A review of hysterectomy and its effect on female sexual function

Abstract

It has been argued that hysterectomy has a negative impact on female sexual functioning, possibly as the result of a multifactorial interplay of postsurgical changes in pelvic anatomy, hormonal influences, and psychological factors. Most hysterectomies are performed for benign gynecologic conditions, and most studies of posthysterectomy female sexuality have been done on women who have had hysterectomies for benign conditions. We are finding that as attitudes toward the use of hysterectomies evolve (ie, the increased use of hysterectomies for malignant and benign conditions), the focus on hysterectomy’s potential impact on sexual functioning also evolves. Increasing attention is being directed to the sexual impact on patients who have hysterectomies for malignant conditions. This review focuses on hysterectomy for both benign and malignant conditions. We use supporting evidence to highlight the similarities and differences in outcomes.