DETERMINANTS OF EARLY AGE HYSTERECTOMY AND ASSOCIATED PHYSICAL AND PSYCHOSOCIAL PROBLEMS AMONG RURAL WOMEN: A COMMUNITY-BASED CROSSSECTIONAL STUDY

Authors

  • UJWAL NAIDU SAMBANGI Undergraduate Medical Student, GSL Medical College, Rajahmundry, Andhra Pradesh, India
  • JAYASREE PALLA Department of Community Medicine, GSL Medical College, Rajahmundry, Andhra Pradesh, India.
  • SATEESH BABU KAKI Department of Biochemistry, NIMRA Institute of Medical Sciences, Vijayawada, Andhra Pradesh, India.
  • KRISHNA SAI SURYA KOLIPAKULA Undergraduate Medical Student, GSL Medical College, Rajahmundry, Andhra Pradesh, India
  • RAVI BABU KOMARAM Department of Pharmacology, GSL Medical College, Rajahmundry, Andhra Pradesh, India
  • SIPRA KOMAL JENA Department of Community Medicine, GSL Medical College, Rajahmundry, Andhra Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2025v18i7.54581

Keywords:

Early age hysterectomy, Sociodemographic, Determinants, Physical, Psycho-social

Abstract

Objectives: Hysterectomy is the second most common major surgical procedure performed among women worldwide, with limited information about rural women. Hence, the study objectives were to estimate the prevalence of early-age hysterectomy among rural women and to determine socio-demographic factors, and physical and psycho-social problems associated with early age hysterectomy.

Methods: A community-based, cross-sectional study was conducted among rural women, residing in the villages under the rural field practice area of GSL Medical College, Rajahmundry; selected by two-stage sampling technique. A semi-structured schedule was used for the collection of data. Statistical analysis was done by applying Chi-square test.

Results: The prevalence rate of hysterectomy at early age was 9.28%, with a mean age of 34.38 years; it was significantly (p<0.05) associated with age, illiteracy, lower socio-economic status, working women, health insurance, early age menarche, marriage at early age, and parity of 3 or more children; joint pains, night sweats, hot flushes, depression, mood swings, disturbed sleep, and social conflicts were also associated significantly (p<0.05).

Conclusion: Hysterectomy at an early age, among rural women, indicates that there is a critical need to ensure better treatment options for gynecological morbidity, and quality reproductive health should be the priority area in health policies for women.

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References

Census of India 2011. Population Projections for India and States 2011-2036. Report of the Technical Group on Population Projections;

Nov;26.

Kovac SR. Hysterectomy outcomes in patients with similar indications. Obstet Gynecol. 2000 Jun;95(6 Pt. 1):787-93. doi: 10.1016/s0029- 7844(99)00641-9, PMID 10831967

Spilsbury K, Semmens JB, Hammond I, Bolck A. Persistent high rates of hysterectomy in Western Australia: A population-based study of 83 000 procedures over 23 years. BJOG. 2006;113(7):804-9. doi: 10.1111/j.1471-0528.2006.00962.x, PMID 16827764

Carlson KJ, Nichols DH, Schiff I. Indications for hysterectomy. N Engl J Med. 1993;328(12):856-60. doi: 10.1056/NEJM199303253281207, PMID 8357364

Shekhar C, Paswan B, Singh A. Prevalence, socio-demographic determinants, and self-reported reasons for hysterectomy in India. Reprod Health. 2019;16:118.

Richards DH. A post-hysterectomy syndrome. Lancet. 1974 Oct 26;2(7887):983-5. doi: 10.1016/s0140-6736(74)92074-1, PMID 4138830

Drellich MG, Bieber I. The psychological importance of the uterus and its functions; some psychoanalytic implications of hysterectomy. J Nerv Ment Dis. 1958;126(4):322-36. doi: 10.1097/00005053-195804000- 00002, PMID 13564210.

Zervos SK, Papaloucas AC. Psychosomatic disturbances following hysterectomy performed at a premenopausal age. Int Surg. 1972;57(10):802-4. PMID 4640912

Lambden MP, Bellamy G, Ogburn‐Russell L, Preece CK, Moore S, Pepin T, et al. Women’s sense of well-being before and after hysterectomy. J Obstet Gynecol Neonatal Nurs. 1997;26(5):540-8. doi: 10.1111/j.1552-6909.1997.tb02157.x, PMID 9313184

Ryan MM. Hysterectomy: Social and psychosexual aspects. Baillieres Clin Obstet Gynaecol. 1997;11(1):23-36. doi: 10.1016/s0950- 3552(97)80048-x, PMID 9155934

Singh A, Govil D. Hysterectomy in India: Spatial and multilevel analysis. Womens Health (Lond). 2021;17:1-13. doi: 10.1177/17455065211017068, PMID 34096404

Prusty RK, Choithani C, Gupta SD. Predictors of hysterectomy among married women 15-49 years in India. Reprod Health. 2018;15(1):3. doi: 10.1186/s12978-017-0445-8, PMID 29304867

Mathur KL, Sharma M, Mazumdar M, Talati S, Srivastav S. Psychological well-being, marital adjustment and quality of life after hysterectomy: A comparative study. Int J Reprod Contracept Obstet Gynecol. 2018 Dec;7(12):4960-5. doi: 10.18203/2320-1770. ijrcog20184948

Basu S, Saha R, Paul M, Banerjee S. An observational study on the age group of women undergoing hysterectomy in eastern part of India. J Evol Med Dent Sci. 2020;9(19):1559-62. doi: 10.14260/ jemds/2020/340

Dubey A, Shrivastava P, Jain K. Study of endometrial pathology in abnormal uterine bleeding. Int J Curr Pharm Res. 2024;16(2):94-6. doi: 10.22159/ijcpr.2024v16i2.4043

Jain S, Pansare SS. Perceptions of Indian women on hysterectomy. Int J Reprod Contracept Obstet Gynecol. 2017 Oct;6(10):4646-51. doi: 10.18203/2320-1770.ijrcog20174457

Sonam, Maheswari S, Sharma R, Gill G. A prospective study of comparision of hormonal v/s non-hormonal treatment in abnormal uterine bleeding. Int J Curr Pharm Res. 2023;15(4):33-5. doi: 10.22159/ ijcpr.2023v15i4.3020

Vijaya Lakshmi P, Sree Gouri SR, Harini P, Anil Kumar N. Study on the impact of early hysterectomies on women less than 36 years and presenting symptoms. Int J Contemp Med Res. 2016;3(5):1496-8.

Nazneen R, Monir F, Yeasmin S, Akhter S, Bakshi L, Sultana K. Evaluation of total abdominal hysterectomy over the decade in holy family red crescent medical college hospital - a retrospective observational study. Bangladesh Med J. 2016;44(2):87-91. doi: 10.3329/bmj.v44i2.27245

Verma D, Verma ML. Trends of hysterectomy in the rural tertiary level teaching hospitals in northern India. Indian J Obstet Gynecol Res. 2016;3(3):212-5. doi: 10.5958/2394-2754.2016.00048.5

Jindal M, Naik VR, Sahasrabhojanee M, Cacodcar J, Kulkarni MS, Naik S. Study on awareness, perceptions, experiences in decision process of hysterectomy in women presenting to Goa medical College. Int J Reprod Contracept Obstet Gynecol. 2021 Mar;10(3):1089-94. doi: 10.18203/2320-1770.ijrcog20210740

Desai S, Shukla A, Nambiar D, Ved R. Patterns of hysterectomy in India: A national and state-level analysis of the fourth national family health survey (2015-2016). BJOG. 2019;126 Suppl 4:72-80. doi: 10.1111/1471-0528.15858, PMID 31309706

Dharmalingam A, Pool I, Dickson J. Biosocial determinants of hysterectomy in New Zealand. Am J Public Health. 2000;90(9):1455-8. doi: 10.2105/ajph.90.9.1455, PMID 10983207

Radha K, Devi GP, Chandrasekharan PA, Swathi P, Radha G, Keerthana D. Epidemiology of hysterectomy - a cross sectional study among piligrims of Tirumala. IOSR J Dent Med Sci (IOSR-JDMS). 2015;14(7):1-5.

Published

07-07-2025

How to Cite

UJWAL NAIDU SAMBANGI, et al. “DETERMINANTS OF EARLY AGE HYSTERECTOMY AND ASSOCIATED PHYSICAL AND PSYCHOSOCIAL PROBLEMS AMONG RURAL WOMEN: A COMMUNITY-BASED CROSSSECTIONAL STUDY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 18, no. 7, July 2025, pp. 135-41, doi:10.22159/ajpcr.2025v18i7.54581.

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