Tuesday, 17 June 2014

Hysterectomy at younger age

Hysterectomy is the surgery done to remove the uterus.
It should be done for conditions that cannot be managed medically and in emergency life saving situations.
But nowadays incidence of hysterectomies is being increased.
And most of them are being performed for benign, medically manageable conditions.
Some women think that after completion of the family, there is no role for uterus and if they underwent hysterectomy, they can get rid of problems of menstruation.

But this is not true.
Women undergoing hysterectomies under the age of 35 years can face many problems.
Ovaries are the organs which are responsible for the production of sex hormones estrogen and progesterone.
These are hormones will act on uterus and maintain regular menstrual cycle.
These hormones also help in cardiovascular function, in strengthening the bones etc.
Though ovaries are preserved in most of the hysterectomies, as the end organ is not there, the functioning of ovaries will also get affected.
That can lead to complications like:
-Decreased bone mineral density leading to low backache, body pains, join pains, generalized weakness etc.
-Hormonal abnormalities leading to mood changes, night sweats, hotflushes etc.
-Cardiovascular abnormalities ranging from palpitations to stroke
-Pelvic muscular weakness leading to vault prolapse, urinary incontinence etc.
-Psychological effects like decreased sexual desire etc.

These symptoms are more common and occur early in women who have undergone oopherectomy along with hysterectomy.
So, most of these problems can be prevented by choosing hysterectomies only for selectively indicated reasons.


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