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.
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