Hysterectomy and sexual function

Area of Science:

• Gynecological Surgery
• Female Sexual Health
• Medical Review

Background:

• Hysterectomy is a prevalent major gynecological operation in the UK and USA.
• Patient anxiety regarding the impact of hysterectomy on sexual function is common but often undiscussed.
• Conflicting reports on hysterectomy's effect on sexual function exist, partly due to inconsistent assessment methods.

Purpose of the Study:

• To review current evidence on the effects of hysterectomy on female sexual function.
• To explore the factors influencing sexual function before and after hysterectomy.
• To address the discrepancies in existing research findings.

Main Methods:

• Literature review of studies assessing sexual function after hysterectomy.
• Analysis of female sexual response models, including psychological, social, and physiological factors.
• Evaluation of evidence regarding surgical methods, ovarian removal, and hormone replacement therapy.

Main Results:

• Evidence is limited regarding sexual dysfunction from nerve/blood supply disruption or anatomical changes.
• Ovarian removal during hysterectomy shows no negative impact, and may improve sexual function, especially with hormone replacement therapy.
• Overall, hysterectomy appears to improve sexual function, irrespective of surgical approach or cervical removal, likely by resolving pre-existing symptomatic issues.

Conclusions:

• Hysterectomy generally leads to improved sexual function, challenging prior concerns.
• The amelioration of symptoms that negatively impact sexual health is a key factor in this improvement.
• Further research should utilize standardized methods to assess sexual function outcomes after hysterectomy.