Physical, psychological and sexual effects in multi‐ethnic Malaysian women who have undergone hysterectomy

Li Ping Wong, Kulenthran Arumugam
In: Journal of Obstetrics and Gynaecology Research · 2012 · vol. 38(8) , pp. 1095–1105 · doi:10.1111/j.1447-0756.2011.01836.x · PMID:22540215 · W1482592126
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This study investigated the physical, psychological, and sexual effects of hysterectomy in multi-ethnic Malaysian women, finding that household income, age, and ethnicity were significantly associated with these outcomes.

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Abstract

AIM: The postoperative effects on Asian women after hysterectomy have not been fully explored. This study was undertaken to investigate the physical, psychological and sexual functioning effects in multi-ethnic Malaysian women who have undergone hysterectomy. MATERIAL AND METHODS: A cross-sectional questionnaire-based study was conducted on women who underwent hysterectomy at the Gynecological Outpatient Clinic, University of Malaya Medical Center between November 2008 and October 2009. RESULTS: Postoperative physical and psychological effects were common. Participants with higher household income had a significantly lower number of physical and psychological problems. Young women were more likely to experience psychological effects. There were significant differences between ethnic groups in physical and psychological symptoms. A multivariate model to determine factors associated with sexual functioning identified the importance of sexual relationship, spouse or partner's attitudes, and ethnic groups as significant covariates. CONCLUSION: The findings underscore the importance of ethnic-based approaches to counseling to mitigate the psychological effects of hysterectomy and to focus on young women with low socioeconomic status.

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