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    Sex After Hysterectomy.

    Women Report Problems But Most Improve
    WebMD Health News

    Nov. 17, 2003 - Women with cervical cancer commonly report problems with sex after hysterectomy, a new study shows. But there is some good news.

    Researcher Pernille T. Jensen, MD, of Denmark's Bispebjerg Hospital tells WebMD that there is little information about the impact of on sex after hysterectomy in women with early-stage cervical cancers.

    "These women tend to be younger than other cancer patients, so sexual function is an important issue," she says.

    Sex After Hysterectomy: Problems Don't Last

    Jensen and colleagues followed 173 women with early-stage cervical cancer for two years after the women underwent radical hysterectomies -- where the uterus and surrounding tissue, including a small part of the vagina are removed. This is a common first-line treatment for early and advanced forms of cervical cancer.

    Six times over a two-year period, the women completed standardized questionnaires to assess any problems with sex after hysterectomy. The responses were compared with a comparison group of women without cancer who were of similar age.

    Five weeks after surgery, 67% of the women with cervical cancer reported having trouble reaching orgasm, compared to 33% of the comparison group. But two years after surgery, orgasm difficulties in the women who underwent hysterectomy had significantly improved -- with 36% reporting orgasm difficulties.

    Interest in sex also improved. Five weeks after hysterectomy, 77% of the women reported little or no interest in sex, but that dropped to 57% two years after surgery. Just under half of the comparison group reported little or no interest in sex.

    Two years after surgery, women continued to report more lubrication problems during sex, but the overall numbers were relatively small -- 10% of patients and 3% of the comparison group reported this problem. The findings are scheduled for publication in the Jan. 1, 2004 issue of the American Cancer Society publication Cancer.

    "We found that most, but not all, sexual problems resolved within three to six months of surgery," Jensen says. "Even though this is the case, it is important to warn women facing this surgery about this risk. For the most part, this isn't happening right now."

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