TITLE:
Consequences of Different Hysterectomy Techniques in Sexual Behavior―A Systematic Review
AUTHORS:
Ana Fátima Fernandes, Ana Izabel Nicolau, Camila Vasconcelos, Pricilla Alves, Ana Karina Pinheiro, Namie Sawada, Cristina Maria Galvão, Camila Moreira
KEYWORDS:
Hysterectomy; Sexual Behavior; Sistematic Review
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.6,
April
24,
2014
ABSTRACT:
We conducted a systematic
review of the literature to determine the influence of different hysterectomy
techniques in the sexual behavior of women who underwent. We searched CENTRAL
(The Cochrane Library), PubMed, SCOPUS, CINAHL and LILACS for studies between
the years 1998 and 2010 that prospectively examined the sexuality after
hysterectomy. Those that were not randomized controlled clinical trials were
excluded. It was not available electronically, it was not related with the
outcomes determined, it was not research, but publications before 1998 and
study which women realized chemotherapy and radiotherapy. From the 455
identified studies, 9 met inclusion criteria. There was variability in how
hysterectomies influence in the sexual behavior. Most of studies considered
women who underwent vaginal hysterectomy had fewer changes in sexual behavior.
Sexual desire, intercourse frequency and orgasm are the sexual aspects reported
by women as more changes experimented after surgery. Findings from this study
have implications for healthcare providers and policymakers. Each woman needs
an individualized care plan that fits within the context of her life, and there
are basic interventions that every woman who underwent hysterectomy should
receive. This review draws attention to the need for different care plans for
women who underwent different hysterectomy techniques.