Literature DB >> 16368473

The hysterectomized woman. Is she special? The women's health in the Lund area (WHILA) study.

Iuliana Ceausu1, Yasameen A Shakir, Jonas Lidfeldt, Göran Samsioe, Christina Nerbrand.   

Abstract

OBJECTIVE: To delineate the health profile of hysterectomized women and to assess whether women who have undergone hysterectomy have a different health profile even before surgery.
MATERIAL AND METHODS: The WHILA project covers all women (n = 10,766) aged 50-60, living in the Lund area and are based on questionnaires and personal interviews tied to laboratory examinations.
RESULTS: 6917 women (64.2%) had complete questionnaires and laboratory tests, 800 were hysterectomized (11.6%). Logistic regression analysis revealed that hysterectomized women had more "dizziness" 1.40 (1.19-1.66), "nervous problems" 1.29 (1.07-1.56), "backache" 1.37 (1.16-1.62), "joint problems" 1.29 (1.09-1.52), "eye problem" 1.20 (1.02-1.42) and "headache" 1.17 (1.00-1.37). For both somatic (5.22 versus 4.49 mean value, p < 0.001) and psychological (4.19 versus 3.86 mean value, p = 0.002) symptoms, the number was higher in hysterectomized women. Logistic regression analysis revealed that among hysterectomized women university education was less common odds ratios 0.73 (95% confidence interval 0.58-0.91) as well as working full time 0.76 (0.62-0.93). A higher body weight at the age 25, 1.01 (1.001-1.02) as well as a weight gain of more than 5 kg during the last 5 years 1.27 (1.07-1.50), elevation of serum triglycerides 1.29 (1.16-1.44), high-density (HDL) 1.44 (1.14-1.80) and low-density lipoprotein (LDL) cholesterol 1.11 (1.02-1.21) as well as the bone density 1.08 (1.00-1.17). Hysterectomized women had a lower age at giving first birth (p < 0.001), shorter interval between menstrual periods (p < or = 0.001) and less frequent amenorrhic episodes (p < 0.05). The hysterectomized women used IUD to a lesser extent (p < 0.05) but used hormone therapy (HT) (p < 0.001) and utilized health care services (p < 0.001) more often.
CONCLUSIONS: Long after surgery, several somatic and psychological symptoms were still more common in hysterectomized women. A low frequency of amenorrhic episodes and lower age at giving first birth, concomitant with a higher body weight already at age 25 may imply that women who end up hysterectomized have a specific health profile long before as well as long after surgery.

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Year:  2006        PMID: 16368473     DOI: 10.1016/j.maturitas.2005.04.005

Source DB:  PubMed          Journal:  Maturitas        ISSN: 0378-5122            Impact factor:   4.342


  8 in total

1.  Negative attitudes and affect do not predict elective hysterectomy: a prospective analysis from the Study of Women's Health Across the Nation.

Authors:  Carolyn J Gibson; Joyce T Bromberger; Gerson E Weiss; Rebecca C Thurston; MaryFran Sowers; Karen A Matthews
Journal:  Menopause       Date:  2011-05       Impact factor: 2.953

2.  Mood symptoms after natural menopause and hysterectomy with and without bilateral oophorectomy among women in midlife.

Authors:  Carolyn J Gibson; Hadine Joffe; Joyce T Bromberger; Rebecca C Thurston; Tené T Lewis; Naila Khalil; Karen A Matthews
Journal:  Obstet Gynecol       Date:  2012-05       Impact factor: 7.661

3.  Short-term (1-2 mo) hormone therapy cessation before mammography.

Authors:  Susan D Reed; Diana S M Buist; Melissa L Anderson; Erin J Aiello Bowles; Dawn Fitzgibbons; Deborah Seger; Katherine M Newton
Journal:  Menopause       Date:  2009 Nov-Dec       Impact factor: 2.953

4.  Pattern of mental ill health morbidities following hysterectomy for benign gynaecological disorders among Nigerian women.

Authors:  Michael A Okunlola; Celestine Umuerri; Olayinka O Omigbodun; Imran O Morhason-Bello; Stella N Okonkwo; Oladosu A Ojengbede
Journal:  Int J Ment Health Syst       Date:  2009-07-30

Review 5.  Age at Menarche, Level of Education, Parity and the Risk of Hysterectomy: A Systematic Review and Meta-Analyses of Population-Based Observational Studies.

Authors:  Louise F Wilson; Gita D Mishra
Journal:  PLoS One       Date:  2016-03-10       Impact factor: 3.240

6.  Is there an association between hysterectomy and subsequent adiposity?

Authors:  Rachel Cooper; Diana Kuh; Rebecca Hardy; Chris Power
Journal:  Maturitas       Date:  2007-10-22       Impact factor: 4.342

7.  Timing of menarche, childbearing and hysterectomy risk.

Authors:  Rachel Cooper; Rebecca Hardy; Diana Kuh
Journal:  Maturitas       Date:  2008-11-13       Impact factor: 4.342

8.  Comparison of Sexual Dysfunction Using the Female Sexual Function Index following Surgical Treatments for Uterine Fibroids.

Authors:  Allison Ryann Louie; Jennifer Alice Armstrong; Laura Katherine Findeiss; Scott Craig Goodwin
Journal:  Case Rep Obstet Gynecol       Date:  2012-08-23
  8 in total

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