Complex medical treatment of gynecological tumors includes hemio, surgical and radiation therapy, and may result with recovery, but also with a potential risk of emerging sexual dysfunctions, as well as numerous psychologies, such as: depression, anxiety, loose of libido and orgasm, surgical disruption of the self concept of femiity. This study was an attempt to explore and compare sexual functioning, depending on a type of therapy, before surgery and one year latter, in a period when the final postoperative anatomy was made up.

We took a prospective investigation at the University Clinical Center Nis, with a total sample divided in 3 groups, the first group of patients which underwent hysterectomy, than the second group, ones which underwent radiation and the third one, patients that received mixed therapy (surgical and radiation). Except the interview technique, all the patients responded to questionnaire items devised by the authors

The complete cessation of sexual activities was found with the highest frequency, 27%, among the patients from the third group and this may be due to the fact that together surgery and radiation may resulted in serious changes in genital anatomy. The lack of libido and/or orgasm was noted with the highest frequency, 50% among the patients from the first group.

Hysterectomy and resulting hormonal disturbances and psychological meanings on feminist concept had a potential risk emerging sexual dysfunctions