Before You Have A Hysterectomy

Key points
- Learn the facts about hysterectomy and alternatives before you decide whether hysterectomy is the right choice for you.
- These conditions include invasive cancers of the female reproductive system; severe infections, such as PID, that are unresponsive to treatment; severe hemmorhaging; or rupture of the uterus.
- A subtotal hysterectomy is the only hysterectomy that removes only the uterus.
- Most physicians are trained to see the uterus of little value other than for the purpose of childbirth.
Are you facing a hysterectomy? Learn the facts about hysterectomy and alternatives before you decide whether hysterectomy is the right choice for you. It is critical to understand when hysterectomy is elective surgery and when it is necessary to save your life. Although hysterectomy may provide relief from your condition, it's important to explore all alternatives before you choose hysterectomy.
Reasons For Hysterectomy
Hysterectomy is not optional for some conditions. These conditions include invasive cancers of the female reproductive system; severe infections, such as PID, that are unresponsive to treatment; severe hemmorhaging; or rupture of the uterus. Other conditions that may be helped by hysterectomy include uterine prolapse, endometriosis, fibroids, chronic pelvic pain, or certain cases of hyperplasia.
Female Reproductive Organs Removed During Hysterectomy
A subtotal hysterectomy is the only hysterectomy that removes only the uterus. In a simple or total hysterectomy only the uterus and cervix are removed. A hysterectomy with bilateral salpingo- oophorectomy or radical hysterectomy removes the uterus, cervix, ovaries, and fallopian tubes. A supracervical hysterectomy leaves only the cervix intact, an option for women who have never had a bad Pap.
Hysterectomy Alternatives
Most physicians are trained to see the uterus of little value other than for the purpose of childbirth. The sad fact is that 90 percent of the over 500,000 hysterectomies performed in the United States are classified by insurance companies as elective. If your physician has recommended a hysterectomy for a non life-threatening condition, you owe it to yourself to explore your alternatives.
Surgical Menopause
Having both ovaries removed during hysterectomy causes an instant and, in many cases, intense onset of menopausal symptoms. Surgical menopause often causes more severe symptoms of menopause including more severe, frequent, and longer-lasting hot flashes than those whose menopause is natural. It's important to explore your options in hormone replacement before you have a hysterectomy.
Hysterectomy Recovery
Pain and fatigue are normal parts of recovering from a hysterectomy. Hysterectomy recovery takes from four to eight weeks. Sexual intercourse should not be resumed until you are told it is safe. You should not do any lifting, pushing or pulling; this includes lifting babies or children. Even if you are feeling better you should not attempt strenuous activities for the full recovery period.
Hysterectomy Support Groups
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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