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[Total and subtotal hysterectomy--psychosexual aspects]
1Frauenklinik am Diakonissenkrankenhaus Mannheim, Akademisches Lehrkrankenhaus der Univ. Heidelberg, Germany.
Archives of Gynecology and Obstetrics
|January 1, 1994
Summary
Hysterectomy generally does not negatively impact sexual function, with many women experiencing improved sexual desire and orgasmic capacity. Open communication about sexual health before and after surgery can prevent lasting sexual disturbances.
Area of Science:
- Gynecology
- Sexual Medicine
- Psychosomatic Medicine
Context:
- Genital organ surgeries, including hysterectomy, often cause patient anxiety regarding sexual function.
- Understanding the psychological and physical impact of hysterectomy on sexual well-being is crucial for patient care.
Purpose:
- To evaluate the impact of hysterectomy on sexual function, including intercourse, desire, and orgasm.
- To determine the effectiveness of pre-operative and post-operative counseling in mitigating sexual disturbances after hysterectomy.
Summary:
- Sexual life is possible and often improved after hysterectomy, with intercourse, desire, and orgasmic capacity typically unaffected or enhanced.
- Proactive discussion of sexual function during consultations can prevent chronic sexual disturbances, with psychosomatic issues occurring in less than 10% of cases.
- The method of hysterectomy does not significantly influence sexual pleasure; orgasm is a complex experience involving psychological and extra-genital factors.
Impact:
- Highlights the importance of comprehensive patient counseling to address sexual health concerns following hysterectomy.
- Emphasizes that psychological and psychosocial factors play a significant role in overall sexual experience and satisfaction post-surgery.
- Provides evidence that hysterectomy need not be a barrier to a fulfilling sexual life, challenging common misconceptions.