Abdominal Hysterectomy - Vaginal Hysterectomy - Laparoscopically Assisted Vaginal Hysterectomy

Arch Gynecol Obstet. 2005 Mar;271(3):218-21. Epub 2004 Apr 22.

Sexual life following total abdominal hysterectomy.

Kuscu NK,Oruc S,Ceylan E,Eskicioglu F,Goker A,Caglar H.

Department of Obstetrics and Gynecology, School of Medicine, Celal Bayar University, 45020 Manisa, Turkey. kemal.kuscu@bayar.edu. Tr

Aim:
The goal of this study was to evaluate the effect of total abdominal hysterectomy (TAH) on sexual lives of patients in the postoperative period.

Materials and
Methods:

Eighty-six patients who accepted to participate a phone-questionnaire were recruited in the study after TAH or TAH + BSO. They were asked about sexual desire, pain during sexual intercourse, Frequency and satisfaction of sexual intercourse at pre- and postoperative periods, and loss of "feeling a woman" in the postoperative period. Sexual desire, pain during sexual intercourse, loss of "feeling a woman" questions were answered as "yes" or " no", number of weekly sexual intercourse was recorded, and satisfaction was graded as no = 0, mild = 1 and complete = 2 points.

Results:

While sexual desire and Frequency were found to be significantly lower (p=0.026 and p=0.01 respectively), no difference was noted in dyspareunia and satisfaction. When the patients were divided into two groups according to the presence of endogenous or exogenous estrogen, no difference was seen between the two groups in the postoperative period.

Conclusion:

We concluded that the effect of TAH or TAH+BSO operations were mainly on sexual desire and the number of weekly intercourse, and estrogen in the postoperative period did not make any difference between the two groups.

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1 Are heavy periods a common problem?

2 What is in my menstrual flow?

3 What range of menstrual cycle length is considered to be normal?

4 How can menstrual blood loss be measured?

5 How can I tell if my periods are abnormally heavy?

6 What could be the cause of my very heavy menstrual periods?
7 I have been sterilised. Could this be the cause of my heavy periods?

8 Should I have tests to find the reason for my heavy periods?

9 How will my heavy period problems be investigated?

10 What is meant by anaemia due to heavy periods?

11 What is intermenstrual bleeding?

12 What is a hysteroscopy and D and C?

13 What is cervical cautery?

14 What happens after the D and C?

15 What treatments are available for my heavy periods?

16 What are the medical treatments available for heavy periods?

17 How do the various medical treatments for heavy periods work?

18 What would be reasonable initial treatment for a teenager or young woman with heavy periods?

19 What is a hysterectomy?

20 What are the indications for hysterectomy?

21 What are the risks (complications) of hysterectomy?

22 What is vault granulation?

23 What are the different types of hysterectomy?

24 Is it essential to remove the neck of the womb at hysterectomy?

25 Should my ovaries be removed or conserved during hysterectomy?

26 How long will I be in hospital when I have my hysterectomy?

27 I have had a hysterectomy. Do I still need to have smear tests?

28 What are the other surgical alternatives to hysterectomy?

29 How do endometrial ablation and hysterectomy compare?

30 Are there any psychological effects following hysterectomy?

31 How do we decide the best treatment for my period problems?

32 Could I have some recommended hysterectomy support groups?

33 Are there any support groups?

Intermenstrual Bleeding - Bleeding between periods.

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