[Female sexual response after hysterectomy]. 1983

K Sakai, and T Yamamoto, and H Kamiya

A total of 214 patients who had undergone total hysterectomy were asked to answer a specially designed questionnaire. Those patients who had undergone bilateral oophorectomy, had no partner or who had received a high score on the Lie Scale were excluded from this study. Out of 171 patients, 67 patients (39.2%) complained of a deterioration of sexual desire. Coital frequency was found to have decreased in 65 patients (38.0%), while 80 patients (46.8%) stated that coital frequency had either not changed or had improved. Vaginal lubrication was seen to decrease in 79 patients (46.2%) and to increase or remain unchanged in 72 patients (42.1%). After hysterectomy, 77 patients (52.0%) felt a loss of femininity. In this group, 54 patients (70.1%) complained of a decrease in vaginal lubrication. On the other hand, in another group whose members felt no loss of femininity, a decrease in vaginal lubrication was found in only 25 patients (35.2%). There were 39 patients (27.1%) who had felt a loss of uterine sensation during coitus after hysterectomy. In this group, 27 patients (69.2%) complained of a decrease in the ability to climax. On the other hand, the patients who had not felt any loss of uterine sensation during coitus reported no difficulty in achieving orgasm after hysterectomy in 86 out of 105 cases (81.9%).

UI MeSH Term Description Entries
D007044 Hysterectomy Excision of the uterus. Hysterectomies
D009948 Orgasm The climax of sexual excitement in either humans or animals. Sexual Gratification,Sexual Satisfaction,Gratification, Sexual,Orgasms,Satisfaction, Sexual,Sexual Gratifications,Sexual Satisfactions
D011184 Postoperative Period The period following a surgical operation. Period, Postoperative,Periods, Postoperative,Postoperative Periods
D003075 Coitus The sexual union of a male and a female, a term used for human only. Sexual Intercourse,Coital Frequency,First Intercourse,Coital Frequencies,First Intercourses,Frequencies, Coital,Frequency, Coital,Intercourse, First,Intercourse, Sexual,Intercourses, First
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001007 Anxiety Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS. Angst,Anxiousness,Hypervigilance,Nervousness,Social Anxiety,Anxieties, Social,Anxiety, Social,Social Anxieties
D014599 Uterus The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES. Fundus Uteri,Uteri,Uterine Cornua,Uterine Fundus,Uterus Cornua,Womb,Cornua, Uterine,Fundus Uterus,Fundus, Uterine,Uteri, Fundus,Wombs
D014621 Vagina The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed) Vaginas

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