GNRH1 and depressive symptom measurement: Of all the suitable patients for the study, twenty-seven were excluded: four patients took GnRH analogs before surgery, two patients were diagnosed with depression, two patients were virgo intacta, four patients did not have sexual intercourse over the past year, three patients refused to enroll in the study, and twelve patients refused to complete the follow-up questionnaire 2 years after the surgery.