Psycho-social problems of women who had undergone hysterectomy

3. Neoplastic diseases:Cervical intraepithelial neoplasia: Where family is complete and/or followcheck-up is not possible hysterectomy is indicated. Vaginal hysterectomy ispreferred unless contraindicated by adnexal disease, uterine enlargement, or otherreasons.Early invasive cervical carcinoia: Once the carcinoma becomes invasive,hysterectomy is the treatment of choice.Endometrial adenomatous hyperplasia, adenocarcinoma and sarcoma of uterus areindications for hysterectomy.Ovarian and fallopian tube neoplasms: These are rare cases where hysterectomyshould be preferred.Trophoblastic disease: In high-risk cases, abdominal hysterectomy with bilateralsalpingo-oophorectomy is to be followed by multi-drug therapy.Other causes: Malignant disease of other pelvic organs, in postmenopausalcervical stenosis with recurring pyometra, recurrent hematometra and possiblyendometriosis. *Hysterectomy is also used to be done as part of surgicalsterilization.TYPES OF HYSTERECTOMY:a) According to approachAbdominal hysterectomy: it involves detaching the uterus from the ligamentsthat support it and blood vessels that supply it. It is the most common approach.Vaginal hysterectomy: the surgeon approaches the uterus through the vagina,detaches it from its supports and pulls it out. It is done with women with uterineprolapse.Laproscopic hysterectomy: the approach can be either abdominal or vaginalassisted by a laproscope.