Hysterectomy in the Mentally Disabled Female: An Ethical Dilemma

  • Anna Rana Aga Khan School of Nursing and Midwifery, Karachi, Pakistan
Keywords: Hysterectomy, Mentally Disabled, Intellectual disability (ID), Non-Maleficence, Consequentialism, Right Based Ethics, Paternalism, Duty Based Ethics


The establishment of menstrual hygiene, specifically among the mentally disabled females, is one of the most critical concerns posing challenges for the individual, family and caretaker. Although the performance of hysterectomy among females with intellectual disabilities (ID) is now trending, but it has given rise to many ethical questions. Therefore, the study aimed to address the ethical dilemmas associated with hysterectomy among ID females, taking reference from a case of 19-year-old female, unable to practice menstrual hygiene.


Download data is not yet available.


1. World Health Organization. World Report on Disability. Geneva, Switzerland: WHO Press; 2011. Available at: http://www.who.int/disabilities/world_report/2011/report.pdf
2. Márquez-González H, Valdez-Martinez E, Bedolla M. Hysterectomy for the management of menstrual hygiene in women with intellectual disability. A systematic review focusing on standards and ethical considerations for developing countries. Front Public Health. 2018;6:338.
3. Dare T. Parental rights and medical decisions. Paediatr Anaesth. 2009; 19:947–952.
4. Diekema DS, Fost N. Ashley revisited: a response to the critics. Am J Bioeth. 2010;10:30–44.
5. Roy A, Roy A, Roy M. The human rights of women with intellectual disability. J R Soc Med. 2012;105:384–389.
How to Cite
Rana, A. (2020). Hysterectomy in the Mentally Disabled Female: An Ethical Dilemma. International Journal of Endorsing Health Science Research (IJEHSR), 8(3), 112-116. https://doi.org/10.29052/IJEHSR.v8.i3.2020.112-116