Hysterectomy

When is a hysterectomy necessary?

Hysterectomy is a procedure to surgically remove your uterus. This approach was once the preferred treatment for many gynecologic conditions, but today a hysterectomy is only performed when less invasive treatments are not possible or have proven ineffective.

Some of the reasons why a hysterectomy might be needed include:

• Uterine cancer
• Abnormal bleeding
• Cervical dysplasia
• Uterine fibroids
• Endometriosis
• Uterine prolapse

Your practitioner will discuss all available treatment paths and help you decide if hysterectomy is the best treatment option.

How is a hysterectomy performed?

There are several surgical approaches used to perform a hysterectomy.

Total abdominal hysterectomy

This approach involves removing your uterus and cervix through an abdominal incision. The incision can be either vertical or horizontal. This technique is used to treat uterine and ovarian cancer, endometriosis, and large uterine fibroids.

Vaginal hysterectomy

This approach involves removing your uterus and cervix through your vagina. It’s a good fit for treating uterine prolapse, cervical dysplasia, or endometrial hyperplasia. A laparoscope can be integrated into a vaginal hysterectomy to aid in visualizing structures in your pelvic region.

Supracervical hysterectomy

This approach removes your uterus while leaving your cervix in place. It may reduce the risk of vaginal prolapse because your cervix provides a measure of support for your vagina.  

Radical hysterectomy

This approach involves removing your uterus, the upper portion of your vagina, and some of the tissues that surround your uterus. It is used to treat certain cases of cervical cancer.

Your doctor will explain the various options and help you decide which approach is best suited for your needs.

What is the recovery process like after hysterectomy?

A hysterectomy in which your ovaries are removed will trigger menopause. Once you see how your body reacts, you might decide to pursue hormone replacement therapy or other treatments for menopause symptoms.

You’ll need to refrain from sex for around six weeks to give your body a chance to heal. It’s also important to take it easy in the weeks after your procedure. Don’t lift heavy objects or perform physically demanding tasks.

Be aware of the symptoms of infection, and call your doctor immediately if you experience the following:

• Fever
• Severe pain
• Heavy bleeding or vaginal discharge
• Difficulty with urination or bowel movements
• Chest pain or shortness of breath

Some women go through a period of emotional turmoil after a hysterectomy. If you find yourself feeling anxious, sad, overly fatigued, or otherwise upset, speak with your doctor about ways to achieve improved emotional balance.

To learn more about hysterectomy and explore your options, schedule a visit with Women’s Health Services today, online or over the phone.