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Assessment of Sexual Function Following Hysterectomy: A Systematic Review and Meta-Analysis
Ákos Molnár-Csendom1, Balázs Vida1, Ferenc Bánhidy1
1Department of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Medical Sciences (Basel, Switzerland)
|July 27, 2026
Summary
Hysterectomy does not significantly improve sexual function, regardless of surgical approach or cervical preservation. Postoperative sexual quality of life remains largely unchanged after the procedure.
Area of Science:
- Gynecological Surgery
- Sexual Health Research
- Evidence-Based Medicine
Background:
- Hysterectomy is a common gynecological procedure with unclear effects on sexual quality of life.
- Existing data on sexual function post-hysterectomy is inconsistent.
- Understanding the impact on sexual health is crucial for patient counseling.
Purpose of the Study:
- To systematically evaluate sexual quality of life changes after hysterectomy.
- To determine if preserving the cervix improves postoperative sexual function.
- To analyze effects across different hysterectomy types and approaches.
Main Methods:
- Systematic review and meta-analysis of studies up to February 2026.
- Inclusion of diverse hysterectomy types, approaches, and study designs.
- Assessment of risk of bias and certainty of evidence using GRADE.
Main Results:
- Sixteen studies with 2341 patients were included in the meta-analysis.
- No significant improvement in sexual function (FSFI scores) was observed post-hysterectomy.
- Cervical preservation and different surgical approaches did not yield better sexual outcomes.
Conclusions:
- Hysterectomy leads to minimal, non-significant changes in sexual function.
- Cervical preservation offers no discernible sexual health benefits.
- Surgical approach should not be chosen based on anticipated sexual outcome improvements.
