The impact of unilateral oophorectomy on physical status and sexual functioning of women

Abstract

93 patients who had undergone unilateral oophorectomy for benign pathologies were interviewed. The investigators were interested in their opinion on the outcomes of performed surgery in regard to the physical status, psychologic well-being and sexual life before, during disease and after operation. The results оf complex investigations showed that 38,7% women didn’t have alterations in their sexuality after unilateral oophorectomy, 37,6% respondents reported improvement in their sexual life after surgery and 23,6% reported deterioration. The improvement in patient’s sexuality was due to the relief of dyspareunia after the operation (31,4%), the improvement in interpersonal relationships and the natural process of sexual adaptation (68,6%). Worsening in sexual life was caused by various postoperative endocrine dysfunctions and estrogen deficiency (59,1%> of patients) leading to decrease in libido, impaired lubrication resulted in dyspareunia. In 40,9% of patients sexual dysfunction was induced by different psychotraumatic situations resulted or not from the surgery itself.

Keywords

ovariectomy / somatic condition / sexual function / dyspareunia / psychotraumatic situations

References

[1] Бенедиктов Д. И., Сапир М.В. Последствия односторонней овариоэктомии у женщин репродуктивного возраста. //Акуш. и гин. - 1991. - №4. - С. 57-59.

[2] Менделевия В.Д. Сексуальные расстройства у женщин, перенесших хирургическую кастрацию. Тез. Докл. IV обл. научно-практич. конф. сексопатологов. - Актуальные аспекты диагностики, организации лечебного процесса и реабилитации больных с сексуальными расстройствами. - Харьков, 1990., С. 109-110.

[3] Полоцкий Е.Е. Отдалённые результаты одностороннего удаления яичника и сохраняющих операций на яичнике. Акушерско- гинекологическая практика. Под ред. А.Э. Мандельштама., Л., 1960., С. 113-8.

[4] Свядощ А.М. Женская сексопатология., СПб., Питер., 1998. - 286 с.

[5] Уварова Е.В., Вихляева E.М., Талина И.С. Восстановительное лечение и метаболическая реабилитация больных миомой матки переходного возраста после операции. //Акуш. и гин. - 1982. - № 6. - С. 26-30.

[6] Яропольская Г.Н. Отдаленные результаты удаления овариальных кист по материалам гинекологических отделений б-цы им. Мечникова. Юбилейный сборник, посвящённый проф. М.В. Ёлкину. - Л., 1939.- С. 144-155.

[7] Beard R.W., Kennedy R.G., Gangar K.F., Stones R.W., Rogers V., Reginald P. W., Anderson M. Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion. //Br. J. Obstet. Gynecol. 1991 Oct, 98(10): 988-92.

[8] Bellerose S.B.; Binik Y.M. Body image and sexuality in oophorectomized women. //Arch. Sex. Behav. 1993 Oct., 22(5): 435- 59.

[9] Bielawska Batorowicz E. Removal of the uterus and ovaries and the opinion of women postoperatively. // Pol. Tyg. Lek. 1991, Apr. 22-29; 46 (17-18): 349-51.

[10] Giannone R., Bernorio R., Poli M., Panizzardi G., Piacezzi C. [Changesin sexual behavior of women receiving substitution therapy after surgical menopause and women in physiological menopause.] // Minerva Ginecol., 1992Apr; 44(4): 165-71.

[11] Kaplan H.S., Owett T. The female androgen deficiency syndrome. //J. Sex. Marital. Then, 1993, Spring; 19 (1):3-24.

[12] Nathorst Boos J., von Schoultz B. Psychological reactions and sexual life after hysterectomy with and without oophorectomy. // Gynecol. Obstet. Invest., 1992,34(2): 97-101.

[13] Nathorst-Boos J., von Schoultz B., Carlstrom K. Elective ovarian removal and estrogen replacement therapy- - effects on sexual life, psychological well-being and androgen status. //J. Psychosom. Obstet. Gynaecol., 1993, Dec; 1 (4): 283-93.

[14] Parker M., Bosscher J., Barnhill D., Park R. Ovarian management during radical hysterectomy in the premenopausal patient. // Obstet. Gynecol. 1993, Aug., 82(2): 187-90.

[15] Waxenberg S.E., DreiIich M.G., Sutherland A.M. The role of hormones in human behavior. I. Changes in female sexuality after adrenalectomy. //J. Clin. Endocr. Metab., 1959, Feb., 19(2): 193-202.

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