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| Effect of different operation methods on ovarian function and sexual life of patients with uterine myoma |
| DONG Xin,YANG Weiwei, and LIU Xiaoyan |
| Obstetrics and Gynecology, Shijiazhuang Sixth Hospital, Shijiazhuang 050015, China |
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Abstract Objective To analyze the effect of total hysterectomy and subtotal hysterectomy on ovarian function and sexual life of patients with uterine myoma.Methods Between August 2014 and August 2016, 120 cases of patients with symptomatic uterine myoma were selected and randomly and equally divided into total hysterectomy group and subtotal hysterectomy group. There was no significant difference in age, course of disease, duration of disease, uterine size, numbers of uterine myoma and the mean diameter between the two groups (P>0.05). The operation time, intraoperative blood loss volume, postoperative intestinal recovery time, length of hospital stay, medical expenses, deep vein thrombosis and vaginal infection rate were compared between the two groups. The levels of serum estradiol (E2), follicle stimulating hormone(FSH) and luteinizing hormone (LH) were analyzed by radioimmunoassay method pre-operativley and three months and six months post-operatively. The indexes of female sexual function questionnaires issued preoperatively and sixth months postoperatively was compared to evaluate the postoperative sexual function in the two groups.Results After operation, all the indexes of the operation time, bleeding volume, postoperative intestinal recovery time, length of hospital stay and medical expenses in the subtotal hysterectomy (surgical) group were reduced compared with the total hysterectomy group. The rates of deep vein thrombosis and postoperative vaginal infection were also lower than in the total hysterectomy group. There was statistically significant difference between the two groups (P<0.05). When the pre-operative serum E2, FSH and LH levels in the total hysterectomy (surgical) group were compared with postoperative ones, the fluctuation was not quite obvious. However, in the total hysterectomy (surgical) group, the levels of serum E2 decreased, while FSH and LH levels increased slightly and returned to normal after six months, but there was no significant difference between the two groups at different time points (P>0.05). The uterine function score in the total hysterectomy (surgical) group was significantly lower than that of subtotal hysterectomy uterus group. Sexual desire, sexual pain, sexual satisfaction and the vaginal lubrication degree index decreased significantly. There was significant difference between the two groups (P<0.003).Conclusions Abdominal hysterectomy has no significant effect on ovarian function, but the degree of satisfaction with sexual life is lower for patients after abdominal hysterectomy.
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Received: 27 September 2016
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2017, Vol. 28 
