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May 8, 1981

Psychiatric Status After Hysterectomy-Reply

Author Affiliations

University of Kansas Medical Center Kansas City

JAMA. 1981;245(18):1818-1819. doi:10.1001/jama.1981.03310430011007

In Reply.—  As Dr Poma points out, there were some indications of new psychiatric symptoms in the 44 women followed up—two (not three) new cases of treatment, three with a new psychiatric diagnosis, and the worsening of symptoms in a few. It is still argued, however, that this is not necessarily an excess, nor does it necessarily implicate the hysterectomy procedure. These occurrences were mild. The two women newly given psychotropics received only diazepam, not a remarkable event in this era. One of these women also received psychiatric counseling for the first time (briefly during divorce proceedings). Thus, there were only two new cases of treatment and one concurrent with an event (divorce) often associated with psychiatric symptoms.1 Of the three women with new psychiatric diagnoses at followup, one had simply denied symptoms at the prehysterectomy evaluation that were reported at follow-up to have been present for years before