Establish severity of blood loss and psychological status before surgery

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6982.803a (Published 25 March 1995) Cite this as: BMJ 1995;310:803
  1. J B Wright,
  2. M Greenberg
  1. Senior registrar in psychiatry Division of Psychiatry and Behavioural Sciences, Child and Adolescent Mental Health, School of Medicine, University of Leeds, Leeds LS2 9NN
  2. Consultant psychiatrist Jules Thorn Day Hospital, St Pancras Hospital, London NW1 0PE

    EDITOR,—In the paper on their trial of hysterectomy, endometrial ablation, and endometrial resection for dysfunctional uterine bleeding S B Pinion and colleagues do not say how they assessed depression.1 They do, however, report extremely high levels of depression before surgery, which, despite falling afterwards, remained significantly raised. These findings are in keeping with the likelihood that a complicated relation exists between emotional problems and dysfunctional uterine bleeding.2 3 For example, if a woman is suffering from uncomfortable and unusually heavy menstrual blood loss it is easy …

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