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Published in: Current Sexual Health Reports 4/2014

Open Access 01-12-2014 | Female Sexual Dysfunction and Disorders (A Giraldi and L Brotto, Section Editors)

Effects of Hysterectomy on Sexual Function

Authors: Risa Lonnée-Hoffmann, Ingrid Pinas

Published in: Current Sexual Health Reports | Issue 4/2014

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Abstract

Hysterectomy remains the most common major gynecological surgery. Postoperative sexual function is a concern for many women and their partners. In this respect, a beneficial effect of hysterectomy for benign disease independent of surgical techniques or removal of the cervix has been demonstrated in the past decade by the majority of studies. For about 20 % of women, deteriorated sexual function has been reported and current research is attempting to identify mechanisms and predictive factors explaining these postoperative changes. Alternative treatments of benign uterine disorders or uterus preserving surgery for genital prolapse appeared to have similar outcomes in terms of sexual function. Concomitant oophorectomy had negative effects on sexual function and long-term health, particularly in premenopausal women. This may not be reversed by estrogen replacement. Hysterectomy performed for malignancy had a detrimental effect on sexual function. Individualized risk assessment and information should be aimed at during preoperative decision making.
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Metadata
Title
Effects of Hysterectomy on Sexual Function
Authors
Risa Lonnée-Hoffmann
Ingrid Pinas
Publication date
01-12-2014
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 4/2014
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-014-0029-3

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