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Fibroids: Hysterectomies
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[D]ata on outcomes of hysterectomy that did not explicitly focus on patients with fibroids were not subject to the same level of review. A single reviewer was responsible for selecting articles and assessing their relevance. Because the majority of these articles did not explicitly focus on women with fibroids, they were not abstracted into the evidence tables.
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Hysterectomy - for many women, hysterectomy is the best option because it removes all chance of the fibroids recurring. But it's a final step that carries significant risks and may cause an early menopause. Some women find it liberating, while others have problems with depression or lost libido.
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This operation — the removal of the uterus — remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children, and if you elect to have your ovaries removed ... it brings on menopause and the question of whether you'll take hormone replacement therapy.
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In other cases, the number of fibroids is so great that hysterectomy (removal of the uterus) must be performed. According to the Centers for Disease Control and Prevention, fibroids are the single greatest reason for hysterectomy, accounting for 27 percent of the 650,000-675,000 hysterectomies performed in the United States each year.
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Until recently, doctors often recommended hysterectomy for women with fibroids that caused excessive bleeding. Fibroids are the reason given for an estimated one-third of the 60,000 hysterectomies performed in Canada each year.
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Uterine fibroids afflict approximately 25 million women in the U.S. Industry sources indicate that 200,000 - 300,000 of the 600,000 hysterectomies performed in the U.S. each year are due to fibroids. Further, there is a large pool of approximately six million women in the U.S. who are symptomatic enough to see their doctor.
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