Effect of Hysterectomy vs Medical Treatment on Health-Related Quality of Life and Sexual Functioning

Abstract
Hysterectomy is the most common major surgical procedure performed in the United States for nonobstetric reasons.1 In 2000, approximately 633 000 hysterectomies were performed, and US women have an estimated 25% risk of having their uterus removed.2 Ninety percent of hysterectomies are elective and performed before menopause for abnormal uterine bleeding and other non–life-threatening reasons.3 Large regional variations in the use of hysterectomy in the United States4,5 and lower hysterectomy rates in other developed nations6 have called into question the frequency with which this procedure is used.