The psychological effects of hysterectomy

Bibliography: leaves 118-126.Hysterectomy is one of the most common forms of surgery to which women are likely to be exposed. The emotional sequelae of this procedure have long been an area of concern for the clinician. This has resulted in the gynaecologist as "uterus remover" being concerned in research of the effects of this operation. The chief objective of this dissertation was to review the literature and the psychological effects of hysterectomies. This has revealed that women who undergo this procedure do manifest concrete changes in their functioning, attitudes and behaviour. These findings are illustrated by the use of empirical case material. Since this operation was first performed there has been a difference of opinion about the indications for and sequelae of it. The most frequently occurring adverse effect was found to be that of depression, necessitating referral to a psychiatrist. The difficulties of delineating factors that might be predictive of a woman's reaction and adjustment to this operation and the role that a psychologist can play in this area was discussed. Methodological problems inherent in research of this nature and its implications on future studies is presented. Empirical case studies used to illustrate issues discussed was appended