HYSTERECTOMY, HORMONES, AND BEHAVIOUR A Prospective Study

Psychosocial effects of hysterectomy

“…In addition, the systematic exclusion of hysterectomy patients with depression, sexual dysfunction, and low socioeconomic status (SES) represents a threat to the representativeness of the sample [39,45,46]. Although it is important to know whether patients underwent surgery because of a life-threatening disease (i.e., cancer), the indications for hysterectomy have often not been specified or have been mixed together [44,47,48]. Furthermore, there has been little differentiation with regard to hysterectomy type (e.g., total vs. subtotal) or surgical technique (vaginal, abdominal, laparoscopic, or combined; [49 -51]).…”

“…While empirical evidence from retrospective studies suggest an impairment in women's orgasmic response posthysterectomy [52,81], most prospective studies do not support such a decline [39,48,53,61,69,82]. However, according to a study by Virtanen et al [61], 21% of hysterectomy patients reported decreased orgasmic frequency following total hysterectomy.…”

Inhibitory effect of the uterus on plasma and pituitary FSH in rats

“…Decreased FSH concentration was found in the plasma of patients with endometrial carcinoma (Benjamin & Deutsch, 1976), thus indirectly suggesting an inhibitory role of the uterus. On the other hand, there was no change in plasma FSH and LH concentrations after hysterectomy in women operated for menorrhagia (Coppen, Bishop, Beard et al 1981).…”

La fonction érotique après hystérectomie

“…Le Tableau 1 [1,[5][6][7][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] La plupart des études ne montraient pas de diminution significative de la libido par rapport à l'état pré-opératoire (diminution variant de 0 à 40 %). À l'exception de l'étude de Kilkku [1], la majorité des auteurs ont trouvé que l'orgasme était inchangé et même plutôt augmenté après l'opération.…”