Hysterectomy is the surgical removal of the uterus. In India according to recently published study most common indication for hysterectomy were:
Dysfunctional uterine bleeding (DUB) :The most common indication for hysterectomy constituting about 33%.
Fibroid uterus : 23% of cases
Prolapse of the uterus: 20% cases.
Post-menopausal bleeding:about 3% of cases.
Hysterectomy with preservation of ovary is associated with an increased long-term risk of cardiovascular and metabolic conditions, especially in women who undergo hysterectomy at age less than 35 years. 2,094 women who underwent hysterectomy with ovarian conservation for benign conditions between 1980 and 2002 were included in the study.
Increase risk for various conditions is:
Hyperlipidemia: 14 % risk
Hypertension: 13 %
Obesity: 18 %
Coronary artery disease: 33%
Due to increased risk for cardiac and metabolic conditions , Researchers of study advices to consider alternatives to hysterectomy to treat benign gynecologic conditions such as fibroids, endometriosis and prolapse.Alternative therapy for fibroid are medications such as gonadotropin-releasing hormone (GnRH),myomectomy or symptomatic treatment of pain.
Image source: lifeafterhysterectomy.com