Objective: This study aimed to explore the social and physiological changes that Iraqi women may experience after a hysterectomy. Methods: A cross-sectional study was conducted at the consultation clinic of Al-Elwiya Maternity Teaching Hospital in Baghdad, Iraq. A total of 81 women who underwent emergency hysterectomy and could comprehend and respond to the questionnaire were recruited for this study. A structured, self-administered Arabic-language questionnaire was developed, and it included sociodemographic characteristics, surgical history, preoperative awareness, psychological symptoms, and sexual health impact. Results: The mean age of patients was 43.5 ± 10.6 years. Symptoms of depression, anxiety, and sadness decreased slightly after surgery, but 33.3% still struggled with persistent worry. Sexual difficulties were reported by 29.6%, and 37% experienced worsening partner relationships, while 55.6% reported improved sexuality over time. Logistic regression identified several predictors: depression was notably lower one year after surgery (p = 0.002), while higher education and ovary removal were linked to fewer sexual problems (p = 0.048, 0.011). There were no significant predictors for climax, arousal, pain, or self-confidence. Conclusions: While many women experience gradual improvements in emotional well-being and sexual function, a substantial proportion continue to face challenges. Age, education level, time since surgery, and ovary removal significantly influence recovery and adaptation. These findings highlight the importance of individualized post-surgical care, including psychological support and sexual health counseling, to enhance long-term quality of life.
