# I. Introduction ysterectomy Is One Of The Most Common Gynaecological Operation Performed Globally With An Incidence Of Approximately 30% In Women >60 Yrs. Of Age. 1 Studies Have Shown That Most Women Received Hysterectomy Due To Disabling Symptoms Such As Menstrual Pain, Menorrhagia, Unexplained Uterine Bleeding And Chronic Pelvic Pain Related With Non-Malignant Pathologies Like Simple Endometrial Hyperplasia, Fibroid, Prolapse. There Are So Many Management Modalities To Cure These Symptoms, As These Have An Adverse Effect On A Woman's Quality Of Life. Most Women Reported A Reduction In Physical Symptoms And Pain And An Increase In Health Perceptions After Hysterectomy. 2 But In Rural Set Up Hysterectomy Is Still A Treatment Of Choice Even For All These Benign Pathologies.In This Study We Tried To Assess Qol After Hysterectomy For These Conditions. # II. Aims and Objectives NoPre OpDayDay 146 Weeks3 Months(N=300)7(N=300)(N=258)(N=220)(N=183)Mobility30(10%)60(20%)30(11.7%)15(6.6%)0(0%)Self Care30(10%)60(20%)46(17.6%)22(10%)9(4%)Usual Activity30(10%)105(35%)46(17.6%)22(10%)15(8.1%)Pain And Discomfort120(40%)135(45%)23(8.8%)10(4.6%)3(1.6%)Anxiety And Depression120(40%)60(20%)14(5.8%)12(5.3%)9(4%) Depression, Or Neither.At 24 Months, Women With PainAnd Depression Had Reduced Prevalence Of PelvicPain (96.7% Decreased To 19.4%), Limited PhysicalFunction (66.1% To 34.3%), Impaired Mental Health(93.3% To 38.1%), And Limited Social Function (41.1%To 15.1%). Women With Pain Only Improved In PelvicPain (95.1% To 9.3%) And Limited Activity Level (74.3%To 24.2%). The Group With Depression Only HadImprovement In Impaired Mental Health (85.1% To Table No 5 : Visual Analogue Scale 33.1%). Dyspareunia Decreased In All Groups.Vas Compared With Women Who Had Neither Pain Nor Pre Op(N=300) DayDay 146 Weeks3 Months7(N=300) Depression, Women With Depression And Pain Had 3(N=258)(N=220)(N=183)0-20 To 5 Times The Odds Of Continued Impaired Quality Of 120(40%) 45(15%)30(11.7%)22(10%)4(2.4%)20-40 Life: Odds Ratio (Or) 2.73, 95% Confidence Interval (Ci) 30(10%) 75(25%)61(23.5%)15(6.6%)15(8.1%)40-60 1.78-4.19 For Limited Physical Function; Or 3.41, 95% Ci 45(15%) 90(30%)61(23.5%)22(10%)15(8.1%)60-80 2.13-5.46 For Impaired Mental Health; Or 5.76, 95% Ci 60(20%) 60(20%)61(23.5%)88(40%)44(24.3%)80-100 2.79-11.87 For Limited Social Function; Or 4.91, 95% Ci 45(15%) 30(10%)45(17.6%)73(33.3%)104(57.1%)V. Disscussion 2.63-9.16 For Continued Pelvic Pain; And Or 2.41, 95% Ci 1.26-4.62 For Dyspareunia. And Concluded That Women With Pelvic Pain And Depression Fare Less Well 24 Months After Hysterectomy Than Women Who Have Either Disorder Alone Or Neither. Nevertheless, These Women Improve Substantially Over Their Preoperative Baseline In All The Quality Of Life And Sexual Function Areas Assessed. 4 Quality Of Life Was Measured In 348 Women Attending Gynaecological Outpatients Using Euroqol 5d. . Quality Of Life Was Then Measured In 131 Women Before And After Hysterectomy. Of The Outpatient Group 50% Of The Women Reported Problems With Pain And 40% With Depression. Women Undergoing Hysterectomy Reported Similar Preoperative Levels Of Pain And Depression. However, 6 Months Postoperatively There Were Significantly Fewer Women Complaining Of BothSurgery. Women In Employment, With More Years Of Education And Previous Blood Transfusion Had High Mcs Scores After Surgery. Conclusion: The Overall Self-Rated Health Status And Pcs Showed Significant Improvements After Hysterectomy. Having Had A Blood Transfusion, Being Educated And Employed Were Positively Associated With Mcs Score After Surgery. These Findings Are Vital For Preoperative Counselling For Women Undergoing Hysterectomy. 2 Taipale K Et Al Conducted A Prospective Observational Study At University Referral Hospital In Helsinki.A Total Of 337 Women Entering For Routine Hysterectomy Due To A Benign Disease (210 Benign Uterine Or Ovarian Cause, 20 Endometriosis, 51 Uterovaginal Prolapse, 56 Menorrhagia) Were Taken And The Result Came Out Were Mean [Standard Deviation (Sd)] Hrqol Score (On A 0-1 Scale) In The Whole Group Improved From The Preoperative Of 0.905(0.073) To 0.925 (0.077) Six Months After The Operation(P < 0.001). The Largest Mean (Sd) Improvement WasWithin 6 Weeks After Hysterectomy, Patients Had Returned To Normal Health And Bodily Functions. Symptom Relief After Hysterectomy Is Associated With A Marked Improvement In Hrqol.Seen In Patients With Endometriosis [0.048 (0.067)] Followed By Those With Menorrhagia [0.024 (0.054)], Benign Uterine Or Ovarian Cause [0.018 (0.071)], And Prolapse [0.017 (0.055)]. In The Whole Group, The Intervention Produced A Mean (Sd) Of 0.222 (1.270)Y.L Yang Et Al Had Done A Prospective Follow-Qalys At Mean (Sd) Direct Hospital Cost Of Euro3, 138Up Study Which Recruited 38 Women (Age Range, 33-(2,098). Consequently, The Cost Per Qaly Gained In The52 Years) Who Underwent Abdominal Hysterectomy ForWhole Group Was Euro14,135 Varying From Euro3,720Non-Malignant Causes In University Of Taiwan TheTo 31,570 In The Disease Groups.And Concluded ThatResult Showed That Patients' Attitudes TowardThe Cost Per Quality Gained For Hysterectomy ForHysterectomy And Subsequent Sexual Activity WereBenign Uterine Disorders Is Strongly Dependent on TheInfluenced By The Surgery. All Patients ShowedIndication For Surgery. 3Significant Improvements In The Physical ComponentHartmann Conducted Cohort Study of 1249Summary (Pcs) Of Sf-36 (Mean, 42.1-51.0), But TherePatients, Participants Were Interviewed, Before SurgeryWas No Significant Difference In The Mental ComponentAnd At 5 Intervals After, Regarding Pelvic Pain,Summary (Mcs). The Significant Improvements WereDepression, Quality of Life, And Sexual Function. WeFound From The Five Repeated Measurements Of TheCompared Quality Of Life And Sexual Function At 6 AndSelf-Rated Health Status (Mean, 6.0-7.3). Haemoglobin24 Months Among Women With Preoperative Pelvic PainLevel Was The Most Important Predictor Of Hrqol BeforeAlone, Depression Alone, Both Pelvic Pain And * A Preliminary Study on Hysterectomy Rate In Taiwan CChueh CChu-Hui KShu-Fen EtAl * Chin J Public Health (Taipei) 14 1995 In Chinese * YLYang Et Al J Formos Med Assoc | ? 9 2006 * Taiple Et Al Acta Obstet Gynecol Scand 88 12 2009 * AlHartmann Et Obstet Gynecol 104 4 2004 Oct * AlDavis Et J Obstet Gynaecol 22 5 2002 Sep