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

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