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BMC Womens Health. 2002;2(1):1. doi: 10.1186/1472-6874-2-1.

Supracervical hysterectomy versus total abdominal hysterectomy: perceived effects on sexual function.

BMC women's health

Jyot Saini, Edward Kuczynski, Herbert F Gretz, E Scott Sills

Affiliations

  1. Division of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, Atlanta Medical Center; Atlanta, Georgia USA. [email protected]

PMID: 11825343 PMCID: PMC65528 DOI: 10.1186/1472-6874-2-1

Abstract

BACKGROUND: Our investigation sought to compare changes in sexual function following supracervical hysterectomy (SCH) and total abdominal hysterectomy (TAH). METHODS: A retrospective chart review was performed to identify all patients who underwent supracervical hysterectomy or total abdominal hysterectomy at a tertiary care center. Patients who met criteria for participation were sent a one page confidential, anonymous questionnaire to assess sexual function experienced both pre- and postoperatively. A total of 69 patients in each group were eligible for participation. A multiple logistic regression model was used to analyze measured variables. RESULTS: Forty-eight percent (n = 33) of women undergoing a SCH returned the questionnaire, while 39% (n = 27) of those undergoing a TAH chose to participate. There were no significant demographic differences between the two groups. Patients who underwent TAH reported worse postoperative sexual outcome than SCH patients with respect to intercourse frequency, orgasm frequency and overall sexual satisfaction (P = 0.01, 0.03, and 0.03, respectively). Irrespective of type of hysterectomy, 35% of patients who underwent bilateral salpingoophorectomy (BSO) with hysterectomy experienced worse overall sexual satisfaction compared to 3% of patients who underwent hysterectomy alone (P = 0.02). CONCLUSIONS: Our data suggest that TAH patients experienced worse postoperative sexual function than SCH patients with respect to intercourse frequency and overall sexual satisfaction. Irrespective of type of hysterectomy, patients who underwent bilateral salpingoophorectomy experienced worse overall sexual satisfaction.

References

  1. Gynecol Obstet Invest. 1992;34(2):97-101 - PubMed
  2. Int J Gynaecol Obstet. 1975;13(3):97-100 - PubMed
  3. J Reprod Med. 1993 Oct;38(10):781-90 - PubMed
  4. Br J Obstet Gynaecol. 1977 Oct;84(10):769-75 - PubMed
  5. Acta Obstet Gynecol Scand. 1985;64(5):375-9 - PubMed
  6. Psychosom Med. 1985 Jul-Aug;47(4):339-51 - PubMed
  7. Obstet Gynecol. 2000 Jun;95(6 Pt 2):1045-51 - PubMed
  8. Obstet Gynecol. 1994 Apr;83(4):549-55 - PubMed
  9. Obstet Gynecol. 1977 Jan;49(1):92-6 - PubMed
  10. Clin Obstet Gynecol. 1981 Mar;24(1):181-91 - PubMed
  11. J Urban Health. 1998 Dec;75(4):903-10 - PubMed
  12. Obstet Gynecol. 1997 Jan;89(1):133-9 - PubMed
  13. Acta Obstet Gynecol Scand. 1983;62(2):147-52 - PubMed
  14. Obstet Gynecol. 1994 Apr;83(4):556-65 - PubMed
  15. Acta Obstet Gynecol Scand. 1992 Apr;71(3):230-4 - PubMed
  16. JAMA. 1999 Nov 24;282(20):1934-41 - PubMed
  17. Obstet Gynecol. 1993 Mar;81(3):357-62 - PubMed
  18. Int J Gynaecol Obstet. 1998 Dec;63(3):277-83 - PubMed
  19. Acta Obstet Gynecol Scand. 1983;62(2):141-5 - PubMed

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