I had promised to send you a response to the Suggested guidelines for hysterectomy… (Medical Ethics May-July,When I actually started formulating it, I found that the statement we have prepared on behalf of the group named Paryay appropriately conveys my message… (See page 6-7 for an abridged version of the statement. Editor) Please note the distinction made between the helplessness of the natural parents of the handicapped women and the resources available to the State.

If the overall perspective of the statement is accepted, your guidelines are very good as a practical compromise.

Let me add that I am not convinced that the Indian State does not have the resources to manage the menstrual hygiene of those who cannot look after it themselves.