Sexuality after hysterectomy. What should a woman expect? Is sex
better, is it worse after having a hysterectomy? What have you heard? Every few years this is something
gynos do look into. How we look at the issues of sexuality is an important determinant. A new study from Brazil seems to indicate that not all women need to
feel desire, in the traditional sense, to feel satisfied. So understanding how
to study our patient’s overall sexuality as well as her physical sexual
function becomes In a study called “Hysterectomy and sexual well-being:
prospective observational study of vaginal hysterectomy, subtotal abdominal
hysterectomy, and total abdominal hysterectomy, by Drs Roovers, van der Bom, van
der Vaart, and Heintz in the British
Medical Journal in 2003. Their patients had a variety of medical problems and
they didn’t include women with prolapse or other pelvic floor disorders. They
studied sexual pleasure, sexual activity and bothersome sexual problems. And
found that it was about the same for all the operations and the chance of
having some sexual complaint after surgery was about 40+% after all of these surgeries,
for most women sexual pleasure improved, and improved after all the operations.
Long term the women didn’t really change significantly, so no problems developed
over time.Discuss your sexual function with your gyno before and after you have a hysterectomy and your surgery can be planned in light of how you function sexually.
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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