SEXUAL LIFE IN WOMEN AFTER COLECTOMY-PROCTOMUCOSECTOMY WITH S-POUCH

In a consecutive series, 30 women were interviewed and gynecologically examined after pelvic pouch operation because of inflammatory bowel d isease. The examination displayed: colpitis in two, bacterial vaginosi s in one and cervical cancer in situ in one of the women. Unwanted inf ertility was reported by five women, probably due to female factors in three. Sixteen women had felt sexually unattractive by the temporary ileostomy. At follow-up, after closure of the ileostomy, 23 women expe rienced a considerable sexual desire, 28 could experience orgasm and 2 0 nearly always had orgasm at intercourse. Insufficient vaginal lubric ation during intercourse was reported by seven women. This could be ex plained by hormonal or other factors in four women and might be owing to side-effects of the operation in three. Four women reported slight deep dyspareunia and one superficial dyspareunia. The result indicated a low frequency of sexual problems after pelvic pouch operation.