What is the primary reason for performing a hysterectomy?

The primary reason for performing a hysterectomy is often related to severe symptoms caused by uterine fibroids. Fibroids, which are non-cancerous growths in the uterus, can lead to a variety of debilitating symptoms such as heavy menstrual bleeding, pelvic pain, and pressure symptoms that significantly impact a woman's quality of life. When conservative treatments fail to alleviate these symptoms or when fibroids lead to complications, a hysterectomy may be recommended as a definitive solution.

In contrast, while family planning, endometriosis treatment, and a diagnosis of uterine cancer may also necessitate a hysterectomy in certain contexts, they are not the primary indications when considering the broader population of patients undergoing this procedure. Family planning options have expanded with the availability of other contraceptive methods that minimize the need for surgical intervention. Endometriosis can sometimes be managed with hormonal therapy or laparoscopic surgery. Although a hysterectomy may be advised for uterine cancer, the decision to perform this surgery is often guided by the stage and type of cancer, with other treatment options available as well. Thus, the pervasive contribution of severe fibroid symptoms as a compelling reason for hysterectomy makes it the most frequent indication seen in clinical practice.