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Sexual & Reproductive Health

Hysterectomy type makes little difference in later sexual or pelvic function

Published in Medicine and Law Weekly, June 9th, 2006

Women who undergo a total hysterectomy, in which both the uterus and the cervix are removed, are no more likely to experience sexual difficulties or urinary or bowel problems after surgery than women who have only their uterus removed, a new review has found.

This finding contradicts perceptions among some women and physicians that retaining the cervix is preferable or even necessary to pelvic function.

Total hysterectomy is a slightly more complex and lengthy operation, but the likelihood of ongoing menstrual bleeding after surgery is increased with subtotal hysterectomy.

"Women considering surgery will have to balance the...

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