The Effect of Hysterectomy on Women's Sexual Function: a Narrative Review

Mahmonier Danesh, Zeinab Hamzehgardeshi, Mahmood Moosazadeh, Fereshteh Shabani-Asrami, Mahmonier Danesh, Zeinab Hamzehgardeshi, Mahmood Moosazadeh, Fereshteh Shabani-Asrami

Abstract

Background: Regarding the contradictions about positive and negative effects of hysterectomy on women's sexual functioning, this study was conducted to review the studies on the effect of hysterectomy on postoperative women's sexual function.

Method: This study was a narrative review and performed in 5 steps: a) Determining the research questions, b) Search methods for identification of relevant studies, c) Choosing the studies, d) Classifying, sorting out, and summarizing the data, and e) reporting the results.

Findings: The review of the studies yielded 5 main categories of results as follows: The effect of hysterectomy on Sexual desire, the effect of hysterectomy on sexual arousal, the effect of hysterectomy on orgasm, the effect of hysterectomy on dyspareunia, and the effect of hysterectomy on sexual satisfaction.

Conclusion: According to the studies reviewed in this study, most of the sexual disorders improve after hysterectomy for uterine benign diseases, and most of the patients who were sexually active before the surgery experienced the same or better sexual functioning after the surgery. An important solution for making these women ready to face with postoperative sexual complications is to train them on the basis of needs assessment in order that the patients undergoing hysterectomy be ready and capable of coping with the complications, and their sexual functioning improves after the surgery.

Keywords: Hysterectomy; Sexual Function; literature Review.

Conflict of interest statement

CONFLICT OF INTEREST: NONE DECLARED.

Figures

Figure 1
Figure 1
Literature search and review flowchart for selection of primary studies

References

    1. Ozdemir F, Pasinlioglu T. The effects of training and progressive relaxation exercises on anxiety level after hysterectomy. The New Journal of Medicine. 2009;26(1):102–107.
    1. Modarres M, Rahimikian F, Mehran A. Impact of Pre-Hysterectomy Counseling on Depression among Patients Reffered to TUMS Hospitals. Hayat. 2013;19(2):40–50.
    1. Gibson CJ, Thurston RC, El Khoudary SR, Sutton-Tyrrell K, Matthews KA. Body mass index following natural menopause and hysterectomy with and without bilateral oophorectomy. International Journal of Obesity. 2012;37(6):809–813.
    1. Cohen S, Hollingsworth A, Rubin M, Graff B, Thomas J, Wehry L. Psychosocial adaptation during recovery from hysterectomy. Webmed Central Obstetrics and Gynaecology. 2011;2(3):1–8.
    1. Jacquia F, Myers EM, Geller EJ. Vaginal versus robotic hysterectomy and concomitant pelvic support surgery: a comparison of postoperative vaginal length and sexual function. Journal of minimally invasive gynecology. 2014;21(6):1010–1014.
    1. Costantini E, Porena M, Lazzeri M, Mearini L, Bini V, Zucchi A. Changes in female sexual function after pelvic organ prolapse repair: role of hysterectomy. International urogynecology journal. 2013;24(9):1481–1487.
    1. Briedite I, Ancane G, Rogovska I, Lietuviete N. Quality of Female Sexual Function After Conventional Abdominal Hysterectomy-Three Month’ Observation. Acta Chirurgica Latviensis. 2014;14(1):26–31.
    1. Tutuncu B, Yildiz H. The Influence on Women’s Sexual Functions of Education Given According to the PLISSIT Model after Hysterectomy. Procedia-Social and Behavioral Sciences. 2012;47(2012):2000–2004.
    1. Badakhsh MH, Taftachi F, Mehrabi F, Derakhshan A. The Effect of Hysterectomy in Securing Sexual Desire and Satisfaction. Iranian Journal of Surgery. 2009;17(1):75–80.
    1. Fram KM, Saleh SS, Sumrein IA. Sexuality after hysterectomy at University of Jordan Hospital: a teaching hospital experience. Archives of gynecology and obstetrics. 2013;287(4):703–708.
    1. Dragisic KG, Milad MP. Sexual functioning and patient expectations of sexual functioning after hysterectomy. American journal of obstetrics and gynecology. 2004;190(5):1416–1418.
    1. Rahimzadeh A, Nazemi AR, Alizadeh A. A survey about the effect of hysterectomy on sexual dysfunction in patients underwent surgery in Sanandaj Behsat hospital Scientific Journal of Kurdistan University of Medical Sciences. 2002;6(2):46–51.
    1. Anonymous. Does Hysterectomy Affect Women’s Sexual Functioning? Tufts University Health & Nutrition Letter. 2004;22(6):6.
    1. Meston CM. The effects of hysterectomy on sexual arousal in women with a history of benign uterine fibroids. Archives of sexual behavior. 2004;33(1):31–42.
    1. Roussis NP, Waltrous L, Kerr A, Robertazzi R, Cabbad MF. Sexual response in the patient after hysterectomy: total abdominal versus supracervical versus vaginal procedure. American journal of obstetrics and gynecology. 2004;190(5):1427–1428.
    1. Rhodes JC, Kjerulff KH, Langenberg PW, Guzinski GM. Hysterectomy and sexual functioning. Jama. 1999;282(20):1934–1941.
    1. Gütl P, Greimel E, Roth R, Winter R. Women’s sexual behavior, body image and satisfaction with surgical outcomes after hysterectomy: a comparison of vaginal and abdominal surgery. Journal of Psychosomatic Obstetrics & Gynecology. 2002;23(1):51–59.
    1. Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Early-stage cervical carcinoma, radical hysterectomy, and sexual function. Cancer. 2004;100(1):97–106.
    1. Bayram GO, Beji NK. Psychosexual adaptation and quality of life after hysterectomy. Sexuality and Disability. 2010;28(1):3–13.
    1. Zafarghandi N, Torkestani F, Sh H, Zaeri F, Jalilnejad H. Evaluation of libido in post hysterectomy patients. Tehran University Medical Journal. 2006;64(11):77–80.
    1. Lonnée-Hoffmann R, Pinas I. Effects of Hysterectomy on Sexual Function. Current sexual health reports. 2014;6(4):244–251.
    1. Sözeri-Varma G, Kalkan-Oğuzhanoğlu N, Karadağ F, Özdel O. The effect of hysterectomy and/or oophorectomy on sexual satisfaction. Climacteric. 2011;14(2):275–281.
    1. Bayram GO, Şahin NH. Hysterectomy’s psychosexual effects in Turkish women. Sexuality and Disability. 2008;26(3):149–158.
    1. Tangjitgamol S, Manusirivithaya S, Hanprasertpong J, Kasemsarn P, Soonthornthum T, Leelahakorn S, et al. Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. International Journal of Gynecological Cancer. 2007;17(5):1104–1112.
    1. Kuscu NK, Oruc S, Ceylan E, Eskicioglu F, Goker A, Caglar H. Sexual life following total abdominal hysterectomy. Archives of gynecology and obstetrics. 2005;271(3):218–221.
    1. Goetsch MF. The effect of total hysterectomy on specific sexual sensations. American journal of obstetrics and gynecology. 2005;192(6):1922–7.
    1. Weber AM, Walters MD, Schover LR, Church JM, Piedmonte MR. Functional outcomes and satisfaction after abdominal hysterectomy. American journal of obstetrics and gynecology. 1999;181(3):530–535.
    1. Lowenstein L, Yarnitsky D, Gruenwald I, Deutsch M, Sprecher E, Gedalia U, et al. Does hysterectomy affect genital sensation? European Journal of Obstetrics & Gynecology and Reproductive Biology. 2005;119(2):242–245.
    1. Pieterse Q, Maas C, Ter Kuile M, Lowik M, Van Eijkeren M, Trimbos J, et al. An observational longitudinal study to evaluate miction, defecation, and sexual function after radical hysterectomy with pelvic lymphadenectomy for early-stage cervical cancer. International Journal of Gynecological Cancer. 2006;16(3):1119–29.
    1. Maas C, Kuile M, Laan E, Tuijnman C, Weijenborg P, Trimbos J, et al. Objective assessment of sexual arousal in women with a history of hysterectomy. BJOG: An International Journal of Obstetrics & Gynaecology. 2004;111(5):456–462.
    1. Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I. Outcomes after total versus subtotal abdominal hysterectomy. New England journal of medicine. 2002;347(17):1318–1325.
    1. Vomvolaki E, Kalmantis K, Kioses E, Antsaklis A. The effect of hysterectomy on sexuality and psychological changes. European J of Contraception and Reproductive Healthcare. 2006;11(1):23–27.
    1. Vrzackova P, Weiss P, Cibula D. Sexual morbidity following radical hysterectomy for cervical cancer. Anticancer Ther. 2010;10(7):1037–1042.
    1. Demirtas B, Pinar G. Determination of Sexual Problems of Turkish Patients Receiving Gynecologic Cancer Treatment: a Cross-sectional Study. Asian Pacific journal of cancer prevention: APJCP. 2013;15(16):6657–6663.

Source: PubMed

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