Assessment of physical and sexual quality of life in women undergoing planned hysterectomy in tertiary care hospital


  • Archana Kumari Department of Obstetrics and Gynecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Sunita Malik Department of Obstetrics and Gynecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Jugal Kishore Department Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India



Hysterectomy, Role of limitation due to physical health, Role of limitation due to emotional health


Background: The objective of the study was physical and sexual quality of life (SQOL) in women undergoing elective hysterectomy following six months after surgery.

Methods: This was a prospective observational study in which all women undergoing elective hysterectomies in the department and fulfilling inclusion criteria through any routes and benign indication were recruited after taking informed written consent. Women with endometriosis, previous pelvic surgery and emergency hysterectomies were excluded from study. Each woman was subjected quality QOL questionnaires-SF-36 and SQOL-F prior and six months after surgery. Questionnaires used were in their own language, validated and already tested in pilot study. The required sample size was 65 (taking 20% lost to follow up) by using Epi-info software, total 78 eligible women taken in the present study. All data was recorded on excel spread sheet and analysis done by SPSS-21.0 and Wilcoxon-test as appropriate.

Results: All aspects of physical and sexual quality of life was found to have improved following hysterectomy. However, only emotional wellbeing worsened.

Conclusions: Hysterectomy improves physical and sexual quality of life post-surgery but sexual quality of life improves more in abdominal route than vaginal route. 


Suken G, Kaya AE. Effect of laparoscopic hysterectomy on sexual function and quality life:12months follow up. Cukurova Medical Journal 2018;43:216-17.

Chandan J, Asanka G, Chapika G, Bandara S, Dissanayake K. Postoperative Quality of life Assessment after total abdominal hysterectomy. J Gynecol Reproduction Med. 2017;(3):1-4.

Luis OCJ, Heleodora P, Lorena VVR. Impact on quality of life and sexual satisfaction of Total abdominal hysterectomy in the absence of Prolapse; Revista Columbian de Obstetric and Gynecol. 2017;68,14-24.

Jain S, Pansare SS. Perceptions of Indian women on hysterectomy. International J of Reproduction, Contraception, Obstetrics and Gynecol. 2017;6:4646-51.

Desai S, Shukla A, Nambiar D, Ved R. Patterns of hysterectomy in India: a national and state-level analysis of the Fourth National Family Health Survey (2015-2016). BJOG. 2019;4(4):72-80.

6) Kramer MG, Reiter RC. Hysterectomy: Indication alternatives and predictors. Am Fram physician 1997;55:827-34.

Butt JL, Jeffery ST, Spuy ZM. An audit of indications and complications associated with elective hysterectomy at a public service hospital in South Africa. Int J Gynaecol Obstet. 2012;116(2):112-6.

Nieboer TE, Hendricks JCM, Bongers MY, Vierhout ME, Kluivers KB. Quality of life after laparoscopic and abdominal hysterectomy. Obstetric Gynecol. 2012;119:85-91.

Komisurak BR, Frangos E, Whiple B. Hysterectomy improves sexual response addressing crucial omission in literature. J Minim Invasive Gynecol 2011;18:288-95.

Sutton C. Past, Present, Future of Hysterectomy. J Minim Invasive Gynecol. 2010;17:421-35.

Pauls RN. Impact of gynaecological surgery on female sexual function. Int J Impot Res. 2010;22:105-14.

Chen B, Ren DP, Li JX, Li CD. Comparison of vaginal and abdominal hysterectomy. Pak J Med Sci 2014;30:875-9.

Iosifescu R, Gidea C, Spanu A, Iordache N, Toderescu CD, Osser G. Assessment of the quality of life following laparoscopic vs abdominal hysterectomy. Romanian J Cognitive Behavioral Therapy and Hyp. 2015;2:1-8.

Fram KM, Saleh SS, Sumrein IA. Sexuality after hysterectomy at University of Jordan Hospital: a teaching hospital experience. Arch Gynecol Obstet. 2013;287(4):703-8.

He H, Yang Z, Zeng D, Fan J, Hu X, Ye Y, et al. Comparison of the short term and the long term outcomes of laparoscopic hysterectomies and abdominal hysterectomies. Chinese J Cancer Res. 2016;28:187-96.

Balakrishnan D, Dibyajyoti G. A comparison between Non-Descent vaginal Hysterectomy and Total Abdominal Hysterectomy. J Clin Diagn Res. 2016;10:11-4.

Danesh M, Hamzehgardeshi Z, Moosazadeh M, Shabani-Asrami F. The Effect of Hysterectomy on Women's Sexual Function: a Narrative Review. Med Arch. 2015;69(6):387-92.

Briedite I, Ancane G, RogovskaI, Lietuviete N. Quality of Female Sexual Function After Conventional Abdominal Hysterectomy Three Months observation. Acta Chirurgica Latviensis. 2014;14:26-31.

Gendy R, Walsh CA, Walsh SR, Karantanis E. Vaginal hysterectomy versus total laparoscopic hysterectomy for benign disease: a metaanalysis of randomized controlled trials. Am J Obstet Gynecol. 2011;204(5):388.

Rodriguez MC, Chedraui P, Schwager G, Hidalgo L, Pérez LFR. Assessment of sexuality after hysterectomy using the Female Sexual Function Index. J Obstet Gynaecol. 2012;32(2):180-4.

Polivy J. Psychological reactions to hysterectomy: a critical review. Am J Obstet Gynecol. 1974;118(3):417-26.

Maasoumi R, Lamyian M, Montazeri A, Azin SA, Aguilar VME, Hajizadeh E. The sexual quality of life-female (SQOL-F) questionnaire: translation and psychometric properties of the Iranian version. Reprod Health. 2013;10:25.






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