Recent scrutiny has emerged regarding the prevalence of caesarean sections and the potential over-reliance on this surgical method beyond clinical indications. Calls for regulation have gained traction, particularly in Karnataka, where advocates are urging a careful examination of not only caesarean deliveries but also hysterectomies, questioning whether these procedures are being conducted based on necessity.
The influence of a woman’s social and economic status on the decision to perform a hysterectomy is under investigation, raising essential questions on the true drivers behind such healthcare decisions across the country.
An analysis of National Family Health Survey-4 data indicates that women from both ends of the income and literacy spectrums are more likely to undergo hysterectomies, suggesting a worrying trend in surgical practices.
A study published in a medical journal highlighted that approximately five out of every 100 women in India have undergone a hysterectomy, with a significant prevalence among agricultural workers and women from affluent backgrounds.
Examining Dual Trends
The findings reveal a dual trend; women at opposite ends of the wealth and education scales show a propensity for hysterectomies under differing circumstances. Lower-income agricultural workers often cite limited awareness of reproductive health, lack of timely treatment for gynecological issues, and societal taboos as contributing factors. Employment in labor-intensive agriculture may also prompt a desire to eliminate menstruation-related disruptions, thereby influencing their decisions.
Financial incentives from public health insurance schemes can facilitate access to hysterectomies, which raises ethical concerns about the possibility of unnecessary surgeries. The absence of alternative treatment options and healthcare counseling often leads to hysterectomy being perceived as the only solution for these women.
Conversely, wealthier women are more likely to choose this surgery simply due to the affordability of the procedure, further complicating the issue.
Surgery as a Last Resort
Experts emphasize that every woman deserves appropriate medical treatment, noting that surgery should only be considered when all other options have been exhausted. Guidelines have been established to standardize hysterectomy procedures, helping to ensure equitable care for all women, regardless of their socioeconomic status.
The Supreme Court recently called for the timely implementation of health guidelines to address “unnecessary” hysterectomies following a public interest litigation that alleged misuse of government healthcare schemes in several states.
Addressing Underlying Conditions
Many studies identify excessive menstrual bleeding as a primary reason for hysterectomies. Healthcare providers underlined the importance of thorough assessments when patients seek care, often only realizing they have a problem after severe symptoms arise. Identifying the root causes, including the presence of fibroids or cysts, is crucial before considering surgical options.
Modern techniques now allow for minimally invasive procedures, reducing hospitalization and recovery time, as opposed to traditional surgery. The emphasis remains on ensuring that all possible treatments are explored before making the decision to proceed with a hysterectomy.
Published – January 10, 2025 12:46 am IST
