INVESTIGATION OF THE MOST COMMON PREDICTORS OF DEPRESSION AFTER ABDOMINAL HYSTERECTOMY IN WOMEN AGED 30 TO 55 YEARS OLD IN 2017 IN SHAHID MOTHARI HOSPITAL

Hysterectomy means the removal of the uterus with or without cervix or ovaries
(ovophorectomy). Today, for the treatment of many benign and malignant diseases, elective
hysterectomy is performed. Hysterectomy is a heavy and invasive surgical technique that has serious
side effects on female sexual characteristics and causes physical disorientation and other factors. It may
also be a strong stimulant to stress and psychological problems in women. In this study, we investigated
the effect of hysterectomy on the mental and sexual status of patients after surgery.
Materials & Methods: Patients aged 30 to 55 years who underwent a non-malignant elective
hysterectomy in 2017 and lived with their spouse, were not menopause and had no major stress or history
of psychiatric problems in the 6 months before and after surgery were selected. The Beck and FSFI
questionnaires were completed for patients 6 months after surgery. The demographic characteristics, the
number of children, the age of the patients and their spouses, the cause of hysterectomy, the status of
oophorectomy, and chronic abdominal pain were recorded and the statistical data were analyzed using
SPSS (version 23).
Results: Results showed a significant difference in Beck score between two groups of patients who
underwent bilateral oophorectomy and the other group who had one or two ovaries preserved (p =
0.002). Therefore, ovarian preservation was effective in reducing depression. For chronic abdominal
pain 6 months after hysterectomy, significant differences existed between the patients with chronic
abdominal pain and patients without abdominal pain (P = 0.007). There was no significant difference
between duration of hospitalization and depression (P = 0.13). The results showed that there is a
significant relationship between depression in housewives and working patients (P=0.027). Concerning
the age of the spouse, a positive relationship existed between the age of spouse and depression based on
Beck score (P = 0.001). Also, elective hysterectomy had no effect on depression (P = 0.147). The mean
FSFI preoperatively for patients was 21.14 with a standard deviation of 10.14 and a mean FSFI after
surgery of 16.42 with a standard deviation of 7.8, indicating a decrease in depression. Paired t-test also
showed a significant decrease in sexual function after hysterectomy (p <0.05). Based on the results of
FSFI, postoperative patients and their oophorectomy showed ovarian preservation and positive effect
after surgery (P <0.01).
Conclusion: In the present study, the majority of patients were reported to be slightly depressed after
hysterectomy without a history of psychiatric illness. Various studies described hysterectomy with
premature ovarian failure that was associated with reduced estrogen doses. In our study, patients also
had a higher risk of depression after hysterectomy with increasing age, lower number of children, and
higher educational attainment. Overall, the results of this study showed that ovarian preservation after
elective hysterectomy was associated with a relative decrease in depression and improvement in sexual
function. Being a housewife and raising a partner's age were effective in increasing depression in
patients. Patients with more depression had more abdominal pain.