Assessment of Depression Levels and Sexual Function in Women After Hysterectomy Surgery

Introduction: Hysterectomy is one of the most common surgeries among women, and it may be associated with complications such as depression and sexual dysfunction post-surgery. However, the results of existing studies are controversial. This study aimed to investigate the levels of depression and sexual function following hysterectomy in women who visited Ayatollah Mousavi Hospital in Zanjan (Iran) from 2018 to 2020. Materials & Methods: This retrospective cohort study was conducted on 63 married women who underwent hysterectomy surgery. Depression levels were assessed using the Beck Depression Inventory (BDI), and sexual function was evaluated with the Female Sexual Function Index (FSFI). The data were statistically analyzed using SPSS V.24. Results: The average depression score of patients was 8.91±10.58, and their sexual function score was 22.18±18.29. 85.8% of individuals had mild depression, and 65.1% experienced sexual dysfunction. Among the sexual function subscales, pain during intercourse was reported by 60.3% and vaginal dryness by 50.8% of patients. 81% expressed satisfaction with their bodies, while 19% were dissatisfied due to the absence of the uterus. Conclusion: Depression severity after at least one-year post-hysterectomy falls within the mild to moderate range, and body image is generally positive in many cases. However, the results regarding sexual function indicate dysfunction, with pain during intercourse and vaginal dryness being the most common complaints. Addressing these sexual function issues through education, follow-up, and treatment can improve patients’ sexual well-being after surgery.