The sexual medicine information session was held the day after our troops went into battle, but people in attendance were totally focussed on Dr. There are 3 types of hysterectomy: partial, where the cervix is left intact, complete, where the cervix is removed the most common procedure and radical, for cancer, where the lymph nodes and supporting structures are also removed. The uterus can be removed abdominally, vaginally or by LAVH, laparascopically assisted vaginal hysterectomy. If necessary, the ovaries can be removed through the vagina unless there is cancer. Removing the ovaries causes surgical menopause, and women have traditionally been prescribed estrogen therapy, but now there is a fear of this. In the US , hysterectomies are performed annually, triple the rate of the rest of the world. Before having a hysterectomy, you should find out the reason for it, treatment options, and long term side effects. Side effects of hysterectomy can include depression and loss of sexual response or desire. Most physicians do not think twice about the sexual side effects associated with hysterectomy. Desire, arousal, orgasm and pain disorders may all be seen post-hysterectomy.
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December , Volume Number 12 , page 65 - 68 [Free]. Join NursingCenter to get uninterrupted access to this Article. Hysterectomy is the second most frequent operation after cesarean section performed on adult American women; it's been estimated that one-third of them undergo the procedure by age My reviews of the literature on sexuality after hysterectomy indicate that many studies contain methodologic flaws, such as vague measures of sexual function and satisfaction. Nurses should be able to talk with patients before and after surgery, not only about the nature of the surgery and plans for recovery, but also about possible long-term consequences. Women often have questions, concerns, or perceptions about sexual functioning that they don't know how to talk about or are hesitant to discuss. The July Sexually Speaking column "Do Ask, Do Tell" addressed the barriers that keep nurses from initiating such conversations with patients. Nurses can also prepare themselves to present evidence-based information about sexuality and hysterectomy and offers strategies for opening a discussion. Older research suggests that until fairly recently, sexuality was rarely or never discussed with women undergoing hysterectomy. A literature review by Drummond and Field stated that "many women lack [basic] anatomical and physiological knowledge" about the female reproductive system and the effects of hysterectomy, including its possible effects on sexual response and libido.
How long should you wait before having sex after a hysterectomy?
A hysterectomy is surgery to remove the uterus womb — the hollow organ where babies grow and develop during pregnancy. Having this procedure can relieve pain and other symptoms from conditions like fibroids or endometriosis. And if you have uterine or cervical cancer, it could save your life.
The prevailing view in the literature is that hysterectomy improves the quality of life. This is based on claims that hysterectomy alleviates pain dyspareunia and abnormal bleeding , and improves sexual response. However, we note that almost all the papers we found reported that some of the women in their studies claim that hysterectomy is detrimental to their sexual response. Since clitoral sensation via pudendal and genitofemoral nerves should not be affected by hysterectomy, this surgery would not diminish sexual response in women who prefer clitoral stimulation. However, women whose preferred source of stimulation is vaginal or cervical would be more likely to experience a decrement in sensation and consequently sexual response after hysterectomy, because the nerves innervating those organs -- pelvic, hypogastric and vagus -- are more likely to be damaged or severed in the course of hysterectomy. The following quotes from women after total hysterectomy and bilateral oophorectomy are consistent with anecdotal comments to the present authors by women who have undergone this surgery:. Penetration is uncomfortable, and my orgasms are weaker…. It is currently estimated that more than , hysterectomies per year an average of more than one per minute are performed in the United States 3.