Introduction: Hysterectomy is a common gynecologic surgery carried out to remove the pathologic uterus.Objective: To establish if sleep disorders and sexual function are associated with deterioration of the quality of life (QoL) in hysterectomized and sexually active women.Methods: A guar gum cross-sectional study was carried out with inhabitants from two cities of the Colombian Caribbean.The pollsters invited women aged between 40-59 years to participate; in their communities they applied surveys with demographic characteristics: Female Sexual Function Index, Atenas Insomnia Scale and Menopause Rating Scale.Sexually active women were selected; then the association was established with logistic regression.
Results: 522 women were studied with an average age of 50 years: 30% oophorectomized, 59.8% Hispanic, 40.2% afro-descendants and 22.2% hormonal therapy users.80% of them had somato/vegetative, psychological or urogenital deterioration; 29.
1% with severe Stoneware Bowl deterioration of QoL and 47.5% with insomnia.Out of 390 (74.7%) with sexual activity, 59.7% suffered from sexual dysfunction.
Insomnia: OR:3.05 [95%CI:1.86-4.99], sexual dysfunction OR:3.52 [95%CI:2.
01-6.17], dissatisfaction about sexuality OR:4.77 [95%CI:2.08-10.93], low or non-existent sexual desire OR:2.
94 [95%CI:1.65-5.25], daytime drowsiness OR:3.15 [95%CI:1.59-6.
24] and decrease in daytime well-being OR:3.18 [95%CI:1.79-5.64].These were factors associated with severe worsening of QoL, while the presence of genital lubrication was protective, OR: 0.
44 [95%CI:0.21-0.93], p=0.0332.Conclusion: It was observed that insomnia and sexual dysfunction behaved as factors associated with three times more severe deterioration of the QoL in climacteric and sexually active women previously hysterectomized.