Articles Vol. 66 No. CĐ7-HNKH Bệnh viện K 22/05/2025

12. ASSESSMENT OF SEXUAL HEALTH OF PATIENTS WHO HAD TOTAL HYSTERECTOMY FOR EARLY STAGE CERVICAL CANCER AT THE DEPARTMENT OF GYNECOLOGY AND SURGERY, NATIONAL CANCER HOSPITAL

Le Tri Chinh1,2, Nguyen Thi Kim Lien1,2, Tran Viet Hoang1,2, Vu Thi Thanh Huyen1,2, Mai Phuong Hoa1,2
1 K Hospital
2 Bệnh viện K
Corresponding author: cuonglien278@gmail.com
DOI: 10.52163/yhc.v66iCD7.2391
19 Views
19 Downloads
Abstract

Objective: To describe the current state of sexual health of patients after 3 months of total hysterectomy for early-stage cervical cancer in patients at the Gynecology Surgery Department – National Cancer Hospital.

Subjects and Methods: A cross-sectional descriptive study was conducted on 43 cervical cancer patients who underwent total hysterectomy at the Gynecology Surgery Department of National Cancer Hospital in 2024. The Female Sexual Function Index (FSFI) was used for assessment.

Results: After surgery, the frequency and quality of sexual intercourse decreased compared to before the surgery. The average frequency in the past 4 weeks dropped from 5.7 times to 3.4 times. Evaluations of quality, such as libido, arousal, and satisfaction, all decreased, while difficulty with lubrication and pain during intercourse increased. All of these changes were statistically significant.

Conclusion: All aspects of sexual health assessed in patients showed a decline after surgery. These results are significant for the care, counseling, and guidance of patients, helping them to better adapt to their new life.

References
[1]
Bray F., Laversanne M., Sung H. và cộng sự. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, n/a(n/a). Google Scholar
[2]
Lonnée-Hoffmann R. và Pinas I. (2014). Effects of Hysterectomy on Sexual Function. Curr Sex Health Rep, 6(4), 244–251. Google Scholar
[3]
Danesh M., Hamzehgardeshi Z., Moosazadeh M. và cộng sự. (2015). The Effect of Hysterectomy on Women’s Sexual Function: a Narrative Review. Med Arch, 69(6), 387–392. Google Scholar
[4]
Dedden S.J., Werner M.A., Steinweg J. và cộng sự. (2023). Hysterectomy and sexual function: a systematic review and meta-analysis. The Journal of Sexual Medicine, 20(4), 447–466. Google Scholar
[5]
Phan Chí Thành, Trần Danh Cường, Ngô Văn Toàn và Trần Kim Thanh (2022). Thực trạng rối loạn chức năng tình dục và một số yếu tố liên quan ở phụ nữ mang thai đến khám thai tại Bệnh viện Phụ sản trung ương. Tạp chí nghiên cứu y học, (TCNCYH 153 (5)). Google Scholar
[6]
Meston C.M., Freihart B.K., Handy A.B. và cộng sự. (2020). Scoring and Interpretation of the FSFI: What can be Learned From 20 Years of use?. The Journal of Sexual Medicine, 17(1), 17–25. Google Scholar
[7]
Gütl P., Greimel E.R., Roth R. và cộng sự. (2002). Women’s sexual behavior, body image and satisfaction with surgical outcomes after hysterectomy: a comparison of vaginal and abdominal surgery. J Psychosom Obstet Gynaecol, 23(1), 51–59. Google Scholar
[8]
Kuscu N.K., Oruc S., Ceylan E. và cộng sự. (2005). Sexual life following total abdominal hysterectomy. Arch Gynecol Obstet, 271(3), 218–221. Google Scholar
[9]
Badakhsh MH, Taftachi F, Mehrabi F, và Derakhshan A (2009). The Effect of Hysterectomy in Securing Sexual Desire and Satisfaction. Iranian Journal of Surgery. 17(1), 75–80. Google Scholar