title: The effect of hysterectomy and bilaterally salpingo-oophorectomy on sexual function in post-menopausal women.
abstract: OBJECTIVE
  To examine the effects of hysterectomy and bilaterally salpingo-oophorectomy (BSO) on Female Sexual Function Index (FSFI) in the post-menopausal women.
  
  
  METHODS
  This study included 92 women who underwent vaginal hysterectomy (VH) and BSO (n:37) and who underwent abdominal hysterectomy (AH) and BSO (n:55). Estrogen replacement therapy (ERT) was given 21 women who underwent VH and BSO and 28 women who underwent AH and BSO in pre- and postoperative periods. All patients were evaluated preoperatively and postoperative 6th month in terms of FSFI scores.
  
  
  RESULTS
  It was found that hysterectomies by abdominal or vaginal routes reduced FSFI scores significantly (P<0.05). The use of ERT were no effect on total score of FSFI in AH and BSO (P>0.05). ERT prevented deterioration of FSFI in women who underwent VH relative to preoperative values but AH.
  
  
  CONCLUSIONS
  Hysterectomy causes unfavourable effects on sexual functions at least in the first 6 postoperative months and this negative effect can not be repaired by estrogen replacement therapy in AH and BSO.
authors.affiliation: Firat University, Medical School, Department of Obstetric and Gynecology, Division of Gynecologic Oncology, Elazig, Turkey. drhusnucelik@gmail.com
authors.forename: Husnu
authors.initials: H
authors.lastname: Celik
authors.forename: Bilgin
authors.initials: B
authors.lastname: Gurates
authors.forename: Adem
authors.initials: A
authors.lastname: Yavuz
authors.forename: Cemile
authors.initials: C
authors.lastname: Nurkalem
authors.forename: Fethi
authors.initials: F
authors.lastname: Hanay
authors.forename: Burcin
authors.initials: B
authors.lastname: Kavak
mesh_terms: D016022:Case-Control Studies; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D010052:Ovariectomy / Q000009:adverse effects*; D017698:Postmenopause; D012735:Sexual Dysfunction, Physiological / Q000188:drug therapy* / Q000209:etiology*