The effect of hysterectomy and/or oophorectomy on sexual satisfaction

Sözeri-Varma, Gülfizar; Kalkan-Oğuzhanoğlu, Nalan; Karadag, Filiz; Ozdel, O

doi:10.3109/13697137.2010.532251

Cited by 27 publications

(23 citation statements)

References 40 publications

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“…40 Data are conflicting regarding the impact of hysterectomy on sexuality, with some studies suggesting hysterectomy improves sexual function 41Y43 and others reporting a worsening of sexual function. 44,45 However, the applicability of these studies to RRSO is limited because of the variability in their indications for hysterectomy, surgical approaches, severity of preoperative symptoms, and concurrent bilateral oophorectomy. One crosssectional study of 119 women following RRSO found no association between hysterectomy and sexual function, although 89% of the participants had undergone hysterectomy, and the study may not have been sufficiently powered to detect a difference.…”

Section: Menopause Status At Operationmentioning

confidence: 99%

Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

Tucker

Cohen

2017

Int J Gynecol Cancer

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Section: Menopause Status At Operationmentioning

confidence: 99%

Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

Tucker

Cohen

2017

Int J Gynecol Cancer

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“…Also, there may be consequences already reported in hysterectomized patients, including effects on gender identity and sexuality [27], decrease in sexual satisfaction and increase in sexual dysfunction [28,29].…”

Section: List Of Abbreviationsmentioning

confidence: 99%

From Experimental Procedure to Clinical Practice: How Much Evidence Do We Need in Uterine Transplantation?

Gainotti¹,

Petrini²

2018

Preprint

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Background: Absolute uterine factor infertility (AUFI) is a kind of infertility that is completely attributable to uterine absence (surgical or congenital for women with Mayer-Rokitansky-Küster-Hauser syndrome: MRKH) or anatomic or functional abnormality that prevents embryo implantation or completion of pregnancy to term. Until recently, the only viable option to parenthood for couples with AUFI were adoption or surrogacy. Since a first attempt of uterus transplant (UTx) in 2000, nine babies were born from women with a transplanted uterus from 2014, eight of which in Sweden, and one in the United States. These promising results are raising immense hopes for the women with AUFI and there is optimism about the possibility for UTx to become part of clinical care even though, besides encouraging results, the procedure has also resulted in increased risks and harms for both the donors and recipients and increased risks of premature birth for the fetus. At present UTx is still considered as experimental and requiring more research and safety assessment before becoming a therapeutic option for AUFI. The transition from experimental procedure to therapeutic care would result in less strict ethical scrutiny for UTx and in the possibility for patients to get reimbursement for the procedure by the relevant healthcare insurance or public healthcare providers. In turn, an increase in the number of UTx performed yearly by specialized surgical teams would result in a general improvement of the “field strength”. However, at present it is difficult to establish the amount of evidence that we need in order to consider UTx as no longer experimental but routine clinical practice. The literature on UTx provides recommendations on the different outcomes that should be monitored in this experimental phase but no study is anticipating the number of subjects that should be followed and for how long. Conclusion: As for other transplants that have become routine practice, like renal transplant and heart transplant, it is likely that the decision on “routine practice readiness” will result from available cumulated evidences, from expert capacity to find a consensus on best practices and on political considerations as well, including pressures form patients and patient groups.

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“…Indeed, men who receive vasectomies are usually sure of their decision at the time, but are often grateful for the fact that vasectomies tend to be reversible should they decide to have children later on [29]. Finally, there is data suggesting that posthysterectomy, women experience a decrease in sexual satisfaction [30] and an increase in sexual dysfunction [31]. To ensure that prospective donors make informed, autonomous decisions, there is an added impetus to give a potential uterus donor both comprehensive information relating to giving up a healthy uterus and time to consider such a significant and irrevocable decision.…”

Section: Ethics In the Context Of Standard Practicementioning

confidence: 99%

The Montreal Criteria for the Ethical Feasibility of Uterine Transplantation

Lefkowitz

Edwards

Balayla

2012

Transplant International

119

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Summary Absolute uterine factor infertility (UFI) refers to the refractory causes of female infertility stemming from the anatomical or physiological inability of a uterus to sustain gestation. Today, uterine factor infertility affects 3–5% of the population. Traditionally, although surrogacy and adoption have been the only viable options for females affected by this condition, the uterine transplant is currently under investigation as a potential medical alternative for women who desire to go through the experience of pregnancy. Although animal models have shown promising results, human transplantation cases have only been described in case reports and a successful transplant leading to gestation is yet to occur in humans. Notwithstanding the intricate medical and scientific complexities that a uterine transplant places on the medical minds of our time, ethical questions on this matter pose a similar, if not greater, challenge. In light of these facts, this article attempts to present the ethical issues in the context of experimentation and standard practice which surround this controversial and potentially paradigm‐altering procedure; and given these, introduces “The Montreal Criteria for the Ethical Feasibility of Uterine Transplantation”, a set of proposed criteria required for a woman to be ethically considered a candidate for uterine transplantation.

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The effect of hysterectomy and/or oophorectomy on sexual satisfaction

Cited by 27 publications

References 40 publications

Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

Review Article: Sexuality and Risk-Reducing Salpingo-oophorectomy

From Experimental Procedure to Clinical Practice: How Much Evidence Do We Need in Uterine Transplantation?

The Montreal Criteria for the Ethical Feasibility of Uterine Transplantation

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