Patient preferences regarding the cervix, ovaries, and fallopian tubes at the time of hysterectomy: a qualitative study

Jenna C. Adams, Madelyn Conner, Jackie Wong, Andrea K. Knittel, Michelle Louie
In: Women & Health · 2024 · vol. 64(10) , pp. 783–792 · doi:10.1080/03630242.2024.2416219 · PMID:39428648 · W4403584028
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This qualitative study found that patients undergoing hysterectomy often lacked knowledge about organ removal consequences and based decisions on long-term effects and symptom relief, not immediate surgical risk.

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Abstract

= 13) ranged from 24 to 60 years. Identified themes included knowledge, decision-making, treatment goals, short- and long-term consequences, fertility, identity, and lack of concern. Many participants expressed lacking necessary knowledge of the risks and benefits of removing the cervix and adnexa. Treatment goals included symptom relief and definitive treatment. Long-term consequences included concerns about menopause and future cancer. Many patients expressed some degree of lack of knowledge, desire to remove most or all pelvic structures, or no attachment to their reproductive organs. Many patients expressed decision-making based on the effects of organ removal on long-term consequences and the relief of current symptoms, rather than immediate surgical risk. This information can help to inform patient-centered surgical counseling.

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