Hysterectomy and women’s health in India: evidence from a nationally representative, cross-sectional survey of older women

Abstract

Background Hysterectomy, particularly when conducted in women younger than 45 years, has been associated with increased risk of non-communicable diseases. In India, research indicates that hysterectomy is a common procedure for women, but there have been no studies on its long-term effects. We examined patterns of hysterectomy amongst women in India and associations with their health and well-being in later life. Methods This analysis utilised the first wave of the Longitudinal Study on Aging in India, a nationally representative study of adults that included a module on health and well-being. We analysed data on 35,083 women ≥45 years in India. We estimated prevalence of hysterectomy and performed multivariable logistic regression to identify associated risk factors and to examine the association between hysterectomy status and eight self-reported chronic conditions, hospitalisation and mobility. Results The prevalence of hysterectomy among women >=45 years was 11.4 (95% CI: 10.3, 12.6), with higher odds among urban women (aOR: 1.39; 1.17,1.64) and higher economic status (highest compared to lowest quintile: aOR: 1.95; 1.44, 2.63). Hysterectomy history was associated with four chronic conditions: hypertension (aOR: 1.51; 95% CI: 1.28, 1.79), high cholesterol (aOR: 1.43; 1.04, 1.97), diabetes (aOR: 1.69; 1.28, 2.24), and bone/joint disease (aOR: 1.54; 1.20, 1.97) and higher odds of any hospitalisation in the past year (aOR: 1.69; 1.36, 2.09). Conclusions In India, evidence suggests that hysterectomy is associated with major chronic conditions. The assessment for hysterectomy as a treatment option for gynaecological morbidity should consider potential health consequences in later life.

Socio-Demographic and Related Indicators of Underwent Hysterectomy: A Cross-Sectional Study Conducted among the Women of District Bilaspur (CG), India

“…and Kundu (2022)26 have reported excessive menstrual bleeding, broids/cysts, uterine disorder, cancer, uterine prolapsed, severe post-partum hemorrhage and cervical discharge.Settnes and Jorgensen (1996) 38 have reported bleeding disorder and uterine broids was the two major reason undergoing hysterectomy. Another consistent observation was analyzed by(Desai et al, 2023) …”

“…Similar results were also observed by Singh and Govil (2021) 37 that the common reason for undergoing hysterectomy was being diagnosed with excessive menstrual bleeding, broids/cysts, uterine disorder, uterine prolapsed. Kumari 39 that the common reason for underwent hysterectomy was excessive menstrual bleeding (65.7%) and uterine prolapsed (29.6%) among women from Andhra Pradesh and Panjab.…”