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Sexuality after hysterectomy.

S A Farrell¹, K Kieser

¹Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada. sfarrell@iwkgrace.ns.ca

Obstetrics and Gynecology

|May 16, 2000

Summary

Hysterectomy generally improves quality of life and does not negatively impact sexuality for most women. Future research should consider confounding factors affecting sexual outcomes after hysterectomy.

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Area of Science:

Gynecology
Women's Health
Quality of Life Research

Background:

Growing availability of alternative therapies for abnormal gynecologic bleeding necessitates re-evaluation of hysterectomy's impact.
Focus on hysterectomy's effect on female sexuality, a key component of overall quality of life.

Purpose of the Study:

To systematically review existing literature on the impact of hysterectomy on female sexuality.
To assess changes in libido, orgasm, and overall sexual function following hysterectomy.

Main Methods:

Systematic review of English and German language studies using keywords: sexuality, hysterectomy, libido, orgasm, outcomes.
Included 18 studies (8 prospective, 10 retrospective); assessed methodological quality despite data limitations.
Analyzed data using chi-squared and Fischer exact tests; noted limitations in outcome validation and confounding factors.

Main Results:

Most studies indicated either no change or an improvement in female sexuality post-hysterectomy.
Methodological quality of reviewed studies was generally poor.
Commonly used outcome measures were not validated, and confounding factors were often overlooked.

Conclusions:

The majority of research on hysterectomy and sexuality suffers from poor study design.
Evidence suggests hysterectomy improves quality of life and does not adversely affect sexuality for most women.
Future studies must account for independent confounding factors influencing sexual outcomes.

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