African Woman Sexuality: Assessment after Hysterectomy for Uterine Benign Disorders Based on Two Scales; PISQ 12/DFSI

Abstract

Background: Several authors are studying sexual activity of hysterectomies women. However, the review of literature reveals few data in sub-Saharan Africa on the psychological and sexual impact of this treatment option. Objective: To assess sexual activity and sexual satisfaction of women after hysterectomy for benign disorders. Methods: Single center analytical study based on patient opinion. It was conducted in a five-year period: from January 2012 to December 2016 at the Yopougon teaching Hospital. 53 patients who answered two questionnaires, on sexuality by Pelvic organ prolapse-urinary Incontinence Sexual Questionnaire (PISQ-12) and sexual satisfaction by Derogatis Sexual Functioning Inventory (DSFI). Results: Hysterectomy accounted for 15.9% of gynecological surgical activities. Hysterectomy for benign pathology accounted for 3.3% of hysterectomies. The average age was 47.6 years old. The indications were dominated by uterine fibroid (88.68%). Hysterectomy was performed by the abdominal route in 86.79% of cases. Sexual activity was resumed in the second trimester post-operative in 69.81%. After hysterectomy, dyspareunia was reduced (p < 0.05), orgasm was more intense (p < 0.05) with a greater sexual satisfaction (p < 0.05). Conclusion: This study shows that there is no significant difference for women's sexuality before and after hysterectomy.