title: Post-hysterectomy dyspareunia.
abstract: When appropriately performed, hysterectomy most often contributes substantially to quality of life. Postoperative morbidity is minimal, in particular after minimally invasive surgery. In a minority of women, pain during intercourse is one of the more long-lasting sequelae of the procedure. Complete evaluation and treatment of this complication requires a thorough understanding of the status and function of neighboring organ systems and structures (urinary system, gastrointestinal tract, and pelvic and hip muscle groups). Successful resolution of dyspareunia often may be facilitated with review of the patient's previous degree of comfort during sex and the nature of her relationship with her partner. Repeat surgery is needed in a small minority of patients.
authors.affiliation: Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Siedhoff
authors.affiliation: Dept. of Obstetrics and Gynecology, University of Kansas.
authors.forename: Erin T
authors.initials: ET
authors.lastname: Carey
authors.affiliation: Wright-Patterson AFB, Ohio.
authors.forename: Austin D
authors.initials: AD
authors.lastname: Findley
authors.affiliation: Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Kumari A
authors.initials: KA
authors.lastname: Hobbs
authors.affiliation: Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Janelle K
authors.initials: JK
authors.lastname: Moulder
authors.affiliation: Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: jfsteege@med.unc.edu.
authors.forename: John F
authors.initials: JF
authors.lastname: Steege
mesh_terms: D004414:Dyspareunia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D011788:Quality of Life
keywords: Adhesions; Endometriosis; Hysterectomy; Pain; Sexual dysfunction