A brief review of the factors influencing sexuality after hysterectomy

Meston, Cindy M.; Bradford, Andrea

doi:10.1080/14681990410001640790

Cited by 11 publications

(24 citation statements)

References 66 publications

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“…Women who considered sexuality to be very important only had significantly higher FSFI sexual desire scores after hysterectomy, and the lack of difference in scores such as arousal, lubrication, and orgasm, strengthens the possibility that there is damage to the nerve plexus after surgery, as reported in the literature [3,17].…”

Section: Discussionmentioning

confidence: 76%

“…Although hysterectomy has been determined to have little effect on the majority of women's ability to reach orgasm, there may be a change in subjective strength of orgasm and satisfaction from orgasm in more than one-third of women after hysterectomy. This condition may be related to the lack of uterine contraction which is related to both sexual arousal and orgasm [3,8,17]. In studies by Eti [20] and Rodoplu [21] conducted with Turkish women it was reported that, respectively, 33.3% (n = 14) and 40% of the women experienced change in their sexual lives after hysterectomy [20,21].…”

Section: Discussionmentioning

confidence: 96%

“…The reason sexual response decreases after hysterectomy has been reported to be a result of the negative effect of bloody drainage from genital tissues' scarring caused by the procedure. In addition it has also been suggested that the Inferior Hypogastric Nerve plexus, which contains important sympathetic and parasympathetic nerves that directly innervate the genital organs, may be damaged during surgery [3]. Although hysterectomy has been determined to have little effect on the majority of women's ability to reach orgasm, there may be a change in subjective strength of orgasm and satisfaction from orgasm in more than one-third of women after hysterectomy.…”

Section: Discussionmentioning

confidence: 98%

“…Although BDI scores alone do not provide sufficient information to diagnose major depression, in Meston's study it was reported that Ster, Brown, Beck and Sanderson found mean BDI scores of 18, 27, and 34 were associated with mild, moderate, and severe major depressive episodes, respectively [3].…”

Section: Research Processmentioning

confidence: 97%

“…Differences are shown related to some methodological factors in the psychosexual well-being of women who have had a hysterectomy. One of these factors, particularly after surgery, is the time period when sexual functioning is evaluated, and this has been suggested to be an important element affecting sexual functioning [3]. In a study by Graesslin et al [4] which evaluated the psychosexual effects hysterectomy had on 534 women post-hysterectomy it was reported that 30.4% of the women's sexual lives were affected after surgery [4].…”

Section: Introductionmentioning

confidence: 99%

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Hysterectomy’s Psychosexual Effects in Turkish Women

Bayram

Şahin

2008

Sex Disabil

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Although many current studies have been conducted about sexual functioning after hysterectomy, the number of studies evaluating both sexual functioning and psychological wellness together is very limited. This study was planned for the purpose of investigating hysterectomy's psychosexual effects. Ninety-three women were interviewed by the researcher face-to-face. The Female Sexual Function Index (FSFI) and Beck Depression Inventory (BDI) were administered 1-3 days before and repeated 3 months after the hysterectomy. Additionally, semi-structured interviews were done to explore women's attitudes about sexuality. In the third month after hysterectomy 49.5% of the women had begun to have sexual intercourse again, 34.3% of those were determined to have a decrease in sexual functions. It was also found that level of depression was less in the postoperative period compared to the preoperative period. Three months after hysterectomy, sexual functioning had significantly decreased. A clear resolution in symptoms of depression was seen after hysterectomy. It was determined that sexual functioning after hysterectomy was affected by advanced age, a women's attitude about sexuality, and the type of hysterectomy. In addition, sexual functioning was negatively affected by symptoms of depression.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 98%

Section: Research Processmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Hysterectomy’s Psychosexual Effects in Turkish Women

Bayram

Şahin

2008

Sex Disabil

View full text Add to dashboard Cite

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Psychosexual Adaptation and Quality of Life After Hysterectomy

Bayram

Beji

2009

Sex Disabil

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Psychosexual adaptation and quality of life after hysterectomy has been a subject of concern to women and gynecologists. By performing a hysterectomy, it is expected to treat abnormal bleeding, chronic pelvic pain and symptomatic myomas, and to improve health related general quality of life (QoL). Most controversy arises from the assertion that many hysterectomies are performed unnecessarily, although it has minor positive effects, the problems encountered after hysterectomy negatively affect QoL and psychosexual health problems may develop. The reported sexual problems after hysterectomy include dyspareunia related to vaginal shrinkage and decreased lubrication, low libido, and not experiencing orgasm. Studies show that the prevalence of sexual dysfunction among women who have undergone hysterectomy procedure varies depending on methodological factors. No consensus exists on whether hysterectomy causes sexual dysfunction. The aim of this study is to draw attention to the impact of hysterectomy on women's health and to discuss the related factors affecting psychosexual adaptation.

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