Sexual adjustment after hysterectomy

The impact of hysterectomy or oophorectomy is not limited to problems of altered body image and depression. Uterus removal, compounded by the possible loss of estrogen and androgens, alters sensations and reactions that had been part of a woman's sexual response. Sexual and marital adjustment after hysterectomy depends on anticipatory guidance regarding decreased libido, physical changes, loss and grief reactions, and the possible complications of cancer therapy. Nurses can affect outcomes through straightforward counseling and education.