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Korean Journal of Obstetrics & Gynecology 2005;48(2):428-435.
Published online February 1, 2005.
The effects of total and supracervical hysterectomy on sexual function.
Heajoong Cho, Jejung Lee, Seongnam Park, Sanghun Jung, Kyunghee Ko, Giyeon Hong
Department of Obstetrics and Gynecology, College of Medicine, Wonkwang University, Iksan, Korea. chohj69@hanmail.net
Abstract
OBJECTIVE
The aim of this study was to analyze the effects of total abdominal hysterectomy (TAH) versus supracervical hysterectomy (SCH) on sexual function in patients with non-malignant conditions. METHODS: We choose fifty patients who were operated by SCH and forty-six patients who were operated by TAH. They were interviewed that effects of the two operations on sexual desire, coital frequency, quality and frequency of orgasms, post-op development of dyspareunia and overall sexual satisfaction. RESULTS: 1. The sexual desire significantly decreased in TAH group compared with SCH group (46% vs 8%, P<0.001). And the coital frequency also decreased in TAH group (48% vs 6%, P<0.001). 2. Orgasm frequency and quality decreased in more patients with TAH compared with SCH (22% vs 2%, 33% vs 2%). 3. After SCH and TAH, there was no change in dyspareunia and significantly decreased sexual satisfaction was noted in TAH group (35% vs 4%). CONCLUSION: It suggest that TAH patients experienced worse postoperative sexual function than SCH patients. therefore, it should be considered to conserving the cervix at hysterectomy.
Key Words: Supracervical hysterectomy, Sexual function


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