What guidance is given to clinicians regarding the appropriateness of hysterectomies as a treatment option for secondary dysmenorrhoea.

The treatment of secondary dysmenorrhoea is determined by whatever the underlying condition is. Specific guidance exists for some of these conditions and a hysterectomy may be indicated as a treatment option for some. Current guidance from the Royal College of Obstetricians and Gynaecologists and National Institute for Health and Care Excellence covers the various treatment options available to women, including surgery where appropriate. The decision on what treatment pathway to follow should be agreed through shared decision making between the individual and their doctor.