[Clinical contribution to female identity crisis after loss of the uterus].

In the last decades a hysterectomy-boom is described both in Anglosaxon and in German medical literature. This can in no way be correlated with a increase of the pathologic-anatomic, respectively patho-physiologic processes of this organ. By means of two examples of analytic psychotherapy, it can be shown that the libidinous filling of the uterus in the psychic representation in the physic appearance of the woman is not congruent with the physiologic hierarchy of female sexual organs in medical science. According to a more or less happy partnership and the postoperative feed-back of the concerned partner, the loss of the uterus will produce, even when the reproduction phase is over, variously sensible disturbances of the narcissistic regulation of self-evaluation. These may be irreparable in aggravating cases. As causes of too frequent hysterectomies correspond auto-destructive impulsives of the concerned women with regressed aggressive impulses in the persons of gynecologic operators.