Hysterectomy: Indications and depression as adverse psychological consequence

Tehmina Parveen Syed, Rekha Devi, Rakesh Kumar, Ramna Devi
In: Journal of Pakistan Psychiatric Society · 2021 · vol. 18(03) , pp. 11–14 · doi:10.63050/jpps.18.03.74 · W4399194788
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⚙ AI-generated summary by claude@2026-06, 2026-06-28 ⓘ

This study investigated hysterectomy indications, finding heavy menstrual bleeding and fibroids were common, and that premature menopause post-surgery was associated with severe depression.

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This prospective observational study (January 2018 to July 2020) evaluated 112 women who underwent hysterectomy, documenting common indications and assessing long-term psychological effects. Indications differed by menopausal status: peri-menopausal women most often had heavy menstrual bleeding due to uterine fibroids, whereas post-menopausal women most often had post-menopausal bleeding. Long-term psychological impact was measured using DSM-V criteria and the Beck Depression Inventory, and the authors reported that women who experienced premature menopause developed severe depression after hysterectomy. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Abstract: Hysterectomy is not a life threatening procedure but Women who undergo hysterectomy face a multitude of physical and psychosocial problems, estrogen deficiency (in case of removal of ovaries) may have more detrimental effect on women’s health. Feeling of loss of femminity is also a main cause of anxiety and depression after hysterectomy. Studies showed that patient education about potential outcomes after hysterectomy may enhance their satisfaction with the procedure and also less or no long-term psychological morbidities, 10, 11 but still the association between hysterectomy and subsequent, long-term psychological health is not well defined. The present study explores the common indications of hysterectomy and its subsequent long-term psychological effects. OBJECTIVE: To demonstrate common indications of hysterectomy in our hospital. To assess long-term psychological impact of hysterectomy. Materials and methods: We conducted prospective observational study from Jan 2018 to July 2020. Total 112 hysterectomies were performed during this period. We observed common indications of hysterectomies and assessed long-term psychological effects by using DSM-V and Beck Depression Inventory questionnaire. Results: In Peri-menopausal women, the most common indication of hysterectomy was heavy menstrual bleeding and majority were due to uterine fibroids, while, in post-menopausal women the main reason was post-menopausal bleeding. Our study revealed that women who experienced premature menopause had developed severe depression after their hysterectomy, hence they require more support and counselling to maintain good psychological health.
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Abstract

Abstract: Hysterectomy is not a life threatening procedure but Women who undergo hysterectomy face a multitude of physical and psychosocial problems, estrogen deficiency (in case of removal of ovaries) may have more detrimental effect on women’s health. Feeling of loss of femminity is also a main cause of anxiety and depression after hysterectomy. Studies showed that patient education about potential outcomes after hysterectomy may enhance their satisfaction with the procedure and also less or no long-term psychological morbidities, 10, 11 but still the association between hysterectomy and subsequent, long-term psychological health is not well defined. The present study explores the common indications of hysterectomy and its subsequent long-term psychological effects.

Objective

To demonstrate common indications of hysterectomy in our hospital. To assess long-term psychological impact of hysterectomy.

Materials and methods

We conducted prospective observational study from Jan 2018 to July 2020. Total 112 hysterectomies were performed during this period. We observed common indications of hysterectomies and assessed long-term psychological effects by using DSM-V and Beck Depression Inventory questionnaire.

Results

In Peri-menopausal women, the most common indication of hysterectomy was heavy menstrual bleeding and majority were due to uterine fibroids, while, in post-menopausal women the main reason was post-menopausal bleeding. Our study revealed that women who experienced premature menopause had developed severe depression after their hysterectomy, hence they require more support and counselling to maintain good psychological health. Downloads Copyright © JPPS. Published by Pakistan Psychiatric Society Licensing: This work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purposes. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

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