Comparison of Sexual Dysfunction Using the Female Sexual Function Index following Surgical Treatments for Uterine Fibroids

Table 1

Hysterectomy patient FSFI.

Domain	Score
time point	1	2	3
Desire	3.9	1.2	3
Arousal	5.7	1.2	1.8
Lubrication	6.0	1.2	4.7
Orgasm	6.0	1.2	2
Satisfaction	5.6	1.2	1.6
Pain	6.0	3.6	4.4
Full scale score	32.2	9.6	17.5

(i) Since being on Estrodot—she has claimed that the hormones have increased libido but do not help arousal and orgasm—which have become very difficult and weak and rarely happen.
(ii) Currently, hysterectomy PT can only experience clitoral orgasm after surgery. She stated that only 10–20% of the time she experiences orgasm from coital stimulation.
(iii) Because of abdominal hysterectomy by mid-line incision, she has experienced a changed perception of herself; she feels that her body does not look its age and feels that she has lost part of identity.