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by claude@2026-07, 2026-07-14
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This randomized prospective clinic-based study in Bangladesh analyzed 366 women who underwent hysterectomy from January 2018 to April 2024, collecting demographics, reproductive history, and clinical diagnoses via a structured proforma. The most prevalent stated cause was adenomyosis (79.5%), with fibroids (41.8%) and chronic cervicitis (21.3%) also common; additional causes included uterine prolapse, and endometriosis was reported in 3.0% of cases. A key finding was that comorbidity was frequent, with 50% having two co-existing gynecological conditions and 16.7% having three to five. This paper is centrally about endometriosis and adenomyosis — it reports adenomyosis as the dominant indication for hysterectomy and includes endometriosis among other causes.
Abstract
Background: Hysterectomy is one of the most common gynecological surgeries performed worldwide, including in Bangladesh, where concerns are rising over the frequency and justification of the procedure, particularly among younger women. Objective: The aim of this study was to assess the causes leading to hysterectomy and evaluate the demographic and clinical profiles of women undergoing the procedure in a clinic-based setting in Bangladesh. Method: This randomized prospective study was conducted at Khalishpur Clinic from January 2018 to April 2024. A total of 366 women who underwent hysterectomy during this period were included. Data were collected using a structured proforma documenting patient demographics, reproductive history, and clinical diagnoses. Descriptive statistics were used to analyze the data and identify common patterns and causes. Results: The mean age of the participants was 45.7 ± 11.7 years, with 75% having two to four children, indicating completion of childbearing. Adenomyosis was the most prevalent cause of hysterectomy (79.5%), followed by fibroids (41.8%), and chronic cervicitis (21.3%). Other causes included uterine prolapse (16.1%), endometriosis (3.0%), and endometrial hyperplasia (1.9%). Notably, 50% of women had two co-existing gynecological conditions, while 16.7% presented with three to five, underscoring the complexity of clinical presentations. Conclusion: The study reveals that hysterectomy in Bangladesh is predominantly performed in women in their mid-40s with completed childbearing.
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A Study on Causes for Hysterectomy in Bangladesh
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Abstract
Background: Hysterectomy is one of the most common gynecological surgeries performed worldwide, including in Bangladesh, where concerns are rising over the frequency and justification of the procedure, particularly among younger women. Objective: The aim of this study was to assess the causes leading to hysterectomy and evaluate the demographic and clinical profiles of women undergoing the procedure in a clinic-based setting in Bangladesh. Method: This randomized prospective study was conducted at Khalishpur Clinic from January 2018 to April 2024. A total of 366 women who underwent hysterectomy during this period were included. Data were collected using a structured proforma documenting patient demographics, reproductive history, and clinical diagnoses. Descriptive statistics were used to analyze the data and identify common patterns and causes. Results: The mean age of the participants was 45.7 ± 11.7 years, with 75% having two to four children, indicating completion of childbearing. Adenomyosis was the most prevalent cause of hysterectomy (79.5%), followed by fibroids (41.8%), and chronic cervicitis (21.3%). Other causes included uterine prolapse (16.1%), endometriosis (3.0%), and endometrial hyperplasia (1.9%). Notably, 50% of women had two co-existing gynecological conditions, while 16.7% presented with three to five, underscoring the complexity of clinical presentations. Conclusion: The study reveals that hysterectomy in Bangladesh is predominantly performed in women in their mid-40s with completed childbearing.
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