Determination of Sexual Functioning and Factors Affecting Sexual Functions of Women Following Abdominal and Vaginal Hysterectomy

Year 2024, , 119 - 127, 20.03.2024

Sibel Peksoy Kaya , Füsun Terzioğlu

https://doi.org/10.53424/balikesirsbd.1221224

Abstract

Objective: The study was designed as an analytic and descriptive study to determine sexual functioning and the factors affecting sexual functions in women undergoing abdominal and vaginal hysterectomy. Materials and Methods: Based on the power calculation, 120 women (Abdominal hysterectomy=60; Vaginal hysterectomy=60) were included in the study. The study data were collected using “Demographic and Individual Information Form”, “Female Sexual Function Index (FSFI)”, and “Beck Depression Inventory (BDI)”. Results: The mean FSFI scores were similar in women who underwent abdominal hysterectomy (22.73±6.94) and vaginal hysterectomy (20.84±8.22) (p>0.05). There was a significant relationship between the mean FSFI score and age, menopausal status, and changes in sexual life after hysterectomy in women in both groups (p<0.05). In women undergoing hysterectomy, there was a negative correlation between FSFI and BDI scores (p<0.05). Conclusion: The mean FSFI score of women who had abdominal and vaginal hysterectomy were similar. In both types of hysterectomy, depression, advanced age and being in menopause affected sexual function negatively. For this reason, it is thought that it is significant increase of the variables that may affect women's sexuality (i.e. age, menopause, depression, etc.) and to inform women about their sexual lives in this process, in the training and counseling services that health care professionals will provide for both hysterectomy groups.

Keywords

Abdominal Hysterectomy, Vaginal Hysterectomy, Sexuality, Depression

Supporting Institution

-

Project Number

-

Thanks

-

Abdominal and Vajinal Histerektomi Sonrası Kadınların Cinsel İşlev Durumlarının ve Etkileyen Faktörlerin Belirlenmesi

Abstract

Amaç: Bu çalışma, abdominal ve vajinal histerektomi sonrası kadınların cinsel işlev durumlarını ve etkileyen faktörleri belirlemek amacıyla analitik ve tanımlayıcı olarak yapıldı. Gereç ve Yöntem: Güç hesaplamasına göre 120 kadın (Abdominal histerektomi=60; Vajinal histerektomi=60) çalışmaya dahil edildi. Araştırma verileri “Sosyo-demografik ve Bireysel Bilgi Formu”, “Kadın Cinsel İşlev Ölçeği (KCİÖ)” ve “Beck Depresyon Ölçeği (BDÖ)” kullanılarak toplandı. Bulgular: Abdominal histerektomi (22,73±6,94) ve vajinal histerektomi (20,84±8,22) geçiren kadınlarda FSFI puan ortalamaları benzerdi (p>0,05). Her iki gruptaki kadınlarda histerektomi sonrası KCİÖ puan ortalaması ile yaş, menopoz durumu ve cinsel yaşamdaki değişiklikler arasındaki ilişki anlamlıydı (p<0,05). Histerektomi sonrası kadınlarda, KCİÖ ve BDÖ puanları arasında negatif bir korelasyon vardı (p<0,05). Sonuç: Abdominal ve vajinal histerektomi geçiren kadınların KCİÖ puan ortalaması benzerdir. Her iki histerektomi tipinde de depresyon, ileri yaş ve menopozda olma cinsel işlevi olumsuz etkilemekteydi. Bu nedenle sağlık profesyonellerinin her iki histerektomi grubuna vereceği eğitim ve danışmanlık hizmetlerinde, kadınların cinselliklerini etkileyebilecek değişkenlere (yaş, menopoz ve depresyon gibi) ilişkin farkındalıklarının artırılması ve kadınların bu süreçte cinsel yaşamlarına yönelik bilgilendirilmesinin önemli olduğu düşünülmektedir.

Keywords

Abdominal Histerektomi, Vajinal Histerektomi, Cinsellik, Depresyon

Project Number

-

References

• Alshawish, E. (2021). Perspective of women about her body after hysterectomy. Abduljabbar H, ed. Fibroids, London: IntechOpen. https://doi.org/10.5772/intechopen.94260
• Alshawish, E., Qadous, S., & Ala'a, Yamani, M. (2020). Experience of Palestinian women after hysterectomy using a descriptive phenomenological study. The Open Nursing Journal, 14, 74-79. https://doi.org/10.2174/1 874434602014010074
• Aygin, D., & Eti-Aslan, F. (2005). The Turkish adaptation of the female sexual function index. Turkiye Klinikleri Journal of Medical Sciences, 25(3), 393–399. https://www.turkiyeklinikleri.com/article/tr-kadin-cinsel-islev-olceginin-turkceye-uyarlamasi-36254.html
• Ayoubi, J. M., Fanchin, R., Monrozies, X., Imbert, P., Reme, J. M., & Pons, J. C. (2003). Respective consequences of abdominal, vaginal, and laparoscopic hysterectomies on women’s sexuality. European Journal of Obstetrics & Gynecology and Reproductive Biology, 111(2), 179–182. https://doi.org/10.1016/s0301-2115(03)00213-6
• Aziz, A., Bergquist, C., Nordholm, L., Möller, A., & Silfverstolpe, G. (2005). Prophylactic oophorectomy at elective hysterectomy: Effects on psychological well-being at 1-year follow-up and its correlations to sexuality. Maturitas, 51(4), 349–357. https://doi.org/10.1016/j.mat uritas.2004.08.018
• Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. https://doi.org/ 10.1001/archpsyc.1961.01710120031004
• Butt, J. L., Jeffery, S. T., & Van der Spuy, Z. M. (2012). An audit of indications and complications associated with elective hysterectomy at a public service hospital in South Africa. International Journal of Gynecology & Obstetrics, 116(2), 112–116. https://doi.org/10.1016/j.ij go.2011.09.026
• Çayan, S., Akbay, E., Bozlu, M., Canpolat, B., Acar, D., & Ulusoy, E. (2004). The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urologia Internationalis, 72(1), 52–57. https://doi.org/10.1159/ 000075273
• Danesh, M., Hamzehgardeshi, Z., Moosazadeh, M., & Shabani-Asrami, F. (2015). The effect of hysterectomy on women’s sexual function: A narrative review. Medical Archives. 9(6), 387. https://doi.org/10.5455/medarh.20 15.69.387-392
• Dedden, S. J., van Ditshuizen, M. A. E., Theunissen, M., & Maas, J. W. M. (2020). Hysterectomy and sexual (dys)function: An analysis of sexual dysfunction after hysterectomy and a search for predictive factors. European journal of obstetrics, gynecology, and reproductive biology, 247, 80–84. https://doi.org/10.1 016/j.ejogrb.2020.01.047
• Desai, S., Shukla, A., Nambiar, D., & Ved, R. (2015). Patterns of hysterectomy in India: a national and state-level analysis of the Fourth National Family Health Survey (2015-2016). Family Health Survey, 126(S4), 72–80. https://doi.org/10.1111/1471-0528.1585 8
• Desai, S., Campbell, O. M., Sinha, T., Mahal, A., & Cousens, S. (2017). Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India. Health policy and planning, 32(1), 68–78. https://doi.org/10.1093/heapol /czw099
• Durukan-Duran, A., & Sinan, Ö. (2020). Doğal ve cerrahi menopoza giren kadınlarda cinsel fonksiyon bozukluklarının ve depresyon durumlarının belirlenmesi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 150–156. https://doi.org/10.30934/kusbed.633350
• Egbe TO, Kobenge FM, Arlette MMJ, Eta-Nkongho E, Nyemb JE, et al. (2018) Prevalence and outcome of hysterectomy at the Douala General Hospital, Cameroon: A Cross-Sectional Study. Obinchemti, E.T., Mbi, K.F., Junette, A.M., Eta-Nkongho, E., Ernest, N.J., & Enow, M.R. (2018). Prevalence and Outcome of Hysterectomy at the Douala General Hospital, Cameroon: A Cross-Sectional Study. International Journal of Surgery Research and Practice, 5, 092. https://doi.org/110.23937/2378-3397/14 10092
• Erdoğan, E., Demir, S., Çalışkan, B. B., & Bayrak, N. G. (2020). Effect of psychological care given to the women who underwent hysterectomy before and after the surgery on depressive symptoms, anxiety and the body image levels. Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology, 40(7), 981–987. https://doi.org/10.1080/01443615.2019.16785 74
• Gercek, E., Dal, N. A., Dag, H., & Senveli, S. (2016). The information requirements and self-perceptions of Turkish women undergoing hysterectomy. Pakistan journal of medical sciences, 32(1), 165–170. https://doi.org/10.126 69/pjms.321.7962
• Güven, D., Kilico, I., Koçak, I., & Üstün C. (2010). Hysterectomy-related morbidity and mortality rates in Turkey from 1999 to 2008. Journal of Endometriosis, 2(1), 41-44. https://doi.org/10.1177/22840265100020 0107
• Harvey, S. V., Pfeiffer, R. M., Landy, R., Wentzensen, N., & Clarke, M. A. (2022). Trends and predictors of hysterectomy prevalence among women in the United States. American journal of obstetrics and gynecology, 227(4), 611.e1–611.e12. https://doi.org/10.1016/j.ajog.2 022.06.028
• Hisli, N. (1988). A study on the validity of the Beck Depression Inventory. Turkish Journal of Psychology, 6(22), 118–126. https://www.psikolog.org.tr/tr/yayinlar/dergiler/
• Hisli, N. (1989). The validity and reliability of Beck Depression Inventory for university students. Turkish Journal of Psychology, 7(23), 3–13. https://www.psikolog.org.tr/ tr/yayinlar/dergiler/
• Jones, H., & Rock, J. (2015). Abdominal hysterectomy, vaginal hysterectomy. In: Jones H, Zimmerman C, ed. Te Linde’s Operative Gynecology. 11th ed. p.697-735. Wolters Kluwer.
• Kamal, Ali, F., Abd, El, Aliem, R. S., & Hassan, H. M. (2022). Effect of nursing approach based on roy's adaptation model on sexual function and health promoting behaviors of women after hysterectomy. Assiut Scientific Nursing Journal, 10(32), 182-198. https://doi.org/10.21608/as nj.2022.161378.1430
• Körpe, B., Yorganci, A., & Evliyaoğlu Bozkurt, Ö. (2022). Quality of life and sexual function after abdominal versus laparoscopic hysterectomy: a prospective study. Minerva obstetrics and gynecology, 74(2), 137–145. https:// doi.org/10.23736/S2724-606X.21.04741-2
• Lycke, K. D., Kahlert, J., Damgaard, R., Mogensen, O., & Hammer, A. (2021). Trends in Hysterectomy Incidence Rates During 2000-2015 in Denmark: Shifting from Abdominal to Minimally Invasive Surgical Procedures. Clinical epidemiology, 13, 407–416. https://doi.org/ 10.2147/CLEP.S300394
• Lonnée-Hoffmann, R., & Pinas, I. (2014). Effects of hysterectomy on sexual function. Current Sexual Health Reports, 6(4), 244. https://doi.org/10.1007/s11930-014-0029-3
• Meston, C. M., & Bradford, A. B. (2007). A brief review of the factors influencing sexuality after hysterectomy. Sexual and Relationship Therapy, 19(1), 5–14. https://doi .org/10.1080/14681990410001640790
• Onat-Bayram, G. (2005). The determination effects of hysterectomy on sexual life. (Master thesis), İstanbul University Institute of Health Sciences.
• Onat-Bayram, G., & Hotun-Şahin, N. (2008). Hysterectomy’s Psychosexual Effects in Turkish Women. Sexuality and Disability, 26, 149–158. https://doi.org/10.1007/s11195-008-9085-9
• Onat-Bayram, G., & Kizilkaya-Beji, N. (2010). Psychosexual adaptation and quality of life after hysterectomy. Sexuality and Disability, 28, 3–13. https://doi.org/10. 1007/s11195-009-9143-y
• Orhan, A., Ozerkan, K., Kasapoglu, I., Ocakoglu, G., Cetinkaya Demir, B., Gunaydin, T., & Uncu, G. (2019). Laparoscopic hysterectomy trends in challenging cases (1995-2018). Journal of gynecology obstetrics and human reproduction, 48(10), 791–798. https://doi.org/10.1016/ j.jogoh.2019.06.007
• Radosa, J. C., Meyberg-Solomayer, G., Kastl, C., Radosa, C. G., Mavrova, R., Gräber, S., Baum, S., & Radosa, M. P. (2014). Influences of different hysterectomy techniques on patients’ postoperative sexual function and quality of life. The Journal of Sexual Medicine, 11(9), 2342–2350. https://doi.org/10.1111/jsm.12623
• Rehan, M. K., Qasem, E. A., El, Malky, M. E., Elhomosy, S. M. (2023). Effect of Psychosexual Counseling Program on Sexual Quality of Life among Post-Hysterectomy Women. Menoufia Nursing Journal, 8(1), 61-79. https:// doi.org/10.21608/MENJ.2023.288829
• Rodríguez, M. C., Chedraui, P., Schwager, G., Hidalgo, L., & Pérez-López, F. R. (2012). Assessment of sexuality after hysterectomy using the Female Sexual Function Index. Journal of Obstetrics and Gynaecology, 32(2), 180–184. https://doi.org/10.3109/01443615.2011.634035
• Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R., Jr (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191–205. https://doi.org/10.10 80/009262300278597
• Rout, D., Sinha, A., Palo, S. K., Kanungo, S., & Pati, S. (2023). Prevalence and determinants of hysterectomy in India. Scientific reports, 13(1), 14569. https://doi.org/10.1038/ s41598-023-41863-2
• Seçkin, K. D., Karslı, M. F., Yücel, B., Kabakçı, M., Kadiroğulları, P., Aslan-Barut, S., Gündüz, N., & Yıldırım, G. (2015). The Evaluation of clinical indications, histopathologic findings and surgical methods routes for hysterectomy, A Tertiary Referral Center Experience. İKSST Dergisi, 7(3), 116-120. https:// doi.org/10.5222/iksst.2015.116
• Skorupska, K., Wawrysiuk, S., Bogusiewicz, M., Miotła, P., Winkler, I., Kwiatkowska, A., & Rechberger, T. (2021). Impact of Hysterectomy on Quality of Life, Urinary Incontinence, Sexual Functions and Urethral Length. Journal of clinical medicine, 10(16), 3608. https:/ /doi.org/10.3390/jcm10163608
• Sözeri-Varma, G., Kalkan-Oğuzhanoğlu, N., Karadağ, F., & Özdel, O. (2011). The effect of hysterectomy and/or oophorectomy on sexual satisfaction. Climacteric, 14(2), 275–281. https://doi.org/10.3109/13697137.2010.532251
• Tahaoglu, A. E., Balsak, D., Togrul, C., Obut, M., Tosun, O., Cavus, Y., Bademkiran, H., & Budak, S. (2016). Emergency peripartum hysterectomy: our experience. Irish journal of medical science, 185(4), 833–838. https:// doi.org/10.1007/s11845-015-1376-4
• Thakar R. (2015). Is the Uterus a Sexual Organ? Sexual Function Following Hysterectomy. Sexual medicine reviews, 3(4), 264–278. https://doi.org/10.1002/smrj.59
• Yang, Y., Chao, Y., Chen, Y., & Yao, G. (2006). Changes and factors influencing health-related quality of life after hysterectomy in premenopausal women with benign gynecologic conditions. Journal of the Formosan Medical Association = Taiwan yi zhi, 105(9), 731–742. https:/ /doi.org/10.1016/S0929-6646(09)60201-1
• Yeoum, Sç, & Park, C. (2005). Adjustment after a hysterectomy. Taehan Kanho Hakhoe chi, 35(6), 1174–1182. https://doi.org/10.4040/jkan.2005.35.6.1174
• Yildirim, G. Y., Koroglu, N., Akca, A., Talmac, M., Dikmen, S., Yıldırım, G., Polat, I., & Ozdemir, I. (2021). What is new in peripartum hysterectomy? A seventeen year experience in a tertiary hospital. Taiwanese journal of obstetrics & gynecology, 60(1), 95–98. https://doi.org/ 10.1016/j.tjog.2020.11.014
• Yılmaz, K. (2019). The effectiveness of nursing support program developed for women undergoing hysterectomy. (Master thesis), İstanbul University-Cerrahpaşa, Institute of Graduate Studies.