Features of sexual function of women are after hysterectomy of different volume

Abstract

DOI: 10.52705/2788-6190-2024-03.1-08
UDC 618.1-071:616.35-018

The objective: to estimate influence of different volume of hysterectomy on the sexual function
of women.
Materials and methods. By us 150 women of perimenopausal period, middle age of which made
46,9±1,1 year, were inspected. To 120 women with different gynaecological diseases was done
hysterectomy, thus a 1 clinical group was made by 60 patients which was done hysterectomy
without appendages; 60 patients after hysterectomy with appendages were 2 clinical group, and
in the group of control 30 women entered without operative treatment in anamnesis.
The studies of sexual function conducted by a questionnaire on the exposure of sexual violations
for women. A questionnaire consists of six groups of assertions and patient independently choose
the most proper from the offered variants.
Results. Violations of sexual function after total hysterectomy appeared more frequent than
after subtotal and made respectively to 51,7% and 34,5%. These indexes substantially exceeded
information both for the patients of group of comparison and for healthy women. An obvious
tendency was in addition, traced to the increase of frequency of sexual disorders for the operated
patients with the increase of duration of postoperative period.
After the conduct of ball estimation of results of questioning of description of sexual function it is
discovered by us: changes of sexual function are in the group of women which carried subtotal
hysterectomy appeared mild degree of expression – 7,2±0,8 point, in the group of patients after
the extirpation uterus of middle degree of expression - 11,6±1,1 point, that displays of sexual
changes after total hysterectomy 1,5 time had more considerable, than after subtotal.
Conclusions. The results of the conducted researches testify that the changes of sexual function
of patients depend on the volume of the carried operative interference and carry the expression
enough character. Specifies findings on the necessity of development of complex of rehabilitation
measures for