Re: GYN: Hysterectomy Improves Sexual Well-Being?

From: David Priver, MD (dpriver@aol.com)
Tue Oct 7 15:36:36 2003


Interesting study! Proves, once again, that studies may be used to conclude whatever someone wants to prove. I think most of us who actually lay hands on patients are quite convinced that hysterectomy tends to improve sexual functioning (how many times have we heard "why didn't you do this for me 5 years ago"). The high incidence of "bothersome" sexual symptoms is hard to explain, but apparently this means that the incidence was even higher before the operation. It would be nice if authors would define their terms. DMP

At Fri, 3 Oct 2003, art fougner, md wrote: >
>Folks -
>
>full-text access to the BMJ is free!
>
>art
>
>At Fri, 3 Oct 2003, Braun, R. Daniel wrote:
>>
>>The abstract doesn't say what the incidence was pre surgically. Nor
>>does it define "bothersome".
>>
>>Dan
>>
>>-----Original Message-----
>>From: DoctorJoe@aol.com [mailto:DoctorJoe@aol.com]
>>Sent: Friday, October 03, 2003 8:13 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: GYN: Hysterectomy Improves Sexual Well-Being?
>>
>>In a message dated 10/3/03 7:16:52 AM, evsono@pipeline.com writes:
>>
>><< Results Sexual pleasure significantly improved in all patients,
>>independent of the type of hysterectomy. The prevalence of one or more
>>bothersome sexual problems six months after vaginal hysterectomy,
>>subtotal abdominal hysterectomy, and total abdominal hysterectomy was
>>43% (38/89), 41% (31/76), and 39% (57/145), respectively (2 test, P 0.88). >>
>>
>>Isn't that a pretty high incidence of "bothersome" sexual problems? 40%
>>is a
>>lot, depending on HOW bothersome.
>>
>>Joe P.
>
>--
>art fougner, md
>ich bin ein New Yorker
>





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