Sexualidad de la mujer histerectomizada: modelo predictivo al seto mes posterior a la cirugía / A predictive model for the quality of sexual life in hysterectomized women

Background: The effects of hysterectomy on sexuality has been extensively studied. Aim: To establish a model to predict the quality of sexual life in hysterectomized women, six months after surgery. Material and Methods: Analytical, longitudinal and prospective study of 90 hysterectomized women aged 45±7 years. Two structured interviews at the time of surgery and six months later were carried out to determine the characteristics of sexuality and communication within the couple. Results: In the two interviews, communication and the quality of sexual life were described as "good" in 72 and 77 percent of women, respectively (NS). The variables that had a 40 percent influence on the quality of sexual life sixth months after surgery, were oophorectomy status, the presence of orgasm, the characteristics of communication and the basal sexuality with the couple. Conclusions: The sexuality of the hysterectomized women will depend, on a great extent, of pre-surgical variables. Therefore, it is important to consider these variables for the education of hysterectomized women.

La femineidad como síntoma epistemológico del psicoanálisis / The femininity as epistemological sympton of psychoanalysis

Se examinan los impasses reconocidos por freud en su investigación sobre lo femenino en el marco de la topología real-imaginario-simbólico de Jacques Lacan. En el nivel formal del lenguaje esos impasses desafiam la capacidad de lo simbólico de abordar lo real de la femineidad, justificando la necesidad de una nueva escritura: la lógica del no todo. En su defecto, desde el punto de vista de la lógica canónica, lo femenino se definiría como un síntoma epistemológica del psicoanálisis

Blood serotonin, mood and personality changes in hysterectomized patients with and without oophorectomy

To evaluate blood serotonin, mood and personality changes in hysterectomized patients with or without bilateral oophorectomy. Twenty cases with perimenopausal dysfunctional uterine bleeding were divided equally into two groups; A and B. They were subjected to total abdominal hysterectomy without oophorectomy, [group A] or with bilateral oophorectomy [group B]. Blood serotonin levels, Beck depression inventory [BDI] and Eysenck personality, questionnaire [EPQ] were evaluated, for both groups, before, one month and six months after the operation and studied statistically using "t" test. Oophorectomized patients showed significant low serotonin level and high scores on BDI postoperatively than non- oophorectomized cases [P<0.001]. Negative Correlation [r] existed between blood serotonin levels and the other psychometric tests. Depression is multifactorial. Psychiatric interview and support, preservation of the ovaries and the usage of selective serotonin reuptake inhibitors [SSRIs] are encouraged