{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:38:10Z","timestamp":1793813890328,"version":"4.6.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>In India, unjustified and mass hysterectomy is an alarming issue in rural and semi-urban areas. Fear of cancer and reiterating the idea that uterus removal will alleviate unrelated somatic issues are two methods used to persuade women to have the surgery. It becomes easier to counsel them for hysterectomy, especially when they belong to the rural population, come from lower socioeconomic strata, are young and illiterate, and do nothing for their livelihood. Many patients from the Santhal Pargana division (tribal region) came to gynecology Out Patient Department after having a hysterectomy without any medical indication at an age below 30 years to cure their common symptoms such as lower abdominal pain and vaginal discharge, and this is our major concern from them. We have taken three patients for this case series to highlight this problem at the community level. Unfortunately, the adverse health consequences of early loss of ovarian function accelerate the menopause state, affect multiple systems including cardiovascular, neurological, bone, and connective tissues, and, most importantly, affect the quality of life owing to vasomotor symptoms, mood, sleep, and sexual function. This case series emphasizes the serious complications of unnecessary hysterectomies and problems and gender inequities in the healthcare system for poor women.<\/jats:p>","DOI":"10.4103\/jehp.jehp_617_23","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T09:02:58Z","timestamp":1701334978000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Early surgical menopause and its correlates: A case series from a tertiary healthcare institute in a tribal area of Jharkhand, India"],"prefix":"10.4103","volume":"12","author":[{"given":"Priyanka","family":"Rai","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudip","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences Deoghar, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swapnil","family":"Bala","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11]]},"reference":[{"key":"R1-20240829","article-title":"Menopause: Diagnosis and management","year":"2019"},{"key":"R2-20240829","article-title":"Surgical Menopause","year":"2017"},{"key":"R3-20240829","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1212\/01.wnl.0000276984.19542.e6","article-title":"Increased risk of cognitive impairment or dementia in women who underwent oophorectomy before menopause","volume":"69","author":"Rocca","year":"2007","journal-title":"Neurology"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.mce.2014.01.020","article-title":"Oophorectomy, estrogen, and dementia: A 2014 update","volume":"389","author":"Rocca","year":"2014","journal-title":"Mol Cell Endocrinol"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.annepidem.2011.02.010","article-title":"Age at menopause: Imputing age at menopause for women with a hysterectomy with application to risk of postmenopausal breast cancer","volume":"21","author":"Rosner","year":"2011","journal-title":"Ann Epidemiol"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/gme.0b013e31825a27ab","article-title":"Oophorectomy: The debate between ovarian conservation and elective oophorectomy","volume":"20","author":"Erekson","year":"2013","journal-title":"Menopause"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"4426","DOI":"10.1111\/jog.15041","article-title":"Premature menopause among women in India: Evidence from National Family Health Survey\u2010IV","volume":"47","author":"Meher","year":"2021","journal-title":"J Obstet Gynaecol Res"},{"key":"R9-20240829","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1097\/AOG.0000000000003729","article-title":"Clinical effects of early or surgical menopause","volume":"135","author":"Kingsberg","year":"2020","journal-title":"Obstet Gynecol"},{"key":"R10-20240829","doi-asserted-by":"crossref","first-page":"445","DOI":"10.3109\/13697137.2011.562994","article-title":"Impact of surgical menopause on lipid and bone metabolism","volume":"14","author":"Yoshida","year":"2011","journal-title":"Climacteric"},{"key":"R11-20240829","doi-asserted-by":"crossref","first-page":"483","DOI":"10.3109\/13697137.2015.1020484","article-title":"Long-term health consequences of premature or early menopause and considerations for management","volume":"18","author":"Faubion","year":"2015","journal-title":"Climacteric"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_617_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:52:08Z","timestamp":1787763128000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_617_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_617_23","relation":{},"ISSN":["2277-9531"],"issn-type":[{"value":"2277-9531","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"2023-05-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}