There are various conditions in which a child can have mental handicap.It is indeed a challenge rearing such a child.When some of these girls reach puberty and start menstruating,matters go from bad to worse.Moreever one has to give a thought to the fact that such girls are at the risk of sexual assault and consequent pregnancy. So how can we stop a girl from menstruating is question which is frequently asked by the parents.There are some medical methods like Hormone injections or implants ,but they are temporary methods,have some undesirable side effects and some of them affect ovarian function.I am of the firm opinion that such girls should be subjected to hysterectomy,without removing the ovaries,as it is a permanent method and puts an end to the miseries involved with menstruation is such girls. A lot of literature supports this modality of treatment.The route of hysterectomy in such cases should be vaginal as far as possible,as there is no scar and recovery is very quick and painless. The patient can go home within 24 hrs. It is very impotant to counsel the family members before we arrive at the final decision
August 14, 2010 at 4:34 pm |
Sir, I totally agree with you. Such mentally challanged girls must be subjected to hysterectomy which prevents much troublesome regular menstruation in such girls and unwanted pregnancies after sexual assault which is associated with complications and much mental agony to the caretakers.
Dr. Meenakshi Sharma