Women's perceptions of decision-making about hysterectomy

Zoe Christina Skea, V. Harry, Siladitya Bhattacharya, Vikki Ann Entwistle, Benjamin Scott Williams, Graeme Stewart MacLennan, Alexander Allan Templeton

Research output: Contribution to journalArticlepeer-review

37 Citations (Scopus)


Objective To explore women's views of decision-making relating to hysterectomy.

Design Structured questionnaire and in-depth interview surveys.

Setting A teaching hospital and a district general hospital in northeast Scotland.

Sample Women scheduled for hysterectomy for benign menstrual problems.

Methods Pre-operative questionnaires were sent to a consecutive sample of women booked for hysterectomy. A purposive sample was interviewed post-operatively.

Main outcome measures Women's experiences of, and satisfaction with, information provision, communication and decision-making processes; the relationship between views of decision-making processes and decisions made.

Results One hundred and four women (66%) returned questionnaires. Most responded positively to structured questions about the process by which the decision to have a hysterectomy was reached. Almost all (97%) reported satisfaction with the decision made. Twenty women were interviewed post-operatively. A number, including some who had responded positively on the questionnaire, described aspects of the decision-making process that were suboptimal. Women's perceptions of the decision-making process, including the way their doctors communicated with them, did impinge on their views of the course of action selected. Some women had residual doubts about the appropriateness of hysterectomy.

Conclusions In a significant minority of women, there are important shortcomings in current patterns of information provision and communication relating to decision-making. These are unlikely to be picked up by conventional structured patient feedback surveys. Further efforts are required to ensure that women are adequately informed and involved in decisions about gynaecological treatments.

Original languageEnglish
Pages (from-to)133-142
Number of pages10
JournalBJOG-An International Journal of Obstetrics and Gynaecology
Issue number2
Publication statusPublished - 2004


  • patient satisfaction
  • endometrial ablation
  • intrauterine system
  • randomized-trial
  • experiences
  • Menorrhagia
  • resection
  • therapy
  • surgery
  • scale


Dive into the research topics of 'Women's perceptions of decision-making about hysterectomy'. Together they form a unique fingerprint.

Cite this