Avaliação da sexualidade em mulheres submetidas à histerectomia para tratamento do leiomioma uterino

Abstract

It seems that hysterectomy has a negative impact on women's sexual life, with reports of decreased libido, arousal and orgasmic capacity.

Body Image, Self-Esteem and Quality of Sexual Life Among Women After Hysterectomy

“…In addition, many women felt that her partner and she might not be physically attracted to each other enough after hysterectomy and she was very worry that her partner may have another partner because of her sexual difficulties and there no balance between that she give and receive in sex. Our findings is supported by Tozo et al, (2009) who suggested that hysterectomy has a negative influence on sexual life, with reports of reduced arousal, libido and orgasmic capacity. Also, Lonnée-Hoffmann &Pinas, (2014) in United States and study effects of hysterectomy on sexual function and found that hysterectomy can result in impaired sexual function and raised long-term health risks.…”

Sexuality After Hysterectomy: A Qualitative Study on Women’s Sexual Experience After Hysterectomy

“…The results of Merighi et al also showed that hysterectomy was a factor improving the relationships including the sexual ones (10). On the other hand, some other studies state no change (25) or decrease in sexual ability after hysterectomy (26).…”

Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort

“…Hysterectomy alters the anatomic relationships, innervation, and blood supply of the pelvic floor, which could theoretically alter sexual function (29). Although several previous studies have suggested that sexual function is often improved after hysterectomy for benign uterine disease due to alleviation of symptoms (10-16), a large minority of patients with benign disorders of the uterus exhibit a worsening of sexual function after hysterectomy (17)(18)(19). Indeed, Goktas et al observed that total hysterectomy and bilateral salpingo-oophorectomy in women with benign disease led to a deterioration in sexual function, which was assessed using the Female Sexual Function Index (20).…”

“…Most studies have reported that hysterectomy for benign diseases results in an overall improvement in sexual function (10)(11)(12)(13)(14)(15), likely because of the alleviation of symptoms such as abnormal uterine bleeding and pelvic pain (16). However, around 20-40% of patients with benign disease experience a worsening of sexual function after hysterectomy (17)(18)(19), and one study even showed an overall worsening of sexual function (20). Furthermore, clinical studies of women with malignant disease have consistently reported a worsening of sexual function after hysterectomy (21)(22)(23)(24)(25)(26), and hysterectomy was found to be a factor associated with poorer sexual function in middle-aged women (27).…”