Sexualidad e histerectomía: diferencias entre un grupo de mujeres con y sin ooforectomía

Abstract

Background: Bilateral oophorectomy, practiced at the time of hysterectomy, is understood as a prophylactic measurement for ovarian cancer, becoming the most frequently extracted healthy organ. Prophylactic oophorectomy has been reported at a frequency of 40-55% cases of hysterectomy. It has been demonstrated that women show a decrease of the sexual function after hysterectomy with bilateral oophorectomy more frequently than the women with hysterectomy only. Aim: To compare the characteristics of the sexuality in a group of women with and without oophorectomy, at the time of surgery and at6 months postoperative. Method: Analytical, longitudinal and prospective study of 67 women, 35 with hysterectomy (GH) and 32 hysterectomized and oophorectomized (GH-O). Two surveys, at the time of surgery and six months laterwere carried out to determine the sexual function. Results: A significant difference was found between the GH-O group and the GH group in prevalence and frequency of dispareunia, frequency of orgasm, frequency of intercourse,and sexual excitation. Conclusions: The decision for oophorectomy must be made with caution in the case of the women with low risk of ovarian cancer, considering the individual risk of sexual dysfunction as well as the risks inherent in the surgery.