[Female sexual response after hysterectomy].
A total of 214 patients who had undergone total hysterectomy were asked to answer a specially designed questionnaire. Those patients who had undergone bilateral oophorectomy, had no partner or who had received a high score on the Lie Scale were excluded from this study. Out of 171 patients, 67 patients (39.2%) complained of a deterioration of sexual desire. Coital frequency was found to have decreased in 65 patients (38.0%), while 80 patients (46.8%) stated that coital frequency had either not changed or had improved. Vaginal lubrication was seen to decrease in 79 patients (46.2%) and to increase or remain unchanged in 72 patients (42.1%). After hysterectomy, 77 patients (52.0%) felt a loss of femininity. In this group, 54 patients (70.1%) complained of a decrease in vaginal lubrication. On the other hand, in another group whose members felt no loss of femininity, a decrease in vaginal lubrication was found in only 25 patients (35.2%). There were 39 patients (27.1%) who had felt a loss of uterine sensation during coitus after hysterectomy. In this group, 27 patients (69.2%) complained of a decrease in the ability to climax. On the other hand, the patients who had not felt any loss of uterine sensation during coitus reported no difficulty in achieving orgasm after hysterectomy in 86 out of 105 cases (81.9%).
D001007:Anxiety; D003075:Coitus; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D009948:Orgasm; D011184:Postoperative Period; D014599:Uterus / Q000502:physiology; D014621:Vagina / Q000378:metabolism