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Hysterectomy and sexual function.

Tefo Mokate1, Caroline Wright, Tony Mander

  • 1Department of Obstetrics and Gynaecology, St Mary's Hospital, Manchester, UK.

The Journal of the British Menopause Society
|December 21, 2006
PubMed
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Hysterectomy, a common gynecological surgery, generally improves sexual function by alleviating pre-existing symptoms. This review clarifies conflicting reports by examining evidence on sexual function post-hysterectomy.

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.

Related Experiment Videos

  • 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.