2018, Number 6
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Gac Med Mex 2018; 154 (6)
Legitimidad de la histerectomía para resolver el “problema” de la higiene menstrual en adolescentes con discapacidad intelectual
Márquez-González H, Valdez-Martínez E
Language: Spanish
References: 32
Page: 649-656
PDF size: 284.45 Kb.
ABSTRACT
Menstrual hygiene in adolescents with intellectual disability (ID) represents an extra burden for parents or primary caregivers,
especially in developing countries, where social institutions, including the health system, lack the capability to help this group
of teenagers and their families; hence, hysterectomy to eliminate menstrual bleeding is considered a morally acceptable resource.
Hysterectomy to solve the “problem” of menstrual hygiene reflects obstacles that affect the care provided by the
physician to the adolescent with ID: on one hand, the criterion of social value about a “poor quality of life,” and on the other,
discrimination when only socioeconomic conditions are considered rather than the lack of a social network of support and
special education. In Mexico, current medical support for girls and adolescents with ID for the management of menstrual hygiene
is unsatisfactory. The practice of hysterectomy with the single purpose of menstrual hygiene is ethically and morally
unfair and maleficent.
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