The effect of hysterectomy or levonorgestrel‐releasing intrauterine system on sexual functioning among women with menorrhagia: a 5‐year randomised controlled trial

Karoliina Halmesmäki, Ritva Hurskainen, Juha Teperi, Seija Grénman, Aarre Kivelä, Erkki Kujansuu, M. Tuppurainen, Merja Yliskoski, Sirkku Vuorma, Jorma Paavonen
In: BJOG: An International Journal of Obstetrics & Gynaecology · 2007 · vol. 114(5) , pp. 563–568 · doi:10.1111/j.1471-0528.2007.01306.x · PMID:17439564 · W2054776513
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Hysterectomy improved sexual functioning in women with menorrhagia, while the levonorgestrel-releasing intrauterine system did not show a similar positive effect over five years.

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Abstract

OBJECTIVE: To compare among women with menorrhagia the effect of hysterectomy or levonorgestrel-releasing intrauterine system (LNG-IUS) on sexual functioning. DESIGN: A randomised controlled trial. SETTING: Five university hospitals in Finland. SAMPLE: A total of 236 women, aged 35-49 years. METHODS: Of the women, 117 were treated by hysterectomy and 119 by LNG-IUS. MAIN OUTCOME MEASURES: Sexual functioning was evaluated by modified McCoy sexual scale at baseline and at 6 months, 12 months, and 5 years after initiation of treatment (hysterectomy or application of LNG-IUS). RESULTS: Among women treated by hysterectomy, sexual satisfaction increased and sexual problems decreased. Among LNG-IUS users, satisfaction with partner decreased. In addition to treatment modality (P = 0.02), estrogen therapy (P = 0.01), smoking (P = 0.001), night sweats (P = 0.03), vaginal dryness (P = 0.04), hot flushes (P = 0.01), and having someone to ask for advice (P = 0.03) and to share worries (P = 0.01) explained changes in sexual functioning. CONCLUSIONS: Among women with menorrhagia, hysterectomy improves sexual functioning, whereas LNG-IUS does not have such a positive effect.

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