Psychosexual Consequences that Iraqi Women Suffer after Emergency Hysterectomy
DOI:
https://doi.org/10.22317/jcms.v11i4.1938Keywords:
Hysterectomy, Psychosexual outcomes. Sexual function. Ovary removal.Abstract
Objective: This study aimed to explore the social and physiological changes that Iraqi women may experience after a hysterectomy.
Methods: A cross-sectional study was conducted at the consultation clinic of Al-Elwiya Maternity Teaching Hospital in Baghdad, Iraq. A total of 81 women who underwent emergency hysterectomy and could comprehend and respond to the questionnaire were recruited for this study. A structured, self-administered Arabic-language questionnaire was developed, and it included sociodemographic characteristics, surgical history, preoperative awareness, psychological symptoms, and sexual health impact.
Results: The mean age of patients was 43.5 ± 10.6 years. Symptoms of depression, anxiety, and sadness decreased slightly after surgery, but 33.3% still struggled with persistent worry. Sexual difficulties were reported by 29.6%, and 37% experienced worsening partner relationships, while 55.6% reported improved sexuality over time. Logistic regression identified several predictors: depression was notably lower one year after surgery (p = 0.002), while higher education and ovary removal were linked to fewer sexual problems (p = 0.048, 0.011). There were no significant predictors for climax, arousal, pain, or self-confidence.
Conclusions: While many women experience gradual improvements in emotional well-being and sexual function, a substantial proportion continue to face challenges. Age, education level, time since surgery, and ovary removal significantly influence recovery and adaptation. These findings highlight the importance of individualized post-surgical care, including psychological support and sexual health counseling, to enhance long-term quality of life.
References
Yurtkal A, Canday M. Optimizing hysterectomy: a prospective comparative analysis of surgical techniques and their impact on women’s lives. Journal of Personalized Medicine. 2024 Feb 29;14(3):265.
Committee on Gynecologic Practice. Choosing the route of hysterectomy for benign disease. Obstetrics and gynecology. 2017 Jun;129(6):1149-50.
Carroll L, O’Sullivan C, Doody C, Perrotta C, Fullen B. Pelvic organ prolapses: The lived experience. Plos one. 2022 Nov 2;17(11): e0276788.
Huang CC, Lo TS, Huang YT, Long CY, Law KS, Wu MP. Surgical trends and time frame comparison of surgical types of hysterectomy: A nationwide, population-based 15-year study. Journal of Minimally Invasive Gynecology. 2020 Jan 1;27(1):65-73.
Ghomi A, Nolan W, Sanderson DJ, Sanderson R, Schwander B, Feldstein J. Robotic hysterectomy compared with laparoscopic hysterectomy: is it still more costly to perform?. Journal of Robotic Surgery. 2022 Jun;16(3):537-41.
Adam EE, White MC, Saraiya M. US hysterectomy prevalence by age, race and ethnicity from BRFSS and NHIS: implications for analyses of cervical and uterine cancer rates. Cancer Causes & Control. 2022 Jan 1:1-6.
Hsieh CH, Lu YY, Liang SY. The health concerns related to hysterectomy among Taiwanese women with uterine fibroids-a mixed-methods study. Women & health. 2021 Jul 3;61(6):581-90.
Skorupska K, Wawrysiuk S, Bogusiewicz M, Miotła P, Winkler I, Kwiatkowska A, Rechberger T. Impact of hysterectomy on quality of life, urinary incontinence, sexual functions and urethral length. Journal of clinical medicine. 2021 Aug 16;10(16):3608.
Till SR, Schrepf A, Pierce J, Moser S, Kolarik E, Brummett C, As-Sanie S. Sexual function after hysterectomy according to surgical indication: a prospective cohort study. Sexual health. 2022 Mar 1;19(1):46-54.
Berlit S, Lis S, Jürgens S, Buchweitz O, Hornemann A, Sütterlin M, Tuschy B. Postoperative sexual functioning in total versus subtotal laparoscopic hysterectomy: what do women expect?. Archives of Gynecology and Obstetrics. 2017 Sep;296:513-8.
Rehan MK, Qasem EA, El Malky ME, Elhomosy SM. Effect of psychosexual counseling on sexual quality of life among post‑hysterectomy women. Menoufia Nursing J. 2023;8(1):61–79.
Till SR, Schrepf A, Santiago S, As-Sanie S. Psychosocial predictors of change in sexual activity and sexual function after hysterectomy in women with pelvic pain. Am J Obstet Gynecol. 2023;229(3): 322.e1-.e8.
Bahri N, Tohidinik HR, Fathi Najafi T, Larki M, Amini T, Askari Sartavosi Z. Depression Following Hysterectomy and the Influencing Factors. Iran Red Crescent Med J. 2016;18(1):e30493.
Ferrandina G, Petrillo M, Mantegna G, Fuoco G, Terzano S, Venditti L, et al. Evaluation of quality of life and emotional distress in endometrial cancer patients: A 2-year prospective, longitudinal study. Gynecologic Oncology. 2014;133(3):518-25.
Dhital R, Otsuka K, Poudel KC, Yasuoka J, Dangal G, Jimba M. Improved quality of life after surgery for pelvic organ prolapse in Nepalese women. BMC Womens Health. 2013;13:22.
Al-amer R, Atout M, Malak MZ, Ayed A, Othman WM, Saleh MYN, et al. Prevalence and predictors of anxiety and stress among Jordanian women following hysterectomy: an observational multicentre study. BMC Psychology. 2025;13(1):305.
Björkström LM, Wodlin NB, Nilsson L, Kjølhede P. The Impact of Preoperative Assessment and Planning on the Outcome of Benign Hysterectomy - a Systematic Review. Geburtshilfe Frauenheilkd. 2021;81(2):200-13.
Forsgren C, Johannesson U. Sexual function and pelvic floor function five years after hysterectomy. Acta Obstetricia et Gynecologica Scandinavica. 2025;104(5):948-57.
Bradford A, Meston C. Sexual outcomes and satisfaction with hysterectomy: influence of patient education. J Sex Med. 2007;4(1):106-14.
Danesh M, Hamzehgardeshi Z, Moosazadeh M, Shabani-Asrami F. The Effect of Hysterectomy on Women's Sexual Function: A Narrative Review. Med Arch. 2015;69(6):387-92.
Mahmoodi Dangesaraki M, Maasoumi R, Hamzehgardeshi Z, Kharaghani R. Effect of the EX-PLISSIT model on sexual function and sexual quality of life among women after hysterectomy: a randomised controlled trial. Sexual Health. 2019;16(3):225-32.
Dedden SJ, Werner MA, Steinweg J, Lissenberg-Witte BI, Huirne JAF, Geomini P, et al. Hysterectomy and sexual function: a systematic review and meta-analysis. J Sex Med. 2023;20(4):447-66.
Elzeblawy Hassan H, Khalaf Gooda W, RagabAhmed T, Shehta Said Farag D. Marital, Sexual Satisfaction and Quality of Life among Post-hysterectomy Women: Impact of Nursing Counseling Guided by BETTER Model. Egyptian Journal of Health Care. 2025;16(1):99-116.
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