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Why a woman would need a hysterectomy

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In most cases, hysterectomy, or surgical removal of the uterus, is elective rather than medically necessary. During pregnancy, a fertilized egg implants itself in the lining of the uterus, where the developing fetus is nourished prior to birth. Only about 10 percent of the more than , hysterectomies performed in the United States each year are for cancer treatment and are considered potentially lifesaving. After cesarean section , it is the second most frequently performed surgical procedure for women who are of reproductive age in the United States.

SEE VIDEO BY TOPIC: Why would I need a hysterectomy?

10 Things Your Doctor Won’t Tell You About Hysterectomy

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A partial hysterectomy top left removes just the uterus, and the cervix is left intact. A total hysterectomy top right removes the uterus and cervix. At the time of a total hysterectomy, your surgeon may also remove the ovaries and fallopian tubes bottom.

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you're pregnant.

A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix. Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy sal-ping-go-o-of-uh-REK-tuh-me.

A hysterectomy can also be performed through an incision in the vagina vaginal hysterectomy or by a laparoscopic or robotic surgical approach — which uses long, thin instruments passed through small abdominal incisions. Mayo Clinic's approach. The ovaries, fallopian tubes, uterus, cervix and vagina vaginal canal make up the female reproductive system. A hysterectomy ends your ability to become pregnant. If you think you might want to become pregnant, ask your doctor about alternatives to this surgery.

In the case of cancer, a hysterectomy might be the only option. But for other conditions — including fibroids, endometriosis and uterine prolapse — you may be able to try less invasive treatments first. During hysterectomy surgery, your surgeon might also perform a related procedure that removes both of your ovaries and your fallopian tubes bilateral salpingo-oophorectomy. You and your doctor should discuss ahead of time whether you need this procedure, which results in what's known as surgical menopause.

With surgical menopause, menopause symptoms often begin suddenly for women after having the procedure done. Depending on how much these symptoms affect your quality of life, you may need short-term treatment with hormones. A hysterectomy is generally very safe, but with any major surgery comes the risk of complications. During abdominal hysterectomy, your surgeon detaches your uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it.

The lower part of your uterus cervix is usually removed total hysterectomy but may sometimes be left in place partial hysterectomy. If necessary, your surgeon may remove additional pelvic organs and tissue, such as your ovaries or fallopian tubes.

Before surgery, you may have tests done to check for cancer, which could change your surgeon's approach to surgery. Tests may include:. The day before and morning of your surgery, you will be instructed to shower using soap provided by your surgeon to reduce your risk of infection. A preoperative cleansing of your vagina vaginal douche or preoperative cleansing of your rectum enema also may be done. Immediately before surgery, you'll receive an intravenous antibiotic medication to minimize your risk of infection after the procedure.

During abdominal hysterectomy, your surgeon makes a vertical or a horizontal incision in your lower abdomen. A vertical incision left gives the surgeon greater access to your pelvis.

A horizontal incision right follows your skin's natural lines, usually leaving a thinner scar. A hysterectomy typically is performed under general anesthesia, so you won't be awake during the surgery. The procedure itself generally lasts about one to two hours, although you'll spend some time beforehand getting ready to go into the operating room.

To begin the procedure, a member of your surgical team passes a urinary catheter through your urethra to empty your bladder. The catheter remains in place during surgery and for a short time afterward. Your abdomen and vagina are cleaned with a sterile solution before surgery. To perform the hysterectomy, your surgeon makes a cut incision in your lower abdomen, using one of two approaches:.

The type of incision depends on many factors, including the reason for your hysterectomy, the need to explore the upper abdomen, the size of your uterus and the presence of any scars from prior abdominal surgeries. For instance, hysterectomies performed for endometriosis, large fibroids and gynecologic cancers are done mainly through a vertical incision.

An abdominal hysterectomy usually requires a hospital stay of one to two days, but it could be longer. You'll need to use sanitary pads for vaginal bleeding and discharge.

It's normal to have bloody vaginal drainage for several days to weeks after a hysterectomy. However, let your surgeon know if you have bleeding that's as heavy as a menstrual period or bleeding that's persistent. It takes time to get back to your usual self after an abdominal hysterectomy — about six weeks for most women.

During that time:. Other parts of your life will likely return to normal or perhaps improve once you've recovered from your hysterectomy. For example:. On the other hand, you may feel a sense of loss after hysterectomy. Premenopausal women who must have a hysterectomy to treat gynecologic cancer may experience grief and possibly depression over the loss of fertility. If sadness or negative feelings begin to interfere with your enjoyment of everyday life, talk with your doctor.

Abdominal hysterectomy care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Types of hysterectomy surgery Open pop-up dialog box Close. Types of hysterectomy surgery A partial hysterectomy top left removes just the uterus, and the cervix is left intact.

Female reproductive system Open pop-up dialog box Close. Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina vaginal canal make up the female reproductive system.

Request an Appointment at Mayo Clinic. Abdominal hysterectomy incisions Open pop-up dialog box Close. Abdominal hysterectomy incisions During abdominal hysterectomy, your surgeon makes a vertical or a horizontal incision in your lower abdomen.

Share on: Facebook Twitter. Show references Walters MD. Choosing a route of hysterectomy for benign uterine disease. Accessed Jan. First consult.

Accessed Dec. Baggish MS. Robotic surgery in gynecology. Atlas of Pelvic Anatomy and Gynecologic Surgery. Saunders Elsevier. Philadelphia, Pa: Elsevier; Stovall T, et al. Abdominal hysterectomy. Bakkum-Gamez J expert opinion. Mayo Clinic, Rochester, Minn. Frequently asked questions. Special procedures FAQ American College of Obstetricians and Gynecologists. The rise and rise of robotic hysterectomy. Warner KJ. Allscripts EPSi. Pruthi S expert opinion. Related Abdominal hysterectomy incisions Endometriosis: Treatment options Female reproductive system Ovarian cancer Placenta accreta Types of hysterectomy surgery Show more related content.

News from Mayo Clinic Study finds women at greater risk of depression, anxiety after hysterectomy Sept. April 04, , p. Mayo Clinic in Rochester, Minn. Learn more about this top honor. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.


A partial hysterectomy top left removes just the uterus, and the cervix is left intact. A total hysterectomy top right removes the uterus and cervix. At the time of a total hysterectomy, your surgeon may also remove the ovaries and fallopian tubes bottom.

If you are about to be one of them, a frank discussion with your gynecologist is an essential first step. Hysterectomy may be a real medical necessity, not simply another option, if you have invasive cancer of the reproductive organs — the uterus, cervix, vagina, fallopian tubes, or ovaries. A partial hysterectomy is surgical removal of the uterus alone, and a myomectomy is removal of only fibroids.

By Judith Garber April 12, In , I was over-treated and permanently harmed by my gynecologist of 20 years. It all started with pelvic pain caused by a fairly large ovarian mass. My gynecologist expressed concern about malignancy and rushed me into surgery with the plan that an oncologist would be available to assist. The cyst and ovary were sent to pathology during surgery clinically known as a frozen section.

The 6 Most Common Reasons a Woman Needs a Hysterectomy

Back to Hysterectomy. Fibroids are non-cancerous growths in or around the womb uterus. The growths are made up of muscle and fibrous tissue, and vary in size. Adenomyosis is where the tissue that normally lines the womb starts to grow within the muscular wall of the womb. A prolapsed uterus happens when the tissues and ligaments that support the womb become weak, causing it to drop down from its normal position. If you have cancer , a hysterectomy may be the only treatment option. For other health problems, it's a good idea to ask yourself these questions before deciding to have the procedure:. Page last reviewed: 1 February Next review due: 1 February Find out more about endometriosis Fibroids Fibroids are non-cancerous growths in or around the womb uterus.

Hysterectomy: Do You Really Need It?

Schedule an Appointment on Zocdoc. Schedule an Appointment on MyChart. Written By Venus Brady. In the United States, nearly , women undergo a hysterectomy each year, making it the second most common surgery after cesarean delivery. Even though the surgery is performed quite frequently, there are still misconceptions about.

For women of reproductive age, hysterectomies are the second most often performed procedure in the U.

A hysterectomy is an operation to remove the uterus. The ovaries and other reproductive organs may be left intact, but in some cases are taken out as well. Each year US doctors perform about , hysterectomies.

9 Common Reasons for Hysterectomy

Hysterectomy means the surgical removal of the uterus womb and is still one of the most common operation. For some women, especially those who suffer from heavy periods, having a hysterectomy comes as a welcome relief. For others, being told they need the operation is a major shock. Usually other treatment options for your heavy periods will have been tried before a hysterectomy is suggested.

Hysterectomy is the removal of uterus by surgical method. If the uterus is removed along with the cervix it is called complete hysterectomy. If the uterine body is removed leaving behind the cervix, it is called partial hysterectomy. Sometimes the ovaries, fallopian tubes and other surrounding structures are also removed. Hysterectomy is a major surgical procedure that has risks and benefits and affects the hormonal balance in the body.

Hysterectomy: Pros and Cons

The United States has the highest hysterectomy rate in the industrialized world. Statistics from indicate that about one-third of all U. Today, about 90 percent of hysterectomies are done by choice and not as an emergency or lifesaving procedure. Various studies have concluded that anywhere from 10 percent to 90 percent of those operations were not really needed, but many physicians continue to recommend them. In certain circumstances, hysterectomies save lives and restore health. Because of the controversy over high hysterectomy rates, many insurance plans now require a second opinion from another physician before agreeing to pay for the procedures. Because some surgeons recommend hysterectomy routinely, women need to understand when the surgery is truly necessary. Hysterectomy may be recommended for several life-threatening conditions.

Oct 13, - For women of reproductive age, hysterectomies are the second most several reasons why a woman might choose to have a hysterectomy.

A hysterectomy is surgery to remove your uterus. There are different ways to perform a hysterectomy. Depending on the reason for the procedure, your doctor might go through your abdomen or your vagina to get to your uterus. The procedure can be done as a laparoscopic , robotic, or open surgery. A hysterectomy is the second most common surgery performed on women in the United States, after a cesarean delivery.

At What Age Can I Get A Hysterectomy

One in three women have a hysterectomy by age Each year, up to , women in the United States have a hysterectomy, meaning a surgical removal of the uterus and sometimes the cervix and supporting tissues. Once a woman has this procedure, she is no longer able to get pregnant.

Guest Post: The “madness” of unnecessary hysterectomy has to stop

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