The emotional and psychosexual aspects of hysterectomy

The emotional sequelae of hysterectomy have long been suggested as a concern of the gynecologist. A review of the literature reveals that there are surely concrete changes in the functioning, attitudes, and behavior of patients who undergo this procedure. Since the gynecologist acts as the "uterus remover," it is our specialty that should be dealing with these women patients to carry them through the possible effects of such surgery. In addition, it would be wise for all of us to examine our own indications for this procedure in order to be confident when faced with criticisms that our specialty considers the uterus less valuable than other organs, rendering it more vulnerable to the unthinking surgeon.