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The effect of hysterectomy or levonorgestrel-releasing intrauterine system on sexual functioning among women with menorrhagia: a 5-year randomised controlled trial

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Abstract:

Objective

To compare among women with menorrhagia the effect of hysterectomy or levonorgestrel-releasing intrauterine system (LNG-IUS) on sexual functioning . Design

A randomised controlled trial. Setting

Five university hospitals in Finland. Sample

A total of 236 women, aged 35–49 years. Methods

Of the women, 117 were treated by hysterectomy and 119 by LNG-IUS. Main outcome measures

Sexual functioning was evaluated by modified McCoy sexual scale at baseline and at 6 months, 12 months, and 5 years after initiation of treatment (hysterectomy or application of LNG-IUS). Results

Among women treated by hysterectomy, sexual satisfaction increased and sexual problems decreased. Among LNG-IUS users, satisfaction with partner decreased. In addition to treatment modality (P= 0.02), estrogen therapy (P= 0.01), smoking (P= 0.001), night sweats (P= 0.03), vaginal dryness (P= 0.04), hot flushes (P= 0.01), and having someone to ask for advice (P= 0.03) and to share worries (P= 0.01) explained changes in sexual functioning. Conclusions

Among women with menorrhagia, hysterectomy improves sexual functioning, whereas LNG-IUS does not have such a positive effect.

Keywords: Hysterectomy; LNG-IUS; menorrhagia; sexual functioning; sexuality

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1471-0528.2007.01306.x

Affiliations: 1: Department of Obstetrics and Gynecology, University of Helsinki, Helsinki, Finland 2: Health Services Research Unit, STAKES, Helsinki, Finland 3: Department of Obstetrics and Gynecology, University of Turku, Turku, Finland 4: Department of Obstetrics and Gynecology, University of Oulu, Oulu, Finland 5: Department of Obstetrics and Gynecology, University of Tampere, Tampere, Finland 6: Department of Obstetrics and Gynecology, University of Kuopio, Kuopio, Finland 7: Central Hospital of Central Finland, Jyväskylä, Finland 8: National Public Health Institute, Helsinki, Finland

Publication date: May 1, 2007

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