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Editorial
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Volume 343:730-731 September 7, 2000 Number 10
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Sex, Hormones, and Hysterectomies

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 by Shifren, J. L.
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In this issue of the Journal, Shifren and coworkers1 postulate that the reduction in androgens resulting from bilateral oophorectomy is associated with sexual dysfunction in some women and that testosterone replacement can reverse this decline in sexual function and also improve psychological well-being. The potential importance of these postulates is substantial.

Recent survey data suggest that the prevalence of sexual dysfunction among women in the United States is approximately 40 percent.2 Many of these women have had hysterectomies, about 600,000 of which are performed here annually.3 Bilateral oophorectomy is performed in conjunction with hysterectomy in about half of women 40 . . . [Full Text of this Article]

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