Hysterectomy in the Mentally Disabled Female: An Ethical Dilemma

Abstract

The establishment of menstrual hygiene, specifically among the mentally disabled females, is one of the most critical concerns posing challenges for the individual, family and caretaker. Although the performance of hysterectomy among females with intellectual disabilities (ID) is now trending, but it has given rise to many ethical questions. Therefore, the study aimed to address the ethical dilemmas associated with hysterectomy among ID females, taking reference from a case of 19-year-old female, unable to practice menstrual hygiene.

Forced Surgeries in the Mentally Challenged Females: Ethical Consideration and a Narrative Review of Literature

“…In the medical field, we talk about non-maleficence which in simple words is “do no harm.” By doing these surgeries which are most of the time unnecessary and unindicated, the harm happens in terms of pain, infection, and risks associated with surgeries. Rana A discussed the dilemma between non-maleficence to a consequential theory where non-maleficence is “do no harm” thus sufferers’ do not be harmed [ 18 ]. While consequentialism theory considers the consequences of actions like performing a hysterectomy for intellectually disabled (ID) individuals the discomfort, irritation, restlessness, disturbed sleep, and aggressiveness associated with menstruation will subside, and the caregivers will be less burdened at the same time.…”