Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries, Fallopian tubes, and other surrounding structures. Usually performed by a gynaecologist. The most common indications: symptomatic uterine leiomyomas (51.4%), abnormal uterine bleeding (41.7%), endometriosis (30%), and prolapse (18.2%). Side effects include: not being able to become pregnant and the end of menstrual periods. Other side effects can include vaginal dryness, reduced interest in sex, menopausal symptoms, depression, and increased risk of other health problems.