The Quality of Life beafore and after Hysterectomy in Premenopausal Women

Abstract

Background: Hysterectomy in premenopausal women has become very common due to the presence of benign disorders of the reproductive system. The present study was conducted as a longitudinal prospective cohort study to evaluate the quality of life before and after hysterectomy in premenopausal women, assessed at 3, 6, and 12 months postoperatively. Materials and Methods: This longitudinal prospective cohort study was conducted on 130 women aged 35–50 years who underwent hysterectomy with ovarian preservation in Amiralmomenin Hospital of Semnan, Iran. Data were collected before the operation, three months, six months, and one year after the hysterectomy using demographic characteristics and a standard quality of life questionnaire (SF-36). Data were analyzed using SPSS 22 software (P<0.05). Results: In the present study, 28 patients (21.5%) were ≤40 years old and 102 (78.5%) were ≥40 years old. A significant increase was observed in the scores of quality of life, physical health, mental health, and general health (P≥0.001). However, there was no significant difference in physical and mental function. Also, there was no relationship between quality of life and demographic characteristics (age, marital status, education, underlying disease, number of children, and number of deliveries). This is while postoperative complications and employment had a significant relationship with the quality of life (P≥0.001). Conclusion: In the present study, the quality of life was improved one year after hysterectomy with ovarian preservation.