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Hysterectomy: Frequently Asked Questions

What is a hysterectomy?

Hysterectomy is the surgical removal of the uterus. The procedure is indicated most often for abnormal uterine bleeding, uterine fibroids, chronic pelvic inflammatory disease, endometriosis and uterine or ovarian malignancies.
hysterectomy is an operation in which the uterus is removed. It is also called ablation of the uterus. Depending on the case, the cervix, ovaries and/or Fallopian tubes might also be removed.
Source: www.cwhn.ca
A hysterectomy is an operation to remove a woman's uterus (womb). The uterus is where a baby grows when a woman is pregnant. In some cases, the ovaries and fallopian tubes also are removed. These organs are located in a woman’s lower abdomen (see image below). The cervix is the lower end of the uterus. The ovaries are organs that produce eggs and hormones. The fallopian tubes carry eggs from the ovaries to the uterus. There are several types of hysterectomies: Complete or total. Removes the cervix as well as the uterus. ...
A hysterectomy is an operation to remove a woman's uterus (womb). The uterus is where a baby grows when a woman is pregnant. In some cases, the ovaries and fallopian tubes also are removed. These organs are located in a woman’s lower abdomen (see image below). The cervix is the lower end of the uterus. The ovaries are organs that produce eggs and hormones. The fallopian tubes carry eggs from the ovaries to the uterus. Image Source: National Cancer Institute There are several types of hysterectomies: Complete or total. ...

What is a hysterectomy and how a hysterectomy is done?

A hysterectomy is a major surgical procedure to remove the womb or uterus. Therefore you will stop having periods and you can not become pregnant. There are different types of hysterectomy: 1. Abdominal hysterectomy: The surgery is done through a big incision of usually 15 cm in length. You are likely to need pain relief by narcotics. Your stay in hospital is around 5 to 7 days. Full recovery may take 6 to 8 weeks before returning to work. ...

What are the risks of hysterectomy surgery?

As much as we would like everything to go perfectly, things can go wrong. Luckily, very serious problems are uncommon in hysterectomies. There are the usual surgical risks of blood loss, infection and problems with the anesthesia. What is unique about a hysterectomy is that the pelvic organs are packed closely together in a small space, and sometimes they adhere to other abdominal organs. ...
Source: www.ynhh.org

What are the other alternatives to hysterectomy?

Depending upon your symptoms, there are several different alternatives to hysterectomy. Majority of hysterectomies are performed either due to abnormal bleeding or fibroids. If you have irregular bleeding and your uterus is not too big, endometrial ablation (destruction of the endometrial lining) can be viable option to hysterectomy (look up section under hysteroscopy). If you have fibroids, a myomectomy (removal of fibroids) may be viable treatment for you. ...

What if I had a hysterectomy?

Back to top Bioidentical hormone replacement is perfectly safe after a hysterectomy. In fact, since the ovaries produce much of the testosterone in the female body, replacing this hormone is even more important.
Hormone replacement is perfectly safe after a hysterectomy. In fact, since the ovaries produce much of the testosterone in the female body, replacing this hormone is even more important.

Does hysterectomy cause menopause?

Hysterectomy is the removal of the uterus (womb) only and will stop menstrual periods and pregnancy. Removal of the ovaries will cause menopause to occur in women who are still menstruating regularly at the time of operation.. If removal of the ovaries is necessary, symptoms can be relieved with Hormone Replacement Therapy.

What are benefits in having a hysterectomy?

Women who have the operation because of pain, excessive bleeding or cancer, will definitely notice a difference in lifestyle. Most women in this situation feel they have a new lease on life. Women who have needed medication to control their symptoms will be relieved to be free of continued treatment.

What are the risks of subsequent hysterectomy?

There is an increased incidence of women with tubal ligations undergoing subsequent hysterectomy due to severe menstrual problems-18.7% among one group of 374 patients.20 In a study of long-term risk, women aged 20 to 29 years who had tubal ligations were found to be 3.4 times as likely to have a subsequent hysterectomy.21

How is a hysterectomy performed?

Hysterectomies are done through a cut in the abdomen (abdominal hysterectomy) or the vagina (vaginal hysterectomy). Sometimes an instrument called a laparoscope is used to help see inside the abdomen during vaginal hysterectomy. The type of surgery that is done depends on the reason for the surgery. Abdominal hysterectomies are more common and usually require a longer recovery time.
The uterus may be removed through either an incision in the abdomen or through an incision in the vagina. Abdominal hysterectomies are usually performed for cancer or large fibroids. Vaginal hysterectomies are usually performed when the uterus is small or when close inspection of other reproductive organs is not necessary. Laparoscopic hysterectomy (LH) occurs through a tiny incision in the abdomen using an instrument with a small camera on the end. ...
There are two main techniques used to perform hysterectomies: Open technique A total abdominal hysterectomy (TAH) is a complete hysterectomy performed through an incision of approximately five inches in length in the abdominal muscle. TAH is not considered a type of MIP. After the incision is made, the surgeon cuts through the muscle wall and other connective tissues to reach the uterus. Minimally invasive techniques A vaginal hysterectomy is performed through an incision made at the top of the vagina. ...

What's the difference between a hysterectomy and a partial hysterectomy?

A total hysterectomy means that the uterus and cervix have been removed. In the case of a partial hysterectomy, the cervical stump remains.

Why would I consider a subtotal hysterectomy rather then a total hysterectomy?

This procedure is often faster, associated with fewer surgical complications and more rapid return to normal activities. There is also some evidence to suggest that there is less disruption of the pelvic floor and, therefore, less pelvic prolapse requiring additional surgery in the future. The cervix may also play a role in female orgasm. Many women request a subtotal hysterectomy in order to retain their cervix for sexual function. ...

What is Laparoscopic Hysterectomy?

It is a procedure by which removal of uterus is carried out laparoscopic ally without making a big incision at the abdomen.

What is removed during a hysterectomy?

Depending on the type of hysterectomy, the uterus, the cervix, the upper part of the vagina, the lymph nodes, the ovaries, and the fallopian tubes, and the tissues supporting all of these organs, may be removed.
Depending on the type of hysterectomy, the uterus, the cervix, the upper part of the vagina, the lymph nodes, the ovaries, and the fallopian tubes, and the tissues supporting all of these organs, may be removed. Learn more about the anatomy of the uterus

What are the medical reasons for a hysterectomy?

Hysterectomy often is recommended for abnormal uterine bleeding and for treating cancer of the ovaries, uterus or fallopian tube. Hysterectomy may also be recommended for colon, rectum or bladder cancers that have spread to the reproductive organs. Invasive cervical cancer also is an indication for hysterectomy. Hysterectomy can relieve chronic abdominal pain and fibroids, endometriosis and certain other disorders. Genital prolapse may also be an indication for hysterectomy.

What are the emotional aspects of hysterectomy?

Emotional responses vary, based on the woman's life experiences, medical and mental health history and her level of support from family and friends. These feelings can include: A sense of loss of the uterus or ovaries and of reproductive function (menstruation and fertility) Sadness, anger, depression or anxiety in response to loss A diminished sense of femininity, attractiveness or self-worth Anxiety about sexual functioning

Will hysterectomy bring on menopause?

If you are premenopausal and your ovaries are removed, you can expect to undergo surgical menopause and may experience symptoms such as hot flashes. Because their symptoms will be more severe than they would be in a natural menopause, women whose ovaries are removed usually decide to have estrogen replacement therapy (ERT) postoperatively. Some women who keep their ovaries experience temporary hot flashes after a hysterectomy. ...
Source: www.ynhh.org

How will a hysterectomy affect me emotionally?

Every woman will have a different reaction to her hysterectomy. Those who have their ovaries as well as their uterus removed can have particularly strong emotions. It can help to address questions of femaleness, sexuality and sexual response before the operation. Some women will have a lot of concern about their hysterectomy even if they have finished childbearing. Others will think of it as a necessary operation, not much different than an appendectomy. Call your doctor if something really starts to bother you. ...
Source: www.ynhh.org

Does hysterectomy have an effect on PMS?

Many women find their PMS symptoms disappear after a hysterectomy when the ovaries are removed; some find relief even if their ovaries are not removed. In light of our scientific knowledge today, this doesn’t make sense. PMS is related to ovarian function and has little to do with the uterus. But, while it may be hard to explain, physicians do report that patients find relief from PMS after a hysterectomy.
Source: www.ynhh.org

What if I have had a hysterectomy?

Women who have had a hysterectomy should discuss the need for Pap smears with their doctor.
If you have had a total hysterectomy, that is, your uterus and cervix have been removed, you may not need further Pap tests. Check with your doctor or nurse.

Does sex after hysterectomy change?

The effect of hysterectomy on sexual function is a controversial subject. It was thought in the past that women who had a complete hysterectomy (removing the uterus and cervix) experience more sexual dysfunction than women who don't. What seems more to be the case is that whatever a woman’s sexual functioning was like before surgery is what she can expect after surgery. ...

Do I have to have a hysterectomy?

Typically the uterus is not an organ that is at an increased risk for developing cancer in the presence of a BRCA1 and/or BRCA2 mutation. However, a patient may have some gynecological issues that may require her uterus to be removed. Removal of the uterus is strictly a gynecological issue, and the patient should discuss the risks, benefits, and limitations of this surgery with her gynecologist.

Can a hysterectomy cause early menopause?

This certainly is possible. It is true that women with a hysterectomy typically go through menopause earlier than others, but not too many years early. I clearly would suggest that you see your physician.
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