Indications for hysterectomy

A. Pelvic relaxation

B. Leiomyomata

C. Pelvic pain (eg, endometriosis)

D. Abnormal uterine bleeding

E. Adnexal mass

F. Cervical intraepithelial neoplasia

G. Endometrial hyperplasia

H. Malignancy

I. Pelvic relaxation is the most common indication and accounts for 45 percent of vaginal hysterectomies, while leiomyomata are the most common indication (40 percent) for the abdominal procedure.

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