Psycho-social problems of women who had undergone hysterectomy

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her. However, once the depression improved, the family put up with the irritabilityand at present they report that it is no longer a pressing problem.The hysterectomy affected Anna’s sexual life very adversely. She reported loss oflibido and significant decease in interest in having sex. After the hysterectomy, shesuffered from dryness of the vagina and painful intercourse. The couple triedlubricants and creams that combated the dryness but did not result in better sex asfar as Anna was concerned. She said that she felt frigid and had no interest in sex.Combined with this was the physical pain she had in terms of backache, jointpains and muscle aches. Since she was getting tired more easily, she had lessenergy and felt too fatigued to enjoy intimacy.Apart from seeking treatment for the urinary tract infections and consulting anorthopaedic doctor in relation to her backache and joint pains, Anna never soughttreatment for any of the other problems that she faced after hysterectomy. In spiteof her husband’s insistence, she had refused to consult a doctor regarding hersexual problems. She had strong inhibitions regarding discussing the matter with adoctor. Even with the passage of several years, the sexual problems have persisted.The couple said that they have reached a ‘compromise’ in matters related to sex,but it was clear that the husband was unhappy about their post-hysterectomy sexlife since there was marked decrease in the frequency and the involvement of thewife in sexual intimacy.Anna believes that Hormone Replacement Therapy is harmful in the long run andrefuses to consider it. The gynaecologist who performed the hysterectomy hadoffered that option but had not given her much information on HRT. Anna’sfriends and acquaintances had told her that HRT was harmful and had advised hernot to opt for it.
Case no: 2Nirmala is 42 years old and is working as administrative assistant in a privatecompany. She has a post-graduate degree. She is married to an engineer and havetwo sons aged 21 and 18 respectively. She had no major illness in the past. Shefollows a vegetarian diet and maintains ideal body weight.Before the hysterectomy, Nirmala was described as a quiet and happy woman. Shehad a small circle of friends with whom she was close and they used to meet atregular intervals. Nirmala and her husband shared a warm relationship and theydescribed themselves as being good friends rather than being the strictlytraditional husband and wife. Both of them were happy and content in therelationship. Their sex life was also satisfactory. They enjoyed travelling,watching films, and spending time together as a family. As a mother, Nirmala wasnot authoritarian or distant. Her sons found her to be a doting mother who took aninterest in their studies; sports activities and both the children were close to theirmother. At work, Nirmala was seen as a punctual and dedicated person who wascordial and she got along with her co-workers well.Nirmala had a hysterectomy and bilateral salpingo – oophorectomy 6 years ago atthe age of 36. She had irregular and frequent periods with heavy bleeding. She wasdiagnosed with fibroid growth in her uterus but the gynaecologist advised againsthysterectomy taking into consideration her young age. She was given medicinesand painkillers and was asked to wait for a year before opting for surgery.In that one year period, Nirmala continued to have frequent periods (once in tendays or less) along with heavy bleeding. At the end of one year, investigationsrevealed that along with fibroids she had developed cysts in her ovaries that weregrowing bigger with the passage of time. The doctor advised her to have a totalhysterectomy since there was a possibility that the cysts might be cancerous.Nirmala had cysts in only one of her ovaries but both ovaries were removed as aprecautionary measure.
Page 1 and 2: ABSTRACTTitle - Psychosocial Proble
Page 3 and 4: PSYCHOSOCIAL PROBLEMS OF WOMEN WHO
Page 5 and 6: Dysfunctional uterus bleeding (DUB)
Page 7 and 8: Vaginal hysterectomy is prefered wh
Page 9 and 10: Vaginal bleeding—this should dimi
Page 11 and 12: hospital reported 1547 hysterectomi
Page 13 and 14: ) The study also gathered first han
Page 15 and 16: and found no evidence of hormone di
Page 17 and 18: Any kind of surgical intervention o
Page 19 and 20: esulting absence of ovarian estroge
Page 21 and 22: penetration during intercourse, and
Page 23 and 24: heavy, prolonged and irregular blee
Page 25: hysterectomy. She complained of wei
Page 29 and 30: She did not perceive it as a “los
Page 31 and 32: esult of her hysterectomy. She was
Page 33 and 34: miscarriage following tubular pregn
Page 35 and 36: A change was found in the intensity
Page 37 and 38: Depression in the patient before su

Psycho-social problems of women who had undergone hysterectomy

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