[Local investigation concerning psychic and sexual functioning a short time after hysterectomy].
Hysterectomy is one of the most common operations done throughout the world. Patients' concerns about sexual functioning after hysterectomy is great.


OBJECTIVE
We wanted to evaluate, through a local investigation based on a questionnaire, the psychosexual impact of this operation and to compare our data to those available in the literature.


METHODS
534 patients operated between of 01.01.1997 and 31.12.1997 for a benign uterine pathology (prolapse excluded) were included. Questions were about sexual and psychological functioning after hysterectomy. The main outcome measures were changes in the sexual life, sexual desire, orgasm, dyspareunia, frequency of sexual relations. Abdominal and vaginal surgical approaches were compared for some items when possible.


RESULTS
After the operation, 83.3% of the patients felt better, 30.4% of the patients mentioned changes in their sexual life, 32% of low libido rates was noticed (and there was a significant difference between abdominal and vaginal surgical approaches), 27.6% of the patients had less frequent orgasm and only 8.8% experienced orgasm more frequently, 15% suffer from dyspareunia, and 15% were more engaged in sexual intercourse.


CONCLUSIONS
Psychosexual impact of hysterectomy is limited and is not more frequent when vaginal surgery is performed, but pre- and post-operative prevention can be useful.
Graesslin
O
O
Service de gynécologie-obstétrique, hôpital Maison Blanche, CHRU, 51092 Reims, France.
Martin-Morille
C
C
Leguillier-Amour
M C
MC
Darnaud
T
T
Gonzales
N
N
Bancheri
F
F
Levert
M
M
Bory
J P
JP
Harika
G
G
Gabriel
R
R
Quereux
C
C
D000328:Adult; D003863:Depression / Q000209:etiology; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000523:psychology*; D007989:Libido; D009948:Orgasm; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology; D011795:Surveys and Questionnaires; D016387:Women's Health