Narrative review reveals substantial sexual dysfunction from uterine fibroids in women, highlighting the need for routine validated clinical assessments.
Key Points
To review the impact of uterine fibroids on female sexual health and address the underreporting of sexual dysfunction in clinical practice.
Conducted a narrative literature review evaluating the relationship between uterine fibroids and female sexual dysfunction.
Uterine fibroids impair sexual desire, arousal, and orgasm through symptoms including heavy menstrual bleeding, anemia, pelvic pressure, and severe dyspareunia, which are further aggravated by fear of pain and low self-esteem.
Surgical interventions such as myomectomy and hysterectomy frequently improve sexual function by relieving physical symptoms, though outcomes vary according to surgical technique and risk of nerve damage.