Sexual functioning after total compared with supracervical hysterectomy: A randomized trial

Miriam Kuppermann, Robert L. Summitt, R. Edward Varner, S. Gene McNeeley, Deborah Goodman-Gruen, Lee A. Learman, Christine C. Ireland, Eric Vittinghoff, Feng Lin, Holly E. Richter, Jonathan Showstack, Stephen B. Hulley, A. Eugene Washington

Research output: Contribution to journalArticle

102 Scopus citations


OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2,95% confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.

Original languageEnglish (US)
Pages (from-to)1309-1318
Number of pages10
JournalObstetrics and gynecology
Issue number6
StatePublished - Jun 2005

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Kuppermann, M., Summitt, R. L., Varner, R. E., McNeeley, S. G., Goodman-Gruen, D., Learman, L. A., Ireland, C. C., Vittinghoff, E., Lin, F., Richter, H. E., Showstack, J., Hulley, S. B., & Washington, A. E. (2005). Sexual functioning after total compared with supracervical hysterectomy: A randomized trial. Obstetrics and gynecology, 105(6), 1309-1318.