Gynecology & Obstetrics
Open Access

Abstract

Hysterectomy-"Anger against the Womb" A Psychological Perspective. Implications for Services

Anu Mehra

Hysterectomy is one of the commonest gynecological surgeries removing a "valued object" which could be related to pain- both physical and psychological, and depression. Pain, anger and depression are psychologically related.

It is also known that women who have a hysterectomy suffer far worse psychological and physical symptoms of menopause as compared to women who have a natural menopause. This study aimed to look at the relationship between anger and depression as psychological correlates and see if women who had had a hysterectomy could be suffering from the same. The morbidity associated with hysterectomy in terms of both physical and psychological symptoms is quite significant and worth looking at the burden this puts on service provision and has implications for commissioning of services that these women need and where are they best placed; Secondary care with gynecologists or psychiatrists/psychologists/therapist, or Primary care with GP's or through the Internet. Anger can
be described as a natural automatic response to pain which is experienced as unpleasant and which can be physical or emotional. Anger is elicited when a person feels threatened or rejected and it can be a substitute emotion so the person does not feel pain. This happens consciously or unconsciously. Bodily aches and pains are common in Depression and these symptoms are also associated with Menopause- natural or induced. Should a psychiatric assessment prior to hysterectomy with identification of anger, and pain issues be made a pre- requisite before this surgery is offered.

These women need on-going treatment and support with menopausal symptoms and where are these services?