Does hysterectomy affect genital sensation?

Löwenstein, Lior; Yarnitsky, David; Gruenwald, Ilan; Deutsch, Michael; Sprecher, Elliot; Gedalia, Uri; Vardi, Yoram

doi:10.1016/j.ejogrb.2004.09.004

Cited by 49 publications

(39 citation statements)

References 18 publications

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“…Others have noted quantifiable sensory loss to vibration and thermal stimuli in the vagina after elective hysterectomy. 11 Although such nerve disruptions have not been correlated with changes in sexual function, a relationship between surgical damage to these fibers and sexual function might be expected. 12 The blood supply to these organs participates in sexual response.…”

Section: Anatomic Considerationsmentioning

confidence: 99%

Impact of gynecological surgery on female sexual function

Pauls

2010

Int J Impot Res

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Sexual function is complex and involves interaction of many factors, including emotional connection, body image, intact physical response and partner sexual function. Disease processes such as abnormal uterine bleeding, endometriosis, urinary incontinence and pelvic organ prolapse may have a negative impact on various parameters of sexual health. Gynecological surgery to address these common complaints may correct the pathological process. However, despite improvements in symptoms related to the disease, improvements in sexuality are not guaranteed and occasionally there may be deteriorations. This review will summarize the current literature assessing sexual symptoms following benign gynecological surgery, including hysterectomy, and bilateral salpingo-oophorectomy, tubal ligation, anti-incontinence surgery and pelvic organ prolapse reconstruction with and without mesh. In the majority of cases, sexual function and quality of life benefit from these surgical interventions. However, it is critical that physicians remain aware of the potential for negative outcomes. Subjects who experience worsening should undergo thorough evaluation early in the postoperative period in order to mitigate symptoms. Treatment modalities for sexual dysfunction following surgery should be the focus of future research.

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Section: Anatomic Considerationsmentioning

confidence: 99%

Impact of gynecological surgery on female sexual function

Pauls

2010

Int J Impot Res

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“…La edad media de nuestras mujeres participantes es similar a los trabajos de Gütl, Lermann y Roussis 10,67,68 ; y, en general, algo más alta que la mayoría de estudios en los que la edad media está alrededor de los 44 -48 años [11][12][13]16,18,19,21 . El que la media de edad sea algo mayor podría influir en la función sexual, encontrando menos cambio a mejor tras la histerectomía.…”

Section: Discussionunclassified

“…En un intento de resolver dichas dudas, se han realizado y publicado multitud de revisiones y estudios sin llegar a ninguna conclusión, ya que algunos de ellos deducen que la histerectomía no provoca cambios en la sexualidad de la mujer [9][10][11][12][13] , otros que la mejora 1,[14][15][16]6 mientras que otros encuentran un deterioro de la misma 3,4,12,[16][17][18][19] .…”

Section: Introductionunclassified

Función Sexual Tras 9 Meses De Una Histerectomía : Comparación De Los Resultados Del Cuestionario De Salud Sexual Fsm® Versus Percepción Subjetiva De La Mujer

Parra¹,

Merlo²,

Mirasol³

et al. 2017

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“…8,9 However, their relative contributions to sexual satisfaction may not be significant, according to studies that demonstrate improved sexual functioning following hysterectomy for benign disease.…”

Section: Cervixmentioning

confidence: 95%