Published Paper Details:

To identify the prevalence and the problems during and after the hysterectomy. Secondary data was used by utilizing records from local gynecological clinics to the prevalence of surgical menopause in rural and urban are of Dharwad and Bagalkote districts. Higher prevalence of surgical menopause 25% was found in urban Bagalkote. Snowball sampling was used to conduct in-depth interview of around 20-25% of working and non-working respondents were included. Apart from secondary data snow ball sampling technique was used to select the respondents to know the problems faced during and after hysterectomy by randomization method. Menopause Rating Scale, Marital satisfaction, attitude towards menopause and female sexual distress scale were used to assess the age related physical and psychological decline. The analysis were done through t-test and F-test were used identify the comparison between working and non-working women regarding problems, and Pearson correlation tests were used to know the relationship between the problems and demographic factors. The results revealed that 43-47% of working women experienced severe and 40-50% of non-working women reported mild menopausal symptoms such as somatic, psychological and urogenital symptoms. There was a significant difference and association was observed between working and non-working women in menopausal symptoms. The mean value of marital satisfaction of working women (24.14�7.94) higher than (17.40�6.18) non-working women. Working women experienced significantly high stress compare to non-working women. Working women had high sexual distress (29%), whereas 25% of non-working women had low sexual distress. The study concluded there is need of education regarding self coping and well-being techniques for menopausal women.