Article: Hysterectomy Still Overdone: How to Avoid One.

Though the U.S. hysterectomy rate has declined slowly over the last two decades, it remains one of the highest in the world. A new study suggests that in about 70% of cases, this operation continues to be inappropriate (Obstetrics & Gynecology, 2/00). Dr. Michael S. Broder of the University of California in Los Angeles, and colleagues assessed the medical records of 500 women who underwent hysterectomy--surgical removal of the uterus--for reasons unrelated to cancer or an emergency. Benign uterine growths (fibroids), pelvic pain, and excessive menstrual bleeding (menorrhagia) are the most common reasons for hysterectomy.

Dr. Broder and colleagues found that many ...

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