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Sexual Functioning, Life-Style and Health Factors in Hysterectomized vs Non-Hysterectomized Hispanic Women Living in Puerto Rico

Sexual Functioning, Life-Style and Health Factors in Hysterectomized vs Non-Hysterectomized Hispanic Women Living in Puerto Rico

Hysterectomy is the most common major gynecologic operation. The positive and negative effects of hysterectomy on sexual functioning have gained interest in recent research. The quality of a woman’s sexuality is likely to be influenced by biopsychosocial factors. The objective of this study is to compare some aspects of sexual functioning, such as loss of libido and dyspareunia, and life-style and health factors in hysterectomized vs non-hysterectomized Hispanic women living in Puerto Rico. Eight-hundred and eighty-seven Puerto Rican women ages 40 to 59 participated in health-fairs conducted in twenty-two municipalities between May 2000 and November 2001. 

A questionnaire concerning the self-knowledge women had about the biopsychosocial changes occurring during the different stages of life was filled-out by the participating women. Chi-square statistics were used to evaluate bivariate associations of hysterectomy and sexual functioning and other life-style and health factors. The prevalence of hysterectomy in our study population was 26.5%. Women ages 50-59 underwent more hysterectomies (60.9%) than younger women ages 40-49 (39.2%). Current Hormone Replacement Therapy (HRT) was used mostly by hysterectomized women (61.3% vs 38.7%). Loss of libido and dyspareunia were less frequently reported in hysterectomized women compared to non-hysterectomized women (30.3% vs 69.8% and 33.5% vs 66.5%, respectively) (p<0.05).
Incontinence and loss of vaginal lubrication were less frequent in hysterectomized women (32.8% vs 67.3% and 35.4% vs 64.6%, respectively) (p<0.05); vaginal itching was not associated with hysterectomy status. Women who underwent hysterectomy were mostly current non-smokers (4.6%), obese (47.3%), and had a lower level of education (lowest education 37.6% to highest education 20.2%) (p<0.05); marital status had no significant association with hysterectomy.

Hysterectomized women
reported less frequently loss of sexual functioning when compared to non-hysterectomized women. HRT could be a contributing factor in improving outcomes of genitourinary function. Socio-demographic factors contribute to female sexual functioning in hysterectomized women.
Conference: Demo
Areas of Interest / Categories: Menopause, Sexual Dysfunction

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