Hysterectomy and sexual wellbeing: Authors' reply

doi:10.1136/bmj.328.7431.108

BMJ 2004;328:108 (10 January), doi:10.1136/bmj.328.7431.108

Letter

Hysterectomy and sexual wellbeing

Authors' reply

The first 150 words of the full text of this article appear below.

EDITOR—We emphasise that we never intended to suggestthat hysterectomy might be a treatment for sexual problems.Indeed, our study does not predict improvement for every individualwoman.

In contrast to Bradford's interpretation, we directly measuredsexual satisfaction (methods section, p 775). In the appendixwe presented only the questions of the questionnaire that assessedproblems during sexual activity.

The reason that we presented only the results concerning womenwith a male partner is that the number of women with a femalepartner or without partner was too low to allow a well poweredstatistical analysis. So the results of our study are applicableonly to women who have a male partner.

We did not study in detail whether the change in sexual activitybefore and after hysterectomy was related to the operation performedor to other circumstances in life. As we did not study it, we. . . [Full text of this article]

Jan-Paul Roovers, registrar

j_proovers@hotmail.com

C Huub van der Vaart, consultant, A Peter M Heintz, professor of gynaecology

Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, 3584 CX Utrecht, Netherlands

Johanna G van der Bom, assistant professor of epidemiology

Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht

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