Gynecology & Obstetrics
Open Access

Abstract

Hysterectomy Consequences on Sexuality in Northern Benin

Tonato Bagnan JA, Lokossou MSHS, Sanni Imorou R, Aboubakar M, Obossou AAA, Tchegnonsi Tognon F, Djidonou A, Sanni Ibrahima S, Lokossou A and Perrin RX

Introduction: Hysterectomy is one of the most performed medical interventions on women. Its impact on women’s sexual life has been poorly addressed in the sub-region.

Objective: To study the impact of hysterectomy on sexuality.

Patients and methods: This was an observational and prospective cross-sectional study conducted on 72 women who underwent hysterectomy in theUniversity and Departmental Hospital Borgou Alibori(CHUD-B/A) Gynecology and Obstetrics Department in Parakou, Benin, with a 5-year follow-up from January 2009 to December 2014. The Female Sexual Function Index (FSFI) scale was used as a data collection tool to assess sex life.

Results: At the end of the study, the average age of women with hysterectomy was 43.7 years with extremes ages ranging from 26 to 64 years. Symptomatic uterine myoma was the first indication of hysterectomy (48.6%), abdominal (81.9%) and total (76.4%). Respondents were relieved by the intervention in (91.7%) but hysterectomy deteriorated sexual life in 34.7% cases with a decrease in sexual desire in 95.8% of cases. Excitations challenges and lubrication were 84.7% and 80.6%. Orgasm and sexual satisfaction were not significantly affected.

Conclusion: Hysterectomy relieves women who have had surgery, but its repercussions on sexual life must be taken into account.