Patient's question:
Detailed medical condition and consultation purpose: Uterine fibroids measuring over 5 cm, lower back pain, and increased vaginal discharge. Underwent a total hysterectomy in May 2005, resumed sexual activity in August, but noticed significantly dryer vaginal sensation compared to before the surgery. Please advise if a total hysterectomy affects the ovaries and how to manage this situation.Doctor's answer:
Uterine fibroids themselves rarely interfere with the physiological process of sexual arousal. However, submucosal uterine fibroids often cause heavy menstrual bleeding, irregular menstruation, and prolonged menstrual periods. If they develop necrosis, ulcers, or infections, irregular bleeding may have an unpleasant odor, thereby affecting sexual activity. Excessive bleeding can lead to secondary anemia and physical weakness, which may indirectly influence the duration of sexual arousal.