Sexuality after total abdominal hysterectomy in Srinagarind Hospital.

In: Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2006 · vol. 89 Suppl 4 , pp. S112–7 · PMID:17726814 · W2181859901
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Total abdominal hysterectomy in north-eastern Thai women significantly decreased dyspareunia and increased sexual desire, coitus frequency, and overall sexual quality six months post-surgery.

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Abstract

OBJECTIVE: To determine the effects on sexuality after Total Abdominal Hysterectomy (TAH) in north-eastern Thai women. DESIGN: Prospective descriptive study. SETTING: Srinagarind Hospital, Faculty of Medicine, Khon Kaen University from December 2004 to May 2006. MATERIAL AND METHOD: 80 married women, equal or less than 45 years old, which indicated for TAH with or without unilateral salpingo-oophorectomy. All patients had to attend the first questionnaire before surgery. The second and third questionnaires would be collected by mail in 3 and 6 months after surgery. MAIN OUTCOME MEASURES: Frequency of dyspareunia, sexual desire, coitus, masturbation, and the quality of sexuality after TAH. RESULTS: The frequency of dyspareunia was decreased from 91.25% before TAH to 5% in 6 months after TAH (95% CI 1.19-1.61, p < 0.05). The frequency of sexual desire was increased from 55% before TAH to 88.75% in 6 months (95% CI 0.22-0.61, p < 0.05). The frequency of coitus was increased from 38.75% before TAH to 96.25% in 6 months after TAH (95% CI 0.54-0.98, p < 0.05). Normal sexual relations were increased from 53.8% before TAH to 85% in 6 months after TAH (95% CI 0.20-0.47, p < 0.05). CONCLUSION: Sexuality was significantly improved overall after TAH and these might be the strong positive effects of TAH on sexual function.

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dyspareunia

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