ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻫﻴﺴﺘﺮﻛﺘﻮﻣﻲ ﺑﺮ ﺗﻤﺎﻳﻞ و ارﺿﺎء ﺟﻨﺴﻲ

The Effect of Hysterectomy in Securing Sexual Desire and Satisfaction

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺍﺧﺘﻼﻝ ﺩﺭ ﻓﻌﺎﻟﻴـﺖ ﺟﻨﺴﻲ ﺑﻌـﺪ ﺍﺯ ﻫﻴﺴﺘـﺮﻛﺘﻮﻣﻲ ﺩﺭ 10 ﺗﺎ 40 ﻣـﻮﺍﺭﺩ ﮔـﺰﺍﺭﺵ ﺷـﺪﻩ ﺍﺳﺖ. ﺗﻐﻴﻴـﺮﺍﺕ ﺭﻭﺣﻲ ﺭﻭﺍﻧﻲ، ﺍﺣﺴﺎﺱ ﺍﻓﺴـﺮﺩﮔﻲ، ﺩﻳﺲ ﭘﺎﺭﻭﻧـﻲ، ﺧﺸﻜـﻲ ﻭﺍﮊﻥ، ﻛﺎﻫـﺶ ﻛﻴﻔﻴـﺖ ﺳﻜﺲ ﻭ ﻣﻴـﻞ ﺟﻨﺴﻲ ﺷﺎﻳﻌﺘـﺮﻳﻦ ﻣﺸﻜﻼﺕ ﺑﻌﺪ ﺍﺯ ﻫﻴﺴﺘـﺮﻛﺘﻮﻣﻲ ﻫﺴﺘﻨﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺼﻮﺭﺕ ﺗﻮﺻﻴﻔﻲ ـ ﻣﻘﻄﻌﻲ ﺍﺯ ﻃﺮﻳﻖ ﻣﺼﺎﺣﺒﻪ ﺑﺎ 50 ﻧﻔﺮ ﺍﺯ ﺯﻧﺎﻧﻲ ﻛﻪ ﺩﺭ ﻣﺮﻛﺰ ﺁﻣﻮﺯﺷﻲ ﺩﺭﻣﺎﻧﻲ ﺍﻛﺒﺮﺁﺑﺎﺩﻱ ﻫﻴﺴﺘﺮﻛﺘﻮﻣﻲ ﺷﺪﻩ ﺍﻧﺪ ﻭ 50 ﻧﻔﺮ ﮔـﺮﻭﻩ ﺷﺎﻫـﺪ ﻛﻪ ﺑﺮﺍﻱ ﭘﺎﭖ ﺍﺳﻤﻴـﺮ ﻣﺮﺍﺟﻌﻪ ﻛﺮﺩﻩ ﺍﻧﺪ، ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﺍﺳﺖ. ﻧﻤﻮﻧﻪ ﮔﻴﺮﻱ ﺑﺼﻮﺭﺕ ﺍﺗﻔﺎﻗﻲ ﺍﺯ ﺑﻴﻦ ﻣـﻮﺍﺭﺩﻱ ﻛﻪ ﻓﺎﻛﺘـﻮﺭﻫﺎﻱ ﻣـﺪﺍﺧﻠﻪ ﻛﻨﻨﺪﻩ ﺭﺍ ﻧﺪﺍﺷﺘﻨﺪ، ﺍﻧﺠﺎﻡ ﻭ ﺍﻃﻼﻋـﺎﺕ ﻻﺯﻡ ﺑﺎ ﺗﻜﻤﻴـﻞ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺟﻤـﻊ ﺁﻭﺭﻱ ﮔﺮﺩﻳﺪ ﻭ ﻣﻘﺎﻳﺴﻪ ﺁﻣﺎﺭﻱ ﺑﺎ ﺁﺯﻣﻮﻥ t ﺑﻌﻤﻞ ﺁﻣﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﺗﻐﻴﻴﺮﺍﺕ ﺭﻭﺣﻲ ﺭﻭﺍﻧﻲ ﺑﻌﺪ ﺍﺯ ﻫﻴﺴﺘﺮﻛﺘﻮﻣﻲ ﺑﺼﻮﺭﺕ ﺷﺎﻳﻌﻲ ﺭﺥ ﺩﺍﺩ. ﺑﻄﻮﺭﻱ ﻛﻪ ﺑﻴﺸﺘﺮ ﺍﺯ ﻧﺼﻒ ﺑﻴﻤﺎﺭﺍﻥ ﺍﺣﺴﺎﺱ ﭘﻴﺮﻱ ﺯﻭﺩﺭﺱ ﻭ ﻛﺎﻫﺶ ﻣﻴﻞ ﺟﻨﺴﻲ ﻫﻤﺴﺮ ﻭ ﺑﻴﺸﺘﺮ ﺍﺯ ﭼﻬﺎﺭ ﭘﻨﺠﻢ ﺑﻴﻤﺎﺭﺍﻥ ﺗﻐﻴﻴﺮ ﺩﺭ ﻧﮕﺮﺵ ﺑﻪ ﺧﻮﺩ ﻭ ﺗﻐﻴﻴﺮ ﺩﺭ ﻧﻈﺮ ﻫﻤﺴﺮﺷﺎﻥ ﺭﺍ ﮔﺰﺍﺭﺵ ﻛﺮﺩﻧﺪ. ﺍﺣﺴﺎﺱ ﺍﻓﺴﺮﺩﮔﻲ ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﺑﻴﺸﺘﺮ ﺍﺯ ﮔﺮﻭﻩ ﺷﺎﻫﺪ ﺑﻮﺩ. ﺩﻳﺲ ﭘﺎﺭﻭﻧﻲ ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﻛﺎﻫﺶ ﻭﻟﻲ ﺧﺸﻜﻲ ﻭﺍﮊﻥ ﺍﻓﺰﺍﻳﺶ ﻳﺎﻓﺖ ﻭ ﺩﺭ ﻧﻬﺎﻳﺖ ﺭﺿﺎﻳﺖ ﻣﻨﺪﻱ ﺟﻨﺴﻲ ﻣﺘﻌﺎﻗﺐ ﻫﻴﺴﺘﺮﻛﺘﻮﻣﻲ ﻛﺎﻫﺶ ﭘﻴﺪﺍ ﻛﺮﺩ. ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺗﻐﻴﻴـﺮﺍﺕ ﺭﻭﺣـﻲ ﺭﻭﺍﻧﻲ ﻭ ﺧﺸﻜﻲ ﻭﺍﮊﻥ )ﻛﻪ ﺩﺭ ﻏﻴـﺎﺏ ﺗﻐﻴﻴـﺮﺍﺕ ﻣﻬـﻢ ﺍﺭﮔﺎﻧﻴﻚ ﻋﻤـﺪﺗﺎﹰ ﻧﺎﺷﻲ ﺍﺯ ﺗﻐﻴﻴﺮﺍﺕ ﺭﻭﺣﻲ ﺭﻭﺍﻧﻲ ﻭ ﺗﺤـﺮﻳﻚ ﻧﺎﻛﺎﻓﻲ ﺍﺳﺖ(، ﺍﺯ ﻋﻮﺍﻣﻞ ﺍﺻﻠﻲ ﺩﺭ ﻛﺎﻫـﺶ ﺭﺿﺎﻳﺖ ﻣﻨﺪﻱ ﺟﻨﺴﻲ ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﻫﺴﺘﻨـﺪ. ﺑﻨﺎﺑﺮﺍﻳﻦ ﺩﺭ ﭘﻴﮕﻴﺮﻱ ﻫﻴﺴﺘﺮﻛﺘﻮﻣﻲ ﺑﺎﻳـﺪ ﺑﻪ ﻣﺼﺎﺣﺒـﻪ ﻫﺎﻱ ﺭﻭﺍﻥ ﺷﻨﺎﺧﺘـﻲ ﻭ ﺣﻤـﺎﻳﺖ ﺭﻭﺣﻲ ﻭ ﺭﻭﺍﻧﻲ ﻭ ﺩﺭﻣـﺎﻥ ﺑﻪ ﻣـﻮﻗﻊ ﺧﺸﻜـﻲ ﻭﺍﮊﻥ ﺑﺮﺍﻱ ﺍﺟﺘﻨﺎﺏ ﺍﺯ ﺍﺧﺘﻼﻻﺕ ﺟﻨﺴﻲ ﺗﻮﺟﻪ ﻛﺮﺩ.

Introduction & Objective: Hysterectomy is a high incidence operation and there are differences of opinion about sexual desires after hysterectomy in lectures. Incidence of sexual disorders after hysterectomy various from 10- 40 percent. Materials & Methods: In this study, Sexual satisfaction after hysterectomy was evaluated in 100 females, of 40- 50 years old (50 women before and after hysterectomy and 50 women without hysterectomy). Sample was chosen random from the women who had no interfering factors and they were asked necessary information through question sheets. Results: Sexual quality, desire and satisfaction after hysterectomy decreased. On the other hand dyspareunia decreased but dryness of vagina increased after hysterectomy. So dyspareunia doesn't contribute to sexual satisfaction decrease but vaginal dryness leads to it. After hysterectomy the sence of aging and depression increased and partner desire decreased. Thus, after Hysterectomy, there was a decrease in the sexual stimulation and vaginal dryness. Conclusions: Psychological changes and vaginal dryness (which is due to important organic changes, resulting from psychological factors) are the main causes for the reduction of sexual desire and satisfaction after hysterectomy. So women must supported against the psychological problems of hysterectomy and vaginal dryness should be treated is order to avoid the sexual problems.