Sexuality in Women After Hysterectomy

Brihastami Sawitri, Nalini Muhdi
In: Jurnal Psikiatri Surabaya · 2020 · vol. 8(2) , pp. 47 · doi:10.20473/jps.v8i2.19534 · W3044561860
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews the psychological and physical complications of hysterectomy on women's sexuality and discusses therapeutic interventions for managing post-operative sexual dysfunction.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper overviews sexuality and sexual dysfunction in women after hysterectomy, discussing expected physical and psychological complications, including altered body image, self-esteem, and potential depression. It describes hysterectomy as a stressor and notes that while many women are anxious about sexual effects, few feel comfortable discussing sexuality with health professionals, with traditional management often falling to psychiatry. It outlines potential assessment and management approaches spanning pharmacotherapy, relaxation, behavior and group therapy, and various sex-therapy modalities, while acknowledging that evidence and discussion are largely framed as general clinical guidance rather than a single controlled study. The 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

Hysterectomy is the most common major gynecological surgeries, with up to 39,4% women will experience it during her lifetime. This procedure can be stressful for women as half of them will experience mild to severe physical and psychological complications. Uterus removal is often associated with de-feminization, castration, being disabled and loss of wholeness which may alter body image and self-esteem, ultimately lead to depression. Most women are anxious on how hysterectomy affect their sexuality, but only few feel comfortable discussing this essential matter to health professionals. The evaluation and management of sexual dysfunction had been the traditional province of psychiatrist. Psychiatrists should fulfill their competencies by updating knowledge on sexuality and sexual dysfunction, improving communication skill, being comfortable with own sexuality and discussing sexuality with other. Pharmacotherapy, relaxation techniques, behavior therapy, group therapy, analytical oriented sex therapy, dual-sex therapy and other techniques or exercises are some modalities option which may help women with sexual difficulties post-hysterectomy.

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