Introduction: Hysterectomy is the most common surgical procedure in gynecology
worldwide. It is a gynecological operation in which the uterus, cervix and possibly the
ovary and fallopian tube are removed. Hysterectomy in premenopausal and
postmenopausal women can have a negative impact on their psychological and physical
well-being. In particular hysterectomy in the premenopausal period can have a number of
negative psychological effects. Purpose: The purpose of the thesis is to describe the
impact of hysterectomy on the body self-image and sexual function of women. Work
methods: In the theoretical starting points, we used a descriptive method of work with a
review of scientific and professional literature. We used a survey questionnaire that was
created in the open source online survey application 1KA. 104 women participated in the
research. We used descriptive statistics and the Mann-Whitney U test. Results: The Mann
Whitney U test showed statistically significant differences between women with a
hysterectomy and those without gynecological surgery in the body self-image statements "I
would like to change some aspects of my appearance" (p = 0.028), "I try to hide some
flaws in my appearance" (p = 0.030) and in "I feel that others are physically more
attractive than me" (p = 0.023) and in statements of sexual function in the level of sexual
desire (p = 0.050) and in the level of sexual arousal during sexual stimulation or
intercourse (p = 0.025). Discussion and conclusion: The comprehensive treatment of a
woman in the childbearing period after hysterectomy requires close cooperation between al
involved (patient, family and medical staff), as together we can provide and enable the
woman an optimal environment for recovery, which helps to improve her quality of life
after the procedure.
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