Sexual Pattern of Women After Total Hysterectomy
Objective: To determine the etiology and sexual pattern among women underwent total abdominal hysterectomy and bilateral salpingo oophorectomy on benign reasons in sexually active and healthy pre-menopausal women.
Material and Methods: This cross sectional study was done in Gynaecology and obstetrics department at Isra University Hospital Hyderabad and LUMHS. Study duration was one year from 2014 to 2015. All the women with age between 30-65 years, and who are sexually active and plan sexual activities in the course of at least 3 - 6 months following surgery were included. All the selected women underwent total abdominal hysterectomy and vaginal hysterectomy. All patients were called at OPD for follow up after every 30 days, till the six months. All the data regarding indication of hysterectomy and sexual function in the term of decreased or improved and satisfaction were documented on the proforma. Data analysis was done by (SPSS) version 19.
Results: Total 120 subjects were enrolled in this study. Mean age for overall patients was noted to be 38.5+5.3 years. In 40.5% patient’s hysterectomy was done due to abnormal vaginal bleeding and in 30.50 % due to uterine fibroids. Severe endometriosis was cause in 10% and Pelvic inflammatory disease (PID) was in 18% patients. Over all 94% patients were satisfied after hysterectomy. Majority of the patients 93.33% had no effect on libido while 4.16 % patients reported decrease libido. 55.83% patients said no change in sexual desire while among 20% sexual desire was increased. This may be due to the reason that their disease like PID, endometriosis, chronic pelvic pain was cured which was causing dyspareunia.
Conclusion; It was concluded that abnormal vaginal bleeding, uterine fibroids and pelvic inflammatory disease frequent etiological factors of hysterectomy and hysterectomy not impacted on sexual pattern, almost patients were sexually satisfied.
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