Hysterectomy and sexual wellbeing

doi:10.1136/bmj.328.7431.108

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Authors' reply

Jan-Paul Roovers, registrar (j_proovers@hotmail.com),
C Huub van der Vaart, consultant,
A Peter M Heintz, professor of gynaecology,
Johanna G van der Bom, assistant professor of epidemiology

Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, 3584 CX Utrecht, Netherlands
Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht

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

In contrast to Bradford's interpretation, we directly measured sexual satisfaction (methods section, p 775). In the appendix we presented only the questions of the questionnaire that …