The effect of hysterectomy and bilaterally salpingo-oophorectomy on sexual function in post-menopausal women.
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.
Celik
Husnu
H
Firat University, Medical School, Department of Obstetric and Gynecology, Division of Gynecologic Oncology, Elazig, Turkey. drhusnucelik@gmail.com
Gurates
Bilgin
B
Yavuz
Adem
A
Nurkalem
Cemile
C
Hanay
Fethi
F
Kavak
Burcin
B
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*