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To the Editor: The study reported by Dr Rhodes and colleagues,¹ like previous studies evaluating the effect of hysterectomy on sexual behavior,^2-4 focused on the quantity rather than the quality of sexual activity. Rhodes et al measured sexual function with closed response and multiple-choice questions rather than standardized sexual response questionnaires or interviews that would have brought greater meaning and specificity to the results.

Questions regarding the subjective experience of sexual arousal before and following hysterectomy were not asked. An attempt was made to quantify strength of orgasm, but how does one measure and compare "very strong" vs "strong" orgasms? No questions addressed whether orgasm was experienced in a qualitatively different way (eg, noting uterine contractions).

The authors state that "few women who were having orgasms before hysterectomy stopped having them after hysterectomy." It would be valuable to learn more about this group and which factors predict women most likely . . . [Full Text of this Article]

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RELATED ARTICLE

Hysterectomy and Sexual Functioning
Julia C. Rhodes, Kristen H. Kjerulff, Patricia W. Langenberg, and Gay M. Guzinski
JAMA. 1999;282(20):1934-1941.
ABSTRACT | FULL TEXT