Published Papers - Abstract 262

Graham M, James EL, Keleher H & Byles J. Are women satisfied with hysterectomy as treatment for their menstrual problems satisfied? , ; :

Background: There has been a vast amount of research undertaken on hysterectomy; however this research has mainly been confined to the medical procedure itself and not in relation to a woman’s wellbeing. It has been suggested that hysterectomy may be carried out more quickly than necessary for benign complaints, despite evidence that women with fibroids, abnormal bleeding, and chronic pelvic pain report improved symptoms over time with medical management. A woman’s satisfaction with the outcomes of hysterectomy in relation to all aspects of her life has not previously been examined. This study aimed to examine women’s satisfaction with hysterectomy as a treatment for menstrual symptoms.Methods: A cross-sectional study of 201 middle-aged Australian women identified by Women's Health Australia as having undergone a hysterectomy for the relief of menstrual symptoms were included in this study. A self-administered survey was sent to the women in 2000. The relationship between study factors were examined using Spearman’s Rank Order Correlation for continuous non-parametric data. Results: Most women underwent total abdominal hysterectomy and indicated a positive attitude towards hysterectomy. For example, more than half of the women agreed with the attitude statement that having a hysterectomy “allows you to get on with your life”. However, there was also agreement with the statement that having a hysterectomy was “not something I had a choice about”. Most women were however satisfied with their hysterectomy despite the onset of new symptoms. Women experiencing fewer symptoms post-hysterectomy also reported better quality of life. Conclusions: Satisfaction with the outcome of hysterectomy is evident, despite the onset of new symptoms. This study also found that 26% of women underwent oophorectomy with a seeming lack of clear indications for removing ovaries of women who suffer from menstrual problems

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