[Female sexual response after hysterectomy]

Area of Science:

• Gynecological Surgery
• Sexual Health
• Patient-Reported Outcomes

Background:

• Hysterectomy is a common surgical procedure for various gynecological conditions.
• The impact of hysterectomy on female sexual function and quality of life remains a significant area of research.
• Understanding patient experiences is crucial for improving post-operative care and counseling.

Purpose of the Study:

• To investigate the effects of total hysterectomy on sexual desire, coital frequency, and vaginal lubrication.
• To explore the relationship between the perceived loss of femininity and sexual function after hysterectomy.
• To assess the impact of uterine sensation during coitus on orgasm in post-hysterectomy patients.

Main Methods:

• A questionnaire was administered to 214 patients who underwent total hysterectomy.
• Exclusion criteria included bilateral oophorectomy, lack of a partner, and high scores on the Lie Scale.
• Data from 171 eligible patients were analyzed to assess sexual function parameters.

Main Results:

• 39.2% of patients reported decreased sexual desire, and 38.0% experienced reduced coital frequency.
• Vaginal lubrication decreased in 46.2% of patients.
• A perceived loss of femininity (52.0%) was associated with decreased vaginal lubrication (70.1%) and difficulties with climax (69.2%).
• Loss of uterine sensation during coitus was reported by 27.1% of patients, with 69.2% experiencing decreased ability to climax.

Conclusions:

• Total hysterectomy can lead to significant changes in sexual function, including reduced desire and lubrication.
• The psychological impact, such as loss of femininity, plays a crucial role in sexual well-being post-surgery.
• Preserving uterine sensation appears important for maintaining sexual satisfaction and achieving orgasm.