica de cono con asa electroquirúrgica y un cuestionario para evaluar la función sexual antes y 12 semanas posteriores al procedimiento. Para determinar si la paciente tuvo disfunción sexual se utilizó el índice de función sexual femenina con un punto de corte de 26.5 puntos o menor.  RESULTADOS: Se estudiaron 31 pacientes con edad promedio de 44 años DE ± 9 con límites de 29 y 58 años. Diez pacientes con hábito tabáquico e igual cantidad en las mujeres en menopausia. Dos con hipertensión y tres con diabetes. Se observó mayor frecuencia estadísticamente significativa p = 0.046 de disfunción sexual posterior a la intervención. El factor de deseo fue menor antes de la intervención p = 0.023. El deseo y excitación fueron menores luego de la intervención; sin embargo, no hubo una diferencia estadísticamente significativa p = 0.077. En el resto de los factores no se observó una tendencia entre ellos.  CONCLUSIONES: El cono cervical con asa electroquirúrgica, como opción de tratamiento de pacientes con lesión intraepitelial de alto grado cervical, se asocia con porcentajes más altos de disfunción sexual tres meses posteriores al procedimiento. Los dominios de la función sexual más afectados fueron el deseo y la excitación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To determine the frequency of sexual dysfunction in patients diagnosed with intraepithelial lesion treated with cervical cone.  MATERIALS AND METHODS: A longitudinal, observational, descriptive, and prospective study included women with an active sexual life diagnosed by biopsy of high-grade cervical intraepithelial lesion who underwent the cone technique with an electrosurgical loop and a questionnaire to assess sexual function before and 12 weeks after the procedure. The Female Sexual Function Index with a cut-off of 26.5 points or less was used to determine whether the patient had sexual dysfunction.  RESULTS: Thirty-one patients were examined with a mean age of 44 years SD ± 9 with cut-offs of 29 and 58 years. Ten patients were smokers, and the same number were menopausal. Two with hypertension and three with diabetes. A statistically significant p = 0.046 higher frequency of sexual dysfunction was observed after the intervention. The desire factor was lower before the intervention p = 0.023. Desire and arousal were lower after the intervention, but there was no statistically significant difference p = 0.077. There was no trend between the remaining factors.  CONCLUSIONS: Cervical cone with electrosurgical loop, as a treatment option for patients with cervical high-grade intraepithelial lesion, is associated with a higher percentage of sexual dysfunction three months after the procedure. The domains of sexual function most affected were desire and arousal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Biopsia]]></kwd>
<kwd lng="es"><![CDATA[electrocirugía]]></kwd>
<kwd lng="es"><![CDATA[encuestas y cuestionario]]></kwd>
<kwd lng="es"><![CDATA[fumadoras]]></kwd>
<kwd lng="es"><![CDATA[menopausia]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[Biopsy]]></kwd>
<kwd lng="en"><![CDATA[Electrosurgery]]></kwd>
<kwd lng="en"><![CDATA[Surveys and Questionnaire]]></kwd>
<kwd lng="en"><![CDATA[Smokers]]></kwd>
<kwd lng="en"><![CDATA[Menopause]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Diabetes Mellitus]]></kwd>
</kwd-group>
</article-meta>
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