Effects of Hysterectomy on Sexual Function

被引：5
作者：
Risa Lonnée-Hoffmann
Ingrid Pinas
机构：
[1] Institute of Public Health, St. Olav’s Hospital, Norwegian University of Science and Technology, Trondheim
[2] ZBC FeM-poli, Zwolle
[3] Faculty of Applied Psychology, University of Applied Sciences, Leiden
来源：
Current Sexual Health Reports | 2014年 / 6卷 / 4期
关键词：
Gynecological surgical procedures/adverse effects/methods; Hysterectomy; Outcome assessment (health care); Sexual behavior/physiology/psychology; Sexual dysfunction/physiological/etiology; Sexual function; Women’s health;
D O I：
10.1007/s11930-014-0029-3
中图分类号：
学科分类号：
摘要：
Hysterectomy remains the most common major gynecological surgery. Postoperative sexual function is a concern for many women and their partners. In this respect, a beneficial effect of hysterectomy for benign disease independent of surgical techniques or removal of the cervix has been demonstrated in the past decade by the majority of studies. For about 20 % of women, deteriorated sexual function has been reported and current research is attempting to identify mechanisms and predictive factors explaining these postoperative changes. Alternative treatments of benign uterine disorders or uterus preserving surgery for genital prolapse appeared to have similar outcomes in terms of sexual function. Concomitant oophorectomy had negative effects on sexual function and long-term health, particularly in premenopausal women. This may not be reversed by estrogen replacement. Hysterectomy performed for malignancy had a detrimental effect on sexual function. Individualized risk assessment and information should be aimed at during preoperative decision making. © 2014, The Author(s).
引用
收藏
页码：244 / 251
页数：7
相关论文
共 64 条
  • [1] Whiteman M.K., Hillis S.D., Jamieson D.J., Et al., Inpatient hysterectomy surveillance in the United States, 2000–2004, Am J Obstet Gynecol, 198, 1, pp. 34-e31, (2008)
  • [2] Parker W.H., Bilateral oophorectomy versus ovarian conservation: effects on long-term women's health, J Minim Invasive Gynecol, 17, 2, pp. 161-166, (2010)
  • [3] Srivastava R., Thakar R., Sultan A., Female sexual dysfunction in obstetrics and gynecology, Obstet Gynecol Surv, 63, 8, pp. 527-537, (2008)
  • [4] Pauls R.N., Impact of gynecological surgery on female sexual function, Int J Impot Res, 22, 2, pp. 105-114, (2010)
  • [5] Ghielmetti T., Kuhn P., Dreher E.F., Et al., Gynaecological operations: do they improve sexual life?, Eur J Obstet Gynecol Reprod Biol, 129, 2, pp. 104-110, (2006)
  • [6] Kives S., Lefebvre G., Wolfman W., Et al., Supracervical hysterectomy, J Obstet Gynaecol Can: JOGC = J obstet Gynecol Can: JOGC, 32, 1, pp. 62-68, (2010)
  • [7] Lermann J., Haberle L., Merk S., Et al., Comparison of prevalence of hypoactive sexual desire disorder (HSDD) in women after five different hysterectomy procedures, Eur J Obstet Gynecol Reprod Biol, 167, 2, pp. 210-214, (2013)
  • [8] Seffah J.D., Kwame-Aryee R.A., Adanu R.M., Et al., Indications for gynecologic surgery and their implications for sexual function in menopausal women, Int JGynaecol Obstet, 103, 3, pp. 203-206, (2008)
  • [9] Punushapai U., Khampitak K., Sexuality after total abdominal hysterectomy in Srinagarind Hospital, JMed Assoc Thai, 89, pp. S112-S117, (2006)
  • [10] Kuppermann M., Learman L.A., Schembri M., Et al., Predictors of hysterectomy use and satisfaction, Obstet Gynecol, 115, 3, pp. 543-551, (2010)
1234567