Quiz Answers

  1. 39%.
  2. 40-50 years (during this decade 15% of all women have a hysterectomy; by age 50 years, 25% of all women have had a hysterectomy).
  3. In only one-quarter of cases is there any associated uterine or other pathology, so the diagnosis in about three-quarters of cases is dysfunctional uterine bleeding with no diagnosed pathology.
  4. Even when the ovaries are not removed during hysterectomy, the relative risk of cardiovascular disease during the subsequent 10 years is 2.6-5 times above that for control groups not undergoing hysterectomy. The major risk is myocardial infarction, which occurs in 4% of women within 10 years.
  5. The major determinants of hysterectomy rates are likely to be:
    - Preference by women for surgical over non-surgical treatment for symptoms.
    - Low tolerance of social inconvenience.
    - Relatively easy access to surgery through state- or insurance-funded health services.

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