A prospective study of outcomes five years after hysterectomy in premenopausal women

Farquhar, Cindy; Sadler, Lynn; Stewart, Alistair

doi:10.1111/j.1479-828x.2008.00893.x

Cited by 25 publications

(18 citation statements)

References 30 publications

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“…45 Despite the fact that androgen levels were similar between the groups, it was of utmost interest to see SM per se standing out as an independent predictor of SD. Whether the accompanying hysterectomy itself is in part to blame for the higher prevalence of SD in the SM group, while disputible, [46][47][48][49] this is beyond the scope of this work, and even then does not negate the independent and significantly untoward effect of surgery on sexual functioning. Another plausible explanation for the difference in the prevalence of SD between the groups could be possible differences in sexual functioning at baseline, which could not be depicted by our cross-sectional study design, which also is an important limitation of our study.…”

Section: Discussionmentioning

confidence: 87%

Androgens and sexual dysfunction in naturally and surgically menopausal women

Alarslan¹,

Sarandöl

Cengiz³

et al. 2011

J of Obstet and Gynaecol

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Section: Discussionmentioning

confidence: 87%

Androgens and sexual dysfunction in naturally and surgically menopausal women

Alarslan¹,

Sarandöl

Cengiz³

et al. 2011

J of Obstet and Gynaecol

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“…In a two-year prospective observational study in Egypt, Helmy et al found an increase in the risk of depression in women who undergo hysterectomy for benign conditions, whether they had psychiatric comorbidity before surgery or not (Helmy et al, 2008). However, other studies have reported no negative effects on the psychological condition of women after hysterectomy performed for non-malignant causes (Darwish et al, 2014;Farquhar et al, 2008;Gibson et al, 2012;Persson et al, 2010;Yen et al, 2008). In a prospective study conducted by Yen et al in Taiwan, they found an improvement in depressive symptoms after four months in 68 women who underwent hysterectomy for nonmalignant conditions, which differs from our results.…”

Section: Discussionmentioning

confidence: 93%

Risk of depressive disorders in women undergoing hysterectomy: A population-based follow-up study

Chou

Lin

Cheng³

et al. 2015

Journal of Psychiatric Research

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“…Se ha evidenciado que posterior a la HT por causa benigna, aparecen trastornos depresivos y/o ansiosos en las mujeres en frecuencias variadas. Para la detección de los trastornos psiquiátricos como depresión y/o ansiedad se utilizan diversas herramientas de medición en los estudios analizados 4,9,10,11,12,13,14,15,16,17 , las que miden diversos factores desencadenantes en los trastornos psiquiátrico depresivos y/o ansiosos.…”

Section: Medición Y Prevalencia De Trastornos Depresivos Y/o Ansiososunclassified

“…En relación a estudios prospectivos cuantitativos, diversos autores han investigado la continuidad de estos trastornos, realizando un seguimiento desde 1 mes posterior a la cirugía hasta un máximo de 5 años después del procedimiento. En estos estudios se observa que, a partir de los 3 meses posterior a la cirugía, se reportan mejoras desde un 45% a más del 90% de las mujeres sometidas a HT 12,13 .…”

Section: Medición Y Prevalencia De Trastornos Depresivos Y/o Ansiososunclassified

Depresión y Ansiedad en mujeres histerectomizadas no oncológicas posterior a la cirugía

et al. 2019

Rev. chil. obstet. ginecol.

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RESUMENIntroducción y objetivo: La histerectomía es la segunda cirugía ginecológica más frecuente, después de la cesárea, afectando a un importante porcentaje de la población femenina, con un gran impacto emocional. El objetivo de esta revisión es describir las consecuencias psiquiátricas y sus factores predisponentes, en las mujeres histerectomizadas no oncológicas posterior a la cirugía. Material y métodos: Se incluyeron investigaciones en inglés, español y portugués, con un máximo de 15 años de antigüedad. Se excluyeron investigaciones realizadas en mujeres histerectomizadas oncológicas y/o con antecedentes psiquiátricos previos a la cirugía. Resultados: Posterior a la histerectomía por causa benigna, aparecen trastornos depresivos y/o ansiosos en las mujeres en frecuencias variadas. En el post-operatorio inmediato de la histerectomía, se reportan prevalencias de hasta un 84% para depresión y hasta un 92% para ansiedad, respectivamente. En cuanto a los factores que predisponen a la incidencia de estos problemas, se encuentran; la paridad relacionado con la cantidad de hijos engendrados y el deseo de tener más hijos, la nuliparidad, la edad, la falta de información y educación previa a la cirugía, la soledad y escaso apoyo familiar, los mitos y creencias sociales en torno al procedimiento, entre otros. Conclusiones: El significado social del útero y el enjuiciamiento que vive la mujer histerectomizada, son factores relevantes en la aparición de trastornos depresivos y/o ansiosos. La importancia de la educación es esencial para el afrontamiento eficaz por parte de la mujer en este procedimiento. ABSTRACTIntroduction and objective: Hysterectomy is the second most frequent gynecological surgery, after caesarean section, affecting an important percentage of the female population, with a great emotional impact. The objective of this review is to describe the psychiatric consequences and their predisposing factors in nononcological hysterectomized women after surgery. Material and methods: Research was included in English, Spanish and Portuguese, with a maximum of 15 years old. We excluded investigations carried out in oncological hysterectomized women and / or with psychiatric antecedents prior to surgery. Results: After hysterectomy due to benign cause, depressive and / or anxious disorders appear in women at varied frequencies. In the immediate postoperative period of the hysterectomy, prevalences of up to 84% are reported for depression and up to 92% for anxiety, respectively. As for the factors that predispose to the incidence of these problems, they are found; parity related to the number of children conceived and the desire to have more children, nulliparity, age, lack of information and education prior to surgery, loneliness and poor family support, myths and social beliefs about the procedure , among others. Conclusions: The social meaning of the uterus and the judgment of the hysterectomized woman are relevant factors in the appearance of depressive and / or anxious disorders. The importance of education is...

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A prospective study of outcomes five years after hysterectomy in premenopausal women

Cited by 25 publications

References 30 publications

Androgens and sexual dysfunction in naturally and surgically menopausal women

Androgens and sexual dysfunction in naturally and surgically menopausal women

Risk of depressive disorders in women undergoing hysterectomy: A population-based follow-up study

Depresión y Ansiedad en mujeres histerectomizadas no oncológicas posterior a la cirugía

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