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The effect of hysterectomy on sexual functioning
Cornelis P Maas1, Philomeen Th M Weijenborg, Moniek M ter Kuile
1Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands. C.P.Maas@lumc.nl
Annual Review of Sex Research
|August 4, 2004
Summary
Hysterectomy (uterus removal) may improve sexual function for many women, especially those with uterine bleeding issues. However, research remains inconclusive, with some women experiencing sexual dysfunction post-surgery.
Area of Science:
- Gynecology
- Sexual Health
- Women's Health
Background:
- Hysterectomy's impact on female sexual function is debated, with potential anatomical disruptions.
- Women seeking hysterectomy often have reduced quality of life due to gynecological conditions.
Purpose of the Study:
- To review existing literature on hysterectomy's effects on premenopausal women's sexual functioning.
- To assess the evidence regarding hysterectomy (without oophorectomy) for benign conditions.
Main Methods:
- Literature review of studies investigating hysterectomy and sexual function.
- Analysis of pre- and post-hysterectomy sexual functioning and psychosocial factors.
Main Results:
- Majority of women report improved sexual functioning after hysterectomy for dysfunctional uterine bleeding.
- Pre-surgery sexual health and psychosocial state predict post-surgery outcomes.
- A minority of women report new or worsened sexual dysfunction after hysterectomy.
Conclusions:
- Hysterectomy outcomes for sexual function are not definitively established.
- Methodological limitations in current research necessitate improved study designs.
- Future research requires objective physiological measures and validated self-report tools.