Table 1.
Primary Indications for Surgery in Carolina Hysterectomy Cohort for 1,829 Noncancerous and Nonobstetric Hysterectomies Received Between October 2, 2014, and December 31, 2017, Among Patients 18-44 Years of Age
| Primary indications for surgerya | N (%) |
|---|---|
| Uterine Leiomyomas | 683 (37.3) |
| Menorrhagia | 638 (34.9) |
| Abnormal Uterine Bleeding | 458 (25.0) |
| Chronic Pelvic Pain | 416 (22.74) |
| Dysmenorrhea | 322 (17.61) |
| Endometriosis | 143 (7.8) |
| Ovarian Cyst or Pelvic mass | 141 (7.7) |
| Anemiab,c | 139 (7.6) |
| Prolapse | 105 (5.7) |
| Cervical Dysplasia | 75 (4.1) |
| Incontinenceb,c | 68 (3.7) |
| Dyspareunia | 52 (2.8) |
| Prophylactic for Cancer | 45 (2.5) |
| Adenomyosis | 42 (2.3) |
| Metrorrhagia | 41 (2.2) |
| Endometrial Hyperplasia | 38 (2.1) |
| Bulk Symptomsb,c | 35 (1.9) |
| Gender Affirming Careb | 35 (1.9) |
| Other Pain | 27 (1.5) |
| Post-Ablation Tubal Sterilization Syndromeb | 19 (1.0) |
| Polypsc | 14 (0.8) |
| Structural Abnormalitiesc | 11 (0.6) |
| Failed Medical Managementb | 10 (0.6) |
| Infection (PID, TOA) | 8 (0.4) |
| Polycystic Ovarian Syndromeb,c | 8 (0.4) |
| Infertilityb,c | 7 (0.4) |
| Premenstrual Syndrome/Premenstrual Dysphoric Disorder (PMDD) | 6 (0.3) |
| Low Grade Cervical Dysplasia | 5 (0.3) |
| Sterilizationc | d |
| Othere | d |
| No Primary Indication | 83 (4.5) |
a
Primary indications for surgery are not mutually exclusive.
b
Primary indications for surgery not described in RAND.
c
Primary indications for surgery never the lone primary indication.
d
Table cells with sample sizes <5 have been suppressed.
e
Muscle spasm and female genital organ symptoms.