Impactul histerectomiei pentru patologia benignă asupra calităţii vieţii pacientelor – experienţa noastră

Georgiana-Ionela Simionca, Romina‐Marina Sima, Denisa-Oana Bălălău, Tina-Ioana Bobei, Gabriel-Petre Gorecki, Liana Pleș
In: Ginecologia.ro · 2023 · vol. 2(40) , pp. 30 · doi:10.26416/gine.40.2.2023.8067 · W4379797450
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study surveyed 50 patients after hysterectomy for benign conditions, finding that while some experienced sexual dysfunction, 62% reported no negative impact on their sex life.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective observational study evaluated 50 women (mean age in the 40s) who underwent total hysterectomy with bilateral adnexectomy for benign indications, using a telephone questionnaire about sexual life before versus after surgery. Preoperative symptoms reported included metrorrhagia (43%), menorrhagia (39%), pelvic-abdominal pain (24%), and secondary anemia (20%), and most had an abdominal approach (94%). After surgery, sexual contact changes were reported by a subset of participants, including anxiety (25%), dyspareunia (13%), vaginal dryness (6%), bleeding during/after sex (4%), and anorgasmia (2%), while 62% stated their sex life was not significantly affected; pleasure was unchanged in 52%, with 40% reporting moderate intensity postoperatively. The paper’s limitations are that it is a single-center, retrospective questionnaire experience with a small sample, and it does not provide details beyond self-reported outcomes about baseline sexual function or follow-up timing. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Introduction. Sexual life has a major importance in a wo­man’s life during premenopause and beyond. Hys­te­rec­to­my for benign conditions is a frequent surgical intervention in gyne­cology, indicated for benign reasons. That can cause va­rious issues regarding physical and psychological well-be­ing, both physical and psychological. Materials and me­thod. In our study, we chose 50 patients who had total hysterectomy with bilateral adnexectomy in a period of one year. They were interviewed using a telephone ques­tion­naire, which included questions about the sexual life before and after the operation. Results. The study re­vealed preoperative symptoms such as metrorrhagia (43%), menorrhagia (39%), pelvic-abdominal pain (24%), se­con­da­ry anemia (20%) and other related symptoms (2%). After the surgery, the sexual life was affected, and the pa­tients complained about anxiety in 25% of cases, pain du­ring sexual contact (13%), vaginal dryness (6%), bleeding du­ring or after sexual contact (4%) and anorgasmia (2%). How­ever, most of the patients declared that their sex life was not affected after the surgical intervention (62%), while the rest (38%) answered affirmatively. Conclusions. The low quality of sexual life can lead to changes in behavior, in the perception of her own body, to lower self-esteem and subsequently to a lower quality of life, but this is not sig­ni­fi­cant­ly affected by hysterectomy.

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