Politics Rwandan

Rwanda: 3,800 women in Rwanda have had their uterus removed in four years

by admin on | 2025-01-16 07:24:05

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Figures from the National Institute of Statistics, NISR, show that in the last three years until 2023, 3,861 women underwent hysterectomy, due to various problems.

NISR shows that in 2020 there were 1,138 uterus removals in 2021 and slightly increased to 1,152 in 2022 and decreased to 685 in 2023 and increased again to 886.

A hysterectomy is performed on a person due to problems in the reproductive organs, and it is considered as the last decision to protect his life because there is no other way to take care of him.

After that, neither the woman nor the girl will get her period again, nor will she get pregnant again.

A specialist in gynecology, who works at the 'La Croix du Sud Hospital' in Nyirinkwaya, Dr. Niyonzima Jean Pierre, told IGIHE that some of the reasons that can lead someone to remove the uterus are tumors known as 'myomes'.

It gets so big that you find it difficult to pull out one at a time and decide to have the uterus removed, especially as someone in their 40s with children," he said.

He said that these tumors are not cancerous, however, even if people are diagnosed with cervical cancer or uterine cancer, if they are detected early, they can remove the uterus.

He said that another reason is when a person is giving birth, the uterus bursts, it breaks so much that it is impossible to put it back together, and the last decision is to remove it.

According to Dr. It is difficult to emphasize.

He said, “You find that it's gone like an illegal place, the uterus is pierced and you see that it looks like it's rotten. There are others who are at risk after giving birth to the uterus, which will have 'infections' and rot those who we grow up with.

When asked about the allegations that a person may be having sex with a man who has sex for a long time, causing the uterus to be damaged, Dr. Niyonzima said it is impossible “because the uterus is closed. It has a point that descends [in the female genitalia] called the 'col de l'uterus' and it might harm you."

He continues, “Only sexually active people do not even have cervical cancer. It is where they bleed, like those who have been raped or men who have taken other drugs and so on."

In regards to people who want to undergo voluntary hysterectomy, Dr. Niyonzima said that although it is possible to deal with other dangers that a person may have, it is impossible for someone to carry it just like that because it is a very difficult task to be loved and that there may be different dangers.

Even if the hysterectomies are no longer able to conceive, Dr. Niyonzima said that if they have sperm in them, it means that he can give birth with the help of technology, some of the sperm will be taken from a person and they will put it in another person who will be pregnant.

He said, "Those are the ones who will benefit from the law that a person can claim someone else because they actually have sperm but they will not find a place to grow, it is not possible for him personally."

In August 2024, the method of surrogacy was introduced into Rwandan law.

It is done by taking the eggs of a woman and a man and combining them in the laboratory and then the egg is placed in the uterus of another woman and we are called the owners.

Now the family can make a contract with another person and the child will be theirs.

The Law on People and Family published on July 30, 2024 provides that married couples can reproduce naturally or technologically between a man and a woman.

 

The second paragraph of Article 279 states that "Technological reproduction of a married man and woman can be done between them and another person who has entered into an agreement according to the law."

It states that the mother of a child born through technology "is the signatory to the agreement regarding the technology of reproduction."

Surrogacy is a popular method in developed countries, where the statistics of the American Society for Reproductive Health of ORM Fertility, show that at least 4000 such operations take place every year.

In maintaining health and preventing a person from having a hysterectomy, Dr Niyonzima points out that people should go to the doctor early so that these problems can be avoided.

He said, “The reason for such tumors growing to the point where a person has to remove the uterus, is that he did it and it stayed if I did not get checked. If the stomach is too big, there are heavy periods and so on, he should go for a check-up."

He emphasized that people should avoid unplanned pregnancies, but even those who have it for various reasons, there is no need to seek illegal services, but they should go to the doctor and see what can be done to protect their health.

As a specialist in gynecological diseases, Dr Niyonzima points out that often apart from 'infections', problems with missed periods, irregular periods and infertility are among the most common gynecological diseases. more than others.

Apart from hysterectomy, NISR figures show that 75,158 gynecological or obstetric surgeries were performed in 2023, up from 78,045 in 2022. In 2021, they were 77,694, while in 2020, they were 70,200.

The majority of those who gave birth were 70,090 in 2023 and 73,446 in 2022, 73,677 in 2021 and 65,329 in 2020.

Uterine tumor surgery in 2023 amounted to 764. Those who underwent tumor surgery also increased because in 2022 they were 450 in 2021 and 645 while in 2020 they were 562.

Others underwent lower abdominal surgery due to various diseases, such as removal of certain parts, increased significantly from 2000 in 2023 to 1154 in 2022, while in 2021 they were 548 and in 2020 they were 533.

In 2023, there were 111 people who were operated on for the correction of oculopathies, from 136 in 2022. In 2021, there were 199 people who were operated on for oculopathies, and from 209 people who were operated on for this problem in 2020.

The number of women who underwent screening for cancer and other diseases in 2023 increased from 499 in 2022 to 315 in 2021 and 511 in 2020.

While the number of gynecological surgeries that were not reported was 518, however, there was a significant decrease. The reason is that in 2022 there were 1675 from 1158 in 2021, while in 2020 there were 1918.

Marc N.

www.andika.rw

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