“…Deterioration in sexual function has also been shown to occur on long‐term follow‐up [23,43]. Various reasons have been suggested for this, such as hormonal changes [14], associated BSO [23,39,43], and advancing age [39,63]. Pre‐hysterectomy depression, dyspareunia, sexual problems, and unsatisfactory sexual relationships have been shown to be associated with poor postoperative outcome [39,53].…”