الفهرس 
Female SexualityOnly 14 pages are availabe for public view
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Abstract
Background: Female sexual dysfunction affects the entire spectrum of ages, races, and socioeconomic backgrounds. Since many conditions and personal experiences adversely affect sexual health, it is not surprising that the prevalence of female sexual dysfunction (FSD) is high, ranging from 30 to 50%. Hysterectomy is the most commonly performed operation in gynecology practice. It is estimated that 40% of women will undergo this operation before they reach age 64, and 90% of these surgeries are due to benign reasons.
Objective: To evaluate the effect of abdominal and laparoscopic hysterectomy on sexual functions.
Patients and Methods: A total number of 70 patients aged between 30 to 50 years old. Patients who had been sexually active and underwent hysterectomy for benign causes were included in the study. The patients who had sexual dysfunction or inactive sexual life, patients who developed complications in the post-operative period, the patients who had concurrent vaginal operation and the patients who did not want to continue were excluded from the study. Patients were divided into two groups according to the surgical treatment: the total abdominal hysterectomy group and the total laparoscopic hysterectomy group.
Results: Both groups are comparable regarding the age, BMI and partner age. Despite there were slight increase in the female sexual function index (FSFI) score in both groups (which means slight increases in the sexual function) after operation, there were no statistically significant difference before and after operation in both groups except in the scores associated with lubrication in the TAH group and in the total score in the TLH group.
Conclusion: The results of this study showed that there was no significant improvement in the sexual functions after hysterectomy in the TAH group but the score showed statistically significant increase in the TLH group score after the operation. There are discrepancies in the literature as to whether hysterectomy improves or attenuates sexuality. Hysterectomy may alleviate the discomfort of pain and bleeding. While women report an improvement of sexual functioning after hysterectomy, this may be the result of the relief of symptoms (such as vaginal bleeding and dyspareunia) from the uterus; some women develop sexual dysfunction as a result of hysterectomy.