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Selected Abstracts of Presentations During the World Congress of Sexology, 2007

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 lifestyle and health factors in hysterectomized vs nonhysterectomized Hispanic women living in Puerto Rico. Eight-hundred-and-eighty-seven Puerto Rican women ages 40 to 59 participated in health fairs conducted in 22 municipalities between May 2000 and November 2001. A questionnaire concerning the selfknowledge 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 lifestyle 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 with nonhysterectomized 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 nonsmokers (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 less frequently reported loss of sexual functioning when compared with nonhysterectomized women. Hormone replacement therapy (HRT) could be a contributing factor in improving outcomes of genitourinary function. Sociodemographic factors contribute to female sexual functioning in hysterectomized women.