Considering a Hysterectomy?

Choosing major surgery is a big deal. Here are some things to think about when considering opting for a hysterectomy.

What is a hysterectomy

A hysterectomy is the surgical removal of a woman's uterus. A hysterectomy does not remove the ovaries or the fallopian tubes.

Reasons for surgery

There are several reasons for electing to have a hysterectomy. Chronic pelvic pain, cancer, abnormal or painful menses, uterine prolapse (dropping or sinking of the uterus), endometriosis, and uterine fibroids are some of the reasons why a women would elect to go through with this surgery.

In many cases, women who have had previous vaginal surgery are susceptible to recurring cysts, or nodes that grow within scar tissue. These fistulas can become infected, filled with blood, or be in a position in the uterus or vaginal canal that makes sex and/or having periods painful or unbearable.

Surgical methods

A hysterectomy can be performed in four ways.

The surgical method chosen will be based upon the reason for considering the surgery. An abdominal hysterectomy is performed by the surgeon making an lower abdominal incision either horizontally or vertically. The surgeon is able to see the organs and uterus easily.

The vaginal hysterectomy is done through the vagina. There is no abdominal scarring and healing is quicker than the abdominal method.

A laparascopy or laparotomyis when a surgeon uses mechanical robototics to access your internal organs through small slits in the abdomen. A laparotomy is considered to be less invasive although there is a possibility of damage to other organs.

With a laparoscopically assisted hysterectomy (LAVH), the surgeon will remove the uterous through the vaginal canal but will use the laparscopy procedure to aid them to see and perform the surgery in difficult cases. The LAVH recovery period is similar to vaginal surgery but with a higher risk of damage to other organs.

After surgery expectations

With major surgery you should expect to be in the hospital for day or two, and recovery at home with limited mobility for about 10 days. The patient may go home with a catheter to assist in urinating for a few days, to keep the area clean and free from infection. Do not plan on driving or lifting over 10 lbs for a few days. Pain medication will be prescribed as required.

Pros for surgery

Eliminating pain or discomfort is one of the pros for electing to have a hysterectomy. Once a woman's uterus is removed, she can no longer bear children or experience menstruation. For many women, removal of the uterus enables them to relax and enjoy intercourse more than they had previously because they no longer fear becoming pregnant. Because the ovaries and fallopian tubes are not removed, the woman should not need hormone replacement therapy.

Cons for choosing a hysterectomy

Once the uterus is removed, a woman can no longer bear children. Depending upon the reason for electing surgery, this may cause depression if a woman had hoped to have children. Some women also experience a physical change in their sexual response to an orgasm because the contractions felt in the uterus will no longer occur. Hysterectomy's are performed routinely; you may know several women who have had elected to have one. Ask your friends and family about their experiences.

Women to women's health suggests that there are other options to consider over electing hysterectomy surgery in some cases.

Other risks

The information contained within is intended for informational purposes only. Always consult a licensed medical care professional. If you are afraid you may have cervical or uterine cancer, consult a specialist such as an OB-GYN Oncologist.

With any major surgery, there are always potential risks. These can range from problems with anesthesia, blood clots, infections, bowel blockage, uncontrolled bleeding, damage to other organs, to death. Considering all the options, risks and reasons for electing hysterectomy surgery is the best way to make the right decision.

Sources:
Personal experience