The relationship between body image and sexual satisfaction in women who have undergone hysterectomy.

OBJECTIVE: This study aims to examine the relationship between body image and the level of sexual satisfaction in women who have undergone a hysterectomy. METHODS: This descriptive study utilized a relational screening model. Conducted between June 2023 and March 2024, the study included a total of 300 sexually active women who had undergone a hysterectomy 6 months prior. Data were collected using a personal information form, the Golombok-Rust Sexual Satisfaction Scale, and the Body Image Scale through face-to-face interviews lasting approximately 20-30 min. RESULTS: The average age of the participating women was 44.4±10.55 years. Of the participants, 96.7% were married and 42.4% had entered menopause. The average score on the Body Image Scale was 81.2±3.8, and the average score on the Golombok-Rust Sexual Satisfaction Scale was 33.0±15.1. A positive significant relationship was found between body image and sexual satisfaction (p<0.05). There was also a statistically significant positive relationship between the total scores on the Body Image Scale and the Golombok-Rust Sexual Satisfaction Scale with age and frequency of sexual intercourse (p=0.049, p<0.001, p<0.001, p=0.047, and p=0.014). It was determined that as the age and frequency of sexual intercourse increased, the levels of body image and sexual satisfaction also increased. CONCLUSION: Our study found that women's self-image is negatively affected, and their level of sexual satisfaction decreases following a hysterectomy.

Depresión y ansiedad en mujeres histerectomizadas no oncológicas posterior a la cirugía / Depression and anxiety in non-cancer hysterectomized women after surgery

RESUMEN Introducción y objetivo: La histerectomía es la segunda cirugía ginecológica más frecuente, después de la cesárea, afectando a un importante porcentaje de la población femenina, con un gran impacto emocional. El objetivo de esta revisión es describir las consecuencias psiquiátricas y sus factores predisponentes, en las mujeres histerectomizadas no oncológicas posterior a la cirugía. Material y métodos: Se incluyeron investigaciones en inglés, español y portugués, con un máximo de 15 años de antigüedad. Se excluyeron investigaciones realizadas en mujeres histerectomizadas oncológicas y/o con antecedentes psiquiátricos previos a la cirugía. Resultados: Posterior a la histerectomía por causa benigna, aparecen trastornos depresivos y/o ansiosos en las mujeres en frecuencias variadas. En el post-operatorio inmediato de la histerectomía, se reportan prevalencias de hasta un 84% para depresión y hasta un 92% para ansiedad, respectivamente. En cuanto a los factores que predisponen a la incidencia de estos problemas, se encuentran; la paridad relacionado con la cantidad de hijos engendrados y el deseo de tener más hijos, la nuliparidad, la edad, la falta de información y educación previa a la cirugía, la soledad y escaso apoyo familiar, los mitos y creencias sociales en torno al procedimiento, entre otros. Conclusiones: El significado social del útero y el enjuiciamiento que vive la mujer histerectomizada, son factores relevantes en la aparición de trastornos depresivos y/o ansiosos. La importancia de la educación es esencial para el afrontamiento eficaz por parte de la mujer en este procedimiento.

ABSTRACT Introduction and objective: Hysterectomy is the second most frequent gynecological surgery, after caesarean section, affecting an important percentage of the female population, with a great emotional impact. The objective of this review is to describe the psychiatric consequences and their predisposing factors in non-oncological hysterectomized women after surgery. Material and methods: Research was included in English, Spanish and Portuguese, with a maximum of 15 years old. We excluded investigations carried out in oncological hysterectomized women and / or with psychiatric antecedents prior to surgery. Results: After hysterectomy due to benign cause, depressive and / or anxious disorders appear in women at varied frequencies. In the immediate postoperative period of the hysterectomy, prevalences of up to 84% are reported for depression and up to 92% for anxiety, respectively. As for the factors that predispose to the incidence of these problems, they are found; parity related to the number of children conceived and the desire to have more children, nulliparity, age, lack of information and education prior to surgery, loneliness and poor family support, myths and social beliefs about the procedure, among others. Conclusions: The social meaning of the uterus and the judgment of the hysterectomized woman are relevant factors in the appearance of depressive and / or anxious disorders. The importance of education is essential for effective coping by women in this procedure.

Sexuality experiences of hysterectomized women / Experiencias de mujeres histerectomizadas acerca de la sexualidad / Experiências de mulheres histerectomizadas acerca da sexualidade

Abstract Objective: To know the sexuality experiences of hysterectomized women. Method: Qualitative study carried out in Family Health Strategies with 19 hysterectomized women. A semi-structured interview was conducted, combined with the Creativity and Sensitivity Technique called Speaker Map, after approval by the Ethics Committee from January to February 2018. Data were analyzed according to analysis of the thematic content. Results: The participants had different sexuality experiences after the hysterectomy. The procedure was associated with restoration of health, resuming sexual activity, and changes in relationships. It was also related to the onset of dyspareunia and decrease in libido. Conclusion and implications for practice: The changes experienced after surgery led women to build new meanings for sexuality and their relationships. The surgery shows concrete results, such as decreased or increased pain in sexual practice, and subjective results, such as the feeling of freedom and the impact on female identity. These results may contribute to direct educational strategies to approach sexuality with each woman who undergoes hysterectomy.

Resumen Objetivo: Conocer las vivencias de mujeres histerectomizadas acerca de la sexualidad. Método: Estudio cualitativo realizado en Estrategias Salud de la Familia con 19 mujeres histerectomizadas. Se utilizó la entrevista semiestructurada, combinada con la Técnica de Creatividad y Sensibilidad denominada Mapa Hablante, después de la aprobación del Comité de Ética, en el período de enero y febrero de 2018. Los datos fueron analizados según el análisis de contenido temático. Resultados: Las mujeres se sintieron diferentes para vivir la sexualidad después de la histerectomía. Este procedimiento se asoció al restablecimiento de la salud, la reanudación de la vida sexual y el cambio en las relaciones. También, estuvo relacionado al surgimiento de dispareunía y a la disminución de la libido. Conclusiones e implicaciones para la práctica: Los cambios vivenciados a partir de la cirugía hicieron que las mujeres construyeran nuevos significados acerca de la sexualidad y sus relaciones. La cirugía se desdobló en cuestiones concretas, como la disminución o aumento del dolor en las relaciones sexuales y, en cuestiones subjetivas como la sensación de libertad y el impacto en la identidad femenina. Estos resultados pueden contribuir para el direccionamiento de estrategias educativas para abordar la sexualidad con cada mujer que vivencia la histerectomía.

Resumo Objetivo: Conhecer as experiências de mulheres histerectomizadas acerca da sexualidade. Método: Estudo qualitativo realizado em unidades da Estratégia Saúde da Família com 19 mulheres histerectomizadas. Utilizou-se entrevista semiestruturada, combinada com a Técnica de Criatividade e Sensibilidade denominada Mapa Falante, após a aprovação do Comitê de Ética, no período de janeiro e fevereiro de 2018. Os dados foram analisados segundo análise de conteúdo temática. Resultados: As mulheres sentiram-se diferentes para vivenciar a sexualidade após a histerectomia. Este procedimento foi associado ao restabelecimento da saúde, à retomada da vida sexual e à mudança nos relacionamentos. Também esteve relacionado ao surgimento de dispareunia e à diminuição da libido. Conclusão e implicações para a prática: As mudanças vivenciadas a partir da cirurgia fizeram as mulheres construírem novos significados acerca da sexualidade e dos seus relacionamentos. A cirurgia desdobrou-se em questões concretas, como a diminuição ou aumento da dor nas relações sexuais, e em questões subjetivas como a sensação de liberdade e o impacto na identidade feminina. Esses resultados podem contribuir para direcionar estratégias educativas para abordar a sexualidade com cada mulher que vivencia a histerectomia.

Importancia de una intervención psicoeducativa sobre sexualidad en mujeres sometidas a una histerectomía: una revisión de la literature / Importance of a psychoeducational intervention on sexuality in women undergoing a hysterectomy: a review of the literature

RESUMEN: La Histerectomía es uno de los procedimientos quirúrgicos ginecológicos más frecuentes en el tratamiento de patologías uterinas. La literatura destaca al útero como un símbolo de identidad femenina y aunque existen diferencias individuales de afrontamiento, su extirpación puede causar alteraciones en la dimensión psicológica, física, social y sexual. El objetivo del estudio es determinar la importancia de una intervención psicoeducativa en mujeres ginecológicas histerectomizadas, para prevenir el riesgo potencial de presentar alteraciones emocionales y disfunciones sexuales post cirugía. METODOLOGÍA: Se revisaron 106 artículos originales de fuente primaria, en inglés, español, francés y portugués, publicados entre los años 2004 y 2016, en PubMed, Scielo, CINAHL, Ciber Index Cuiden, Lilacs, Elsevier y Scopus. RESULTADOS: El 100% de artículos reconocen en mujeres histerectomizadas, el riesgo de sufrir alteraciones emocionales y trastornos sexuales y el 61% reconoce, además la importancia de entregar educación sexual formal a la mujer y pareja, para prevenir trastornos sexuales, especialmente en histerectomizadas oncológicas, considerando intervinientes individuales y multidimensionales, temáticas de interés y capacitación de profesionales sanitarios en educación sexual. CONCLUSIONES: Una intervención psicoeducativa en la mujer y pareja, puede prevenir especialmente en histerectomizadas oncológicas la aparición de alteraciones emocionales y disfunciones sexuales, propiciar la recuperación física y emocional, un retorno a una vida sexual activa satisfactoria. Se sugieren estudios que comprueben la magnitud de esta intervención, para ser incorporada en un futuro al protocolo de atención de Garantías Explicitas en Salud en mujeres con cáncer cérvico uterino.

ABSTRACT: Hysterectomy is one of the most frequent gynecological surgical procedures in the treatment of uterine pathologies. Literature stands out uterus as a symbol of female identity and although there are individual differences in confronting, their extirpation can cause alterations in the psychological, physical, social and sexual dimensions. The objective of the study is to determine the importance of a psychoeducational intervention in hysterectomized gynecological women in order to prevent the potential risk of presenting emotional alterations and sexual dysfunctions after surgery. METHODOLOGY: 106 original articles of primary source in English, Spanish, French and Portuguese, published between 2004 and 2016, in PubMed, Scielo, CINAHL, Ciber Index Cuiden, Lilacs, Elsevier and Scopus were reviewed. RESULTS: 100% of articles recognize in hysterectomized women, the risk of suffering emotional alterations and sexual disorders, and 61% also recognize the importance of providing formal sexual education to women and partners in order to prevent sexual disorders, especially in oncological hysterectomized, considering individual and multidimensional interveners, topics of interest and training of health professionals in sexual education. CONCLUSIONS: A psychoeducational intervention in the woman and couple can prevent, especially in oncological hysterectomized, the appearance of emotional alterations and sexual dysfunctions, to propitiate the physical and emotional recovery, a return to an active satisfactory sexual life. Studies to prove the magnitude of this intervention are suggested in order to be incorporated in future to the care protocol for Explicit Health Guarantees in women with cervical cancer.

Barreras en la comunicación percibidas por un grupo de mujeres histerectomizadas: Un desafío para entregar una educación apropiada / Communication barriers perceived by a group of hysterectomized women: a challenge to deliver an appropriate education

ANTECEDENTES: La destreza comunicacional del profesional de la salud es reconocida como un aspecto crucial que facilita la educación a los pacientes. OBJETIVO: Describir las barreras que la mujer histerectomizada percibe en relación a la comunicación durante el proceso quirúrgico. MÉTODO: Estudio cualitativo realizado en 15 mujeres histerectomizadas. Para la recolección de los datos se utilizaron entrevistas en profundidad las que fueron analizadas con análisis de contenido. RESULTADOS: Las mujeres identifican diferentes barreras tanto de ellas como de los profesionales que dificultan la comunicación y por ende la educación que ellas reciben en relación al proceso quirúrgico. Las barreras de los profesionales son el lenguaje técnico, falta de tiempo, enojo, contradicciones en las indicaciones y lejanía. Las barreras en las mujeres son la timidez, la vergüenza, la falta de confianza, el miedo y la conformidad. CONCLUSIÓN: Los profesionales de salud deben enfocarse en desarrollar técnicas de comunicación que ayuden a los pacientes a disminuir las barreras y por ende mejorar los resultados en salud; deben entregar la información de forma clara y simple, verificando que lo comunicado ha sido entendido.

BACKGROUND: The communication skills of health care professional has been recognized as a crucial aspect that facilitates patient education. AIM: To describe the barriers that women perceive hysterectomy in relation to communication during the surgical procedure. METHOD: Qualitative study conducted in 15 hysterectomi-zed women. Deep interview and content analysis were used. RESULTS: Women identify different barriers from them and health care professionals, that difficult the communication and therefore the education that the women receive in relation to the surgical process. The professional's barriers are technical language, lack of time, anger, contradictions in the directions and distance. The barriers for women are shyness, shame, the lack of trust, fear and conformity. CONCLUSION: Health professionals should focus on developing communication techniques that help patients to reduce barriers and thus improve health outcomes; they must provide information in a clear and simple way, making sure that the statement has been understood.

Feminine identity: the representation of the uterus for women undergoing hysterectomy / Identidade feminina: a representação do útero para as mulheres submetidas à histerectomia / Identidad femenina: la representación del útero para mujeres sometidas a histerectomía

Objetivo: Identificar a representação do útero para as mulheres submetidas à histerectomia e a vivência da sexualidade neste período. Método: Pesquisa qualitativa realizada no mês de outubro de 2008 em um hospital de ensino no sul do Brasil, com cinco mulheres histerectomizadas. Utilizou-se como instrumento a entrevista semiestruturada. Para análise dos dados empregou-se a análise de conteúdo temática. Resultados: Para as mulheres o útero foi identificado como um órgão sem utilidade, pois já havia desempenhado seu papel reprodutivo e sua retirada pareceu não interferir na maneira como elas encaram a sua sexualidade e feminilidade. Conclusões: Proporcionar informação às mulheres que se submetem a histerectomia pode auxiliar no entendimento de que este procedimento não interfere na identidade feminina.

Objective: To identify the representation of the uterus for women who underwent hysterectomy and experience of sexuality in this period. Method: Qualitative survey conducted in October 2008 in a teaching hospital in southern Brazil, with five women hysterectomy. It was used as a tool to semi-structured interview. For data analysis we used the thematic content analysis. Results: For women the uterus was identified as an organ useless, having already played their reproductive role and its removal did not appear to interfere with the way they view their sexuality and femininity. Conclusions: Providing information to women who undergo hysterectomy may assist in understanding that this procedure does not interfere with female identity.

Objetivo: Identificar la representación del útero de las mujeres que se sometieron a histerectomía y la vivencia de la sexualidad en este período. Método: Estudio cualitativo realizado en octubre de 2008 en un hospital universitario en el sur de Brasil, con cinco mujeres histerectomía. Fue utilizado como una herramienta para la entrevista semi-estructurada. Para el análisis de los datos se utilizó el análisis de contenido temático. Resultados: Para las mujeres el útero fue identificado como un órgano inútil, que ya ha jugado su rol reproductivo y su retirada no parece interferir con la manera en que ven su sexualidad y feminidad. Conclusión: El suministro de información a las mujeres que se someten a histerectomía puede ayudar en la comprensión de que este procedimiento no interfiere con la identidad femenina.

Histerectomía: la experiencia de no tener útero para un grupo de mujeres chilenas / Meaning that hysterectomy has by a group of hysterectomized Chilean women

Antecedentes: El útero ha sido descrito como un símbolo de femineidad, sexualidad y reproducción por lo que su extracción conlleva una serie de significados para la mujer. Objetivo: Describir el significado de la histerectomía para un grupo de mujeres sometidas a esta cirugía. Método: Estudio cualitativo realizado en 52 mujeres histerectomizadas. Para la recolección de los datos se utilizaron entrevistas en profundidad y grupos focales. Resultados: Se identificaron 6 dimensiones: síntomas previos, alivio de no tener útero, mitos y creencias, significado del útero y de la cirugía, miedo y sexualidad. Considerar a la histerectomía solamente como tratamiento de una enfermedad sería una visión sesgada de la realidad que vive la mujer, y por lo tanto, alejada de las necesidades que ellas y sus parejas tienen. Conclusión: Los profesionales que intervienen a la mujer deben comprender el proceso complejo que significa para ella asumirse como mujer histerectomizada...

Background: The uterus has been described as a feminine symbol, sexuality and reproduction, therefore the hysterectomy has a multiple meaning by the woman. Aims: To describe the meaning that hysterectomy has by a group of hysterectomized women. Method: Qualitative study with 52 hysterectomized women. By the data collection interviews and focus group was used. Results: It were identified 6 dimensions: previous symptoms, sense of wellness of not having uterus, beliefs and myths, the meaning of uterus and surgery, fear and sexuality. Hysterectomy only like a disease solution would be and slanted vision about the reality that the woman live, and therefore moved away of the needs that they and their partners have. Conclusion: The health care professionals must understand the complex process that means her to assume herself like hysterectomized woman...

Psychological meaning of a woman with a hysterectomy among Mexican physicians and women.

The psychological meaning of women who have had a hysterectomy, and attitudes toward them, were explored in 121 Mexican gynecologists, 155 women who had undergone a hysterectomy, and 115 women who had not had a hysterectomy. The surveys were completed between January and May 2011. Both groups of women defined a woman who had had a hysterectomy using words with positive meanings (healthy, happy, reassured, and complete), as well as words with negative meanings (sad, incomplete, and irritable). However, the participants who had not had a hysterectomy defined a woman who had had a hysterectomy using more negative words and showed more negative attitudes toward such a woman with a hysterectomy than those women who had undergone a hysterectomy. Among participants who had undergone a hysterectomy, those who were premenopausal prior to the surgery and those who had undergone bilateral salpingo-oophorectomy defined a woman who had had a hysterectomy in a more negative manner and showed the most negative attitudes. The gynecologists did not use words with emotional content regarding women who had had a hysterectomy and showed more neutral attitudes toward such a woman than did both groups of women. These findings could be helpful in designing support programs for women facing a hysterectomy.

Psychosexual perspectives of the husbands of women treated with an elective hysterectomy.

The purpose of this study was to explore the psychosexual perspectives of a group of Brazilian men whose wives underwent an elective hysterectomy. A qualitative design based on the narrative analysis method was used to interview 22 husbands. Results showed similarities and differences among husbands regarding the support provided to their wives, the notion of sexual absence in the postsurgical period, the notion of sexual pleasure after the hysterectomy, and feelings regarding the impossibility of having children. The authors conclude that personal care requirements should be identified and satisfied to provide comprehensive and meaningful care.

Mexican beliefs and attitudes toward hysterectomy and gender-role ideology in marriage.

One hundred and sixty-one Mexican respondents completed a questionnaire that measured beliefs and attitudes toward hysterectomy and another that measured gender-role ideology in marriage (GRIMQ). The participants were divided into two groups according to the GRIMQ: "high machismo/marianismo" and "low machismo/marianismo" groups. The participants belonging to the first group showed the most negative attitudes toward hysterectomy. In this group, men showed more negative attitudes toward hysterctomy and were less likely than women to believe that hysterectomy has positive aspects. The findings are discussed in light of male dominance and female subordination that prevail in certain cultural groups of Mexico.xs.

Histerectomia: aspectos psicossociais e processos de enfrentamento / Hysterectomy: psychosocial aspects and processes of coping

O objetivo deste estudo foi investigar os aspectos psicossociais e as construções de enfrentamento da cirurgia de histerectomia. Tratou-se de estudo de coorte, longitudinal, envolvendo 10 mulheres, com média de idade de 44 anos, baixa escolaridade e renda, atendidas em um hospital municipal do Estado da Paraíba. Utilizou-se a Escala de Modo de Enfrentamento de Problemas (EMEP) e entrevistas semiestruturadas realizados na maternidade e nas residências, no intervalo entre o pré-cirúrgico e no sexto mês do pós-operatório. Para análise dos resultados, utilizou-se estatística descritiva e bivariada e a técnica de análise de conteúdo. Os resultados indicaram a variabilidade das estratégias de enfrentamento, com predomínio na busca de práticas religiosas, seguido de focado no problema. Os discursos evidenciam receio pela perda da feminilidade e mobilização de sentimentos de temor quanto à cirurgia. Os resultados fornecem subsídios para a intervenção psicológica, enfatizando processos de comunicação mais efetivos entre profissionais de saúde e pacientes.(AU)

The aim of this study was to investigate psychosocial aspect and constructs of coping with hysterectomy. This is a cohort, longitudinal study, involving 10 women, mean age 44 years, low education and income, attending a municipal hospital in the state of Paraiba. A Mode of Coping Scale (EMEP) and semi-structured interviews conducted in the maternity ward and at home were used, in the interval between the preoperative and at six months post-operative. To analyze the results, descriptive and bivaried statistics and content analysis technique were used. The results showed variability in coping strategies, predominantly in the search for religious practices, followed by problem-focused. The speeches show concern for the loss of femininity and mobilization of feelings of fear about the surgery. The results assist in psychological intervention, stressing more effective communication processes between health professionals and patients.(AU)

Histerectomia: aspectos psicossociais e processos de enfrentamento / Hysterectomy: psychosocial aspects and processes of coping

O objetivo deste estudo foi investigar os aspectos psicossociais e as construções de enfrentamento da cirurgia de histerectomia. Tratou-se de estudo de coorte, longitudinal, envolvendo 10 mulheres, com média de idade de 44 anos, baixa escolaridade e renda, atendidas em um hospital municipal do Estado da Paraíba. Utilizou-se a Escala de Modo de Enfrentamento de Problemas (EMEP) e entrevistas semiestruturadas realizados na maternidade e nas residências, no intervalo entre o pré-cirúrgico e no sexto mês do pós-operatório. Para análise dos resultados, utilizou-se estatística descritiva e bivariada e a técnica de análise de conteúdo. Os resultados indicaram a variabilidade das estratégias de enfrentamento, com predomínio na busca de práticas religiosas, seguido de focado no problema. Os discursos evidenciam receio pela perda da feminilidade e mobilização de sentimentos de temor quanto à cirurgia. Os resultados fornecem subsídios para a intervenção psicológica, enfatizando processos de comunicação mais efetivos entre profissionais de saúde e pacientes.

The aim of this study was to investigate psychosocial aspect and constructs of coping with hysterectomy. This is a cohort, longitudinal study, involving 10 women, mean age 44 years, low education and income, attending a municipal hospital in the state of Paraiba. A Mode of Coping Scale (EMEP) and semi-structured interviews conducted in the maternity ward and at home were used, in the interval between the preoperative and at six months post-operative. To analyze the results, descriptive and bivaried statistics and content analysis technique were used. The results showed variability in coping strategies, predominantly in the search for religious practices, followed by problem-focused. The speeches show concern for the loss of femininity and mobilization of feelings of fear about the surgery. The results assist in psychological intervention, stressing more effective communication processes between health professionals and patients.

[Rating the quality of care offered to women who underwent hysterectomy]. / Valoración de la calidad de la atención ofrecida a mujeres a quienes se realizó histerectomía.

BACKGROUND: In recent years emerged as a primary need, the evaluation of the services offered to get better quality in them. Health systems are subject to these assessments. OBJECTIVE: To assess the quality of care provided to patients who underwent hysterectomy, since the reference of the family physician, until discharge by the gynecologist. We analyzed the diagnostic results in the short and long-term, patient satisfaction and gynecologist satisfaction, regarding the conditions for offering services. PATIENTS AND METHOD: Retrospective study including 118 patients who underwent hysterectomy and were analyzed the following aspects: history, diagnoses and outcomes. Cross-sectional surveys were also conducted to obtain the satisfaction of patients and the physicians who performed the surgeries. RESULTS: The satisfaction of patients was confirmed, in contrast to the opinion of gynecologists who expressed dissatisfaction with the resources they have. There was discrepancy between diagnosis, planned surgery and the procedure performed, however, the clinical results were adequate. CONCLUSIONS: At present, any institution should periodically evaluate the services it provides to implement measures and procedures commensurate with their population and resources and invite users to participate in internal decision making and provide the opportunity to become an evaluator to generate a culture of self-improvement and continuous improvement in all involved.

História de vidas de mulheres submetidas à histerectomia / Life histories of women undergoing hysterectomy / Historia de vida de las mujeres sometidas a histerectomía

Trata-se de uma pesquisa de abordagem qualitativa de natureza descritiva, desenvolvida na Fábrica deCuidados, localizada na Escola de Enfermagem Alfredo Pinto, e no setor de ambulatório de ginecologia do Hospital Universitário Gafrée e Guinle no período de abril a julho de 2009. Foram entrevistadas 30 mulheres submetidas à histerectomia.O objetivo era conhecer o significado da histerectomia para as mulheres e a sua repercussão na sua saúde sexual e reprodutiva. Para isso, foi utilizada uma entrevista do método história de vida com uma única questão (aberta): “Fale-me sobre a sua vida e a interferência da histerectomia com relação àsaúde sexual”. A análise dos depoimentos foi fundamentada na análise temática. As descobertas da pesquisaderam origem a duas categorias: 1) A saúde sexual, o cotidiano e a qualidade de vida das mulheres que vivemcom hemorragias uterinas; 2) Mitos e verdades relacionados à histerectomia e à interferência na saúde sexual. As mulheres descreveram o procedimento como mutilador, mas, apesar disso, viram a histerectomia comopositiva para a saúde sexual. Elas revelaram otimismo, esperando que após a realização da histerectomia sua qualidade de vida melhorasse, pois estariam livres dos sintomas que as incomodavam, e assim poderiam retomar suas vidas desempenhando regularmente seus papéis sexuais e sociais.

This research has a qualitative approach and a descriptive nature. It was carried out at the “Fábrica de Cuidados”(a care center), that is at the Nursing School Alfredo Pinto and also in the gynecology outpatient clinic ofUniversity Hospital and Gafrée Guinle from April to July 2009. We interviewed 30 women who had beensubmitted to hysterectomy. The goal was to learn about the meanings of hysterectomy and interference in theirsexual health. For this, we used an interview method of life history with a single question: How did hysterectomy change your history of life, and interfered on your sexual health? The analysis of the statements was based onthematic analysis. Research findings led to two categories: 1) Sexual health, daily life, and quality of life ofwomen living with uterine bleeding, 2) Myths and truths related to hysterectomy and sexual health interference.Women described the procedure of hysterectomy as mutilating but at the same time they saw the procedure positive for their sexual health, they were optimist hoping that after the hysterectomy their quality of life couldimprove, because they would be free of symptoms that bothered them, and they could resume their lives, theirsexual and social roles.

Se trata de una investigación de abordaje cualitativo de carácter descriptivo, desarrollada en la Fábrica de Cuidados, ubicada en la Escuela de Enfermería Alfredo Pinto, en el departamento de ginecología del HospitalUniversitario Gafrée Guinle en el período de abril a julio de 2009. Fueron entrevistados 30 mujeres que sesometieron a una histerectomía. El objetivo era conocer el significado de la histerectomía para las mujeres y surepercusión en su salud sexual y reproductiva. Para ello, fue utilizada una entrevista del método historia de vidacon un único tema: “Hábleme sobre su vida y la interferencia de la histerectomía con relación a la salud sexual”.El análisis de las declaraciones fue fundamentada en el análisis temático. Los resultados de la investigación handado lugar a dos categorías: 1) La salud sexual, la vida cotidiana y la calidad de vida de las mujeres que vivencon hemorragia uterina; 2) Mitos y verdades acerca de la intervención de la histerectomía e interferencias en lasalud sexual. Las mujeres describieron el procedimiento de la histerectomía como mutilador, sin embargo vieronel procedimiento como positivo para la salud sexual. Ellas revelaron optimismo, esperando que después de larealización de la histerectomía su calidad de vida mejorase, porque estarían libres de los síntomas molestos, yde esta manera podrían retomar sus vidas desempañando regularmente sus roles sexuales y sociales de nuevo.

[Daily-life of women after hysterectomy supported by Hiedegger's thought]. / Cotidiano da mulher pós-histerectomia à luz do pensamento de Heidegger.

This qualitative study had as its object the daily-life of women after being submitted to a histerectomy. Following this sense the phenomenological approach was chosen as methodological framework , supported by Martin Heidegger phenomenology. The deponents were twenty five women submitted to a histerectomy at HU/UFJF in 2006. The interpretative understanding, showed, under Hedegger perspective, that women s daily-life after being submitted to histerectomy expresses itself in a movement that goes forward and backward for inauthenticity to an indication of properties and improperties. In the daily-life after the surgery is that she understands herself as being-there-with-the-other and revealing herself as "being-of-possibilities" in a self world. It showed that the assistential dynamics must be considered from the perspective of the subjectivity of the woman who will be submitted to histerectomy.

Cotidiano da mulher pós-histerectomia à luz do pensamento de Heidegger / Cotidiano de la mujer después de la histerectomia bajo el pensamiento de Heidegger / Daily-life of women after hysterectomy supported by Hiedegger's thought

Este estudo de natureza qualitativa teve como objeto o cotidiano de mulheres após a histerectomia. Neste sentido foi utilizada a abordagem fenomenológica como método de pesquisa e o pensamento de Martin Heidegger como referencial teórico-metodológico. Utilizou-se da entrevista fenomenológica, com 25 mulheres submetidas à histerectomia, no HU/UFJF, em 2006. A compreensão interpretativa desvelou, à luz do pensamento de Heidegger, que o cotidiano da mulher após a histerectomia se expressa num movimento que transita da inautenticidade para o indicativo de propriedades e impropriedades. No cotidiano, após a intervenção, ela se compreende sendo-aí-com-os-outros e se desvela, mostrando-se como ser de possibilidades num mundo próprio. Evidenciou-se que na dinâmica assistencial deve-se considerar a subjetividade da mulher que será submetida à histerectomia.

This qualitative study had as its object the daily-life of women after being submitted to a histerectomy. Following this sense the phenomenological approach was chosen as methodological framework , supported by Martin Heidegger´ phenomenology. The deponents were twenty five women submitted to a histerectomy at HU/UFJF in 2006. The interpretative understanding, showed, under Hedegger perspective, that women´s daily-life after being submitted to histerectomy expresses itself in a movement that goes forward and backward for inauthenticity to an indication of properties and improperties. In the daily-life after the surgery is that she understands herself as being-there-with-the-other and revealing herself as "being-of-possibilities" in a self world. It showed that the assistential dynamics must be considered from the perspective of the subjectivity of the woman who will be submited to histerectomy.

Este estudio de naturaleza calitativa tuvo como objeto el cotidiano de mujeres tras la histerectomia. En este sentido fue utilizada el enfoque fenomenológico como método de investigación y el pensamiento de Martin Heeidegger como referencial teórico metodológico. Fueron testigos 25 mujeres sometidas a la histerectomia siendo que la encuesta fenomenológica, 2006. La comprensión interpretativa, reveló a la luz del pensamiento de Heidegger, que el cotidiano de la mujer, tras la histerectomia se expresa en un movimiento que transita de la inautenticidad para el indicativo de propiedades y impropiedades. Revelaron que en la dinámica asistencial las condiciones de salud la mujer deben ser considerado a partir de la subjetividad de la mujer que será sometida a la histerectomia.

A repercussão da histerectomia na vida de mulheres em idade reprodutiva / Repercussion of a hysterectomy in women’s life while in reproductive age

Estudo qualitativo, do tipo descritivo-exploratório, cujo método foi a História de Vida. O objetivo foi identificar e analisar a repercussão da histerectomia na vida da mulher em idade reprodutiva. Foram entrevistadas doze mulheres em pós-operatório de histerectomia. O cenário foi o ambulatório de ginecologia de um hospital especializado na assistência à mulher e à criança, no Riode Janeiro, entre julho e outubro de 2006. Foi realizada análise temática, emergindo duas categorias: “Vida pré: ligada à doença” e “Vida pós: adaptação”. Algumas mulheres referiram uma influência benéfica da histerectomia, trazendo a resolução de problemas, com uma conotação de cura. Porém, para outras significou uma difícil perda. Fatores como sexualidade, sensação de vazio e questões ligadas à reprodução geraram dúvidas no imaginário das mulheres. Considerar estes fatores é fundamental para aimplementação de uma assistência específica e que atenda as necessidades desta clientela.