Hysterectomy may be the best option if you have cancer in one of these areas. Other treatment options may include chemotherapy and radiation. Your doctor will talk with you about the type of cancer you have and how advanced it is. Learn more about treatment options for these cancers at the National Cancer Institute. What are some alternatives to hysterectomy? These include: Watchful waiting. You and your doctor may wish to wait if you have uterine fibroids , which tend to shrink after menopause.
For uterine prolapse, you can try Kegel exercises squeezing the pelvic floor muscles. Kegel exercises help restore tone to the muscles holding the uterus in place. Your doctor may give you medicine to help with endometriosis. Over-the-counter pain medicines taken during your period also may help with pain and bleeding. Hormonal birth control, such as the pill, shot, or vaginal ring, or a hormonal intrauterine device IUD may help with irregular or heavy vaginal bleeding or periods that last longer than usual.
Vaginal pessary for uterine prolapse. A pessary is a rubber or plastic donut-shaped object, similar to a diaphragm used for birth control. The pessary is inserted into the vagina to hold the uterus in place. You and your doctor may choose to try a surgery that involves smaller or fewer cuts than hysterectomy. The smaller cuts may help you heal faster with less scarring.
Depending on your symptoms, these options may include: Surgery to treat endometriosis. Laparoscopic surgery uses a thin, lighted tube with a small camera. The doctor puts the camera and surgery tools into your pelvic area through very small cuts. This surgery can remove scar tissue or growths from endometriosis without harming the surrounding healthy organs such as ovaries. You may still get pregnant after this surgery.
Surgery to help stop heavy or long-term vaginal bleeding. Often, a hysteroscopy is done at the same time. Your doctor inserts the hysteroscope a thin telescope into your uterus to see the inside of the uterine cavity. Endometrial ablation destroys the lining of the uterus permanently. Depending on the size and condition of your uterus, your doctor may use tools that freeze, heat, or use microwave energy to destroy the uterine lining.
This surgery should not be used if you still want to become pregnant or if you have gone through menopause. Surgery to remove uterine fibroids without removing the uterus.
This is called a myomectomy. Depending on the location of your fibroids, the myomectomy can be done through the pelvic area or through the vagina and cervix. You may be able to get pregnant after this surgery. If your doctor recommends this surgery, ask your doctor if a power morecellator will be used. The FDA has warned against the use of power morcellators for most women. Surgery to shrink fibroids without removing the uterus.
This is called myolysis. The surgeon heats the fibroids, which causes them to shrink and die. Myolysis may be done laparoscopically through very small cuts in the pelvic area. You may still get pregnant after myolysis. Treatments to shrink fibroids without surgery. UAE puts tiny plastic or gel particles into the vessels supplying blood to the fibroid.
Once the blood supply is blocked, the fibroid shrinks and dies. MR f US sends ultrasound waves to the fibroids that heat and shrink the fibroids. How common are hysterectomies? What are the different types of hysterectomies? Your doctor can guide you through the process, but here are some things you should also consider:. After any type of hysterectomy, your small and large intestines will fill most of the space your uterus previously occupied. What happens to your other organs depends on a variety of factors, including if your uterus was enlarged, how enlarged it was, and what type of hysterectomy you get.
If you have concerns about what will happen to other reproductive organs after a hysterectomy, talk with a medical professional. They can guide you through your options and the hysterectomy process. What side effects can you expect after a hysterectomy? These are the tips and precautions you need to know about when it comes to approaching sex after a hysterectomy.
To end fibroid pain, this writer decided to get a hysterectomy at age She already had two children, so the deep feeling of loss after her…. Here are 9 common reasons you might need a hysterectomy, plus what to expect and things to consider before having this surgery. You might wonder how sex is different after a hysterectomy, including where sperm goes. We've got answers to all your questions.
Hello Rory offers treatments for a wide range of health concerns, from skin issues to reproductive health and more. An abdominal hysterectomy may be recommended if your womb is enlarged by fibroids or pelvic tumours and it's not possible to remove it through your vagina. Good health before your operation will reduce your risk of developing complications and speed up your recovery.
This may involve having some blood tests and a general health check to ensure you're fit for surgery. Find out more about how to prepare for surgery. Page last reviewed: 01 February Next review due: 01 February The main types of hysterectomy are described below.
Total hysterectomy During a total hysterectomy, your womb and cervix neck of the womb is removed. Subtotal hysterectomy A subtotal hysterectomy involves removing the main body of the womb and leaving the cervix in place.
If you feel this way, talk to your surgeon about any risks associated with keeping your cervix. Total hysterectomy with bilateral salpingo-oophorectomy A total hysterectomy with bilateral salpingo-oophorectomy is a hysterectomy that also involves removing: the fallopian tubes salpingectomy the ovaries oophorectomy The National Institute for Health and Care Excellence NICE recommends that the ovaries should only be removed if there's a significant risk of further problems — for example, if there's a family history of ovarian cancer.
Your surgeon can discuss the pros and cons of removing your ovaries with you. Radical hysterectomy A radical hysterectomy is usually carried out to remove and treat cancer when other treatments, such as chemotherapy and radiotherapy , are not suitable or have not worked. Home Surgery. Actions for this page Listen Print.
Summary Read the full fact sheet. On this page. Reasons for a hysterectomy Hysterectomy for women of childbearing age Other roles of the uterus and ovaries Treatments other than hysterectomy Types of hysterectomy Before choosing a hysterectomy Hysterectomy operation After a hysterectomy Where to get help. Hysterectomy for women of childbearing age Once a woman has had a hysterectomy of any kind, she cannot become pregnant. Other roles of the uterus and ovaries The uterus has important functions other than childbearing, including: sexuality — the uterus rhythmically contracts during orgasm, contributing to sensations of pleasure self-image — the uterus is of great psychological importance to some women for many reasons, including fertility, femininity, sexuality and body image.
These include: fibroids heavy or irregular menstrual periods uterine prolapse endometriosis. Fibroids Fibroids are non-cancerous growths that form within the muscular walls of the uterus. Heavy menstrual bleeding Heavy menstrual bleeding may be due to fibroids, adenomyosis, cancers, bleeding disorders, other medical conditions and also unknown causes. Alternative treatment to a hysterectomy for heavy bleeding may include: hormone therapies — such as progestins progesterone-like medications , levonorgestrel -releasing IUDs, etonogestrel-releasing implants and Depo Provera combined oral contraceptive pill surgery — endometrial ablation.
Uterine prolapse Alternative treatment to a hysterectomy for uterine prolapse depends on the degree of prolapse, but may include: pelvic floor exercises the insertion of a pessary into the vagina to prop up the uterus surgical repair without hysterectomy. Endometriosis For endometriosis , alternative treatment to a hysterectomy may include hormonal therapies, surgical removal of areas of endometriosis, or a combination of both.
Types of hysterectomy There are five types of hysterectomy: total hysterectomy — where the uterus and cervix are removed subtotal partial hysterectomy — where the uterus is removed, but the cervix is left in place. While removal of the cervix is generally advised because it is a potential cancer site, some women feel that it serves a purpose during penetrative sex.
If the cervix is kept, regular cervical screening is still necessary hysterectomy and bilateral salpingo-oophorectomy — where the uterus, fallopian tubes and ovaries are removed. This operation is performed if the woman has cancer of the ovaries or the uterus, or for chronic pain due to recurrent pelvic infection or recurrent endometriosis radical hysterectomy — the most extensive version of the operation.
It involves the removal of the uterus, fallopian tubes, ovaries, upper part of the vagina, and associated pelvic ligaments and lymph nodes. Before choosing a hysterectomy If, after talking about all the options with your doctor, you choose to have a hysterectomy, your doctor should discuss several things with you before the operation. These include: your medical history — as some pre-existing conditions may influence decisions on surgery and anaesthetics the pros and cons of abdominal open or laparoscopic surgery versus vaginal surgery your support options after surgery your feelings about the surgery.
Hysterectomy operation The operation may be performed via an incision cut in your lower abdomen abdominal hysterectomy , three to four small incisions in your abdomen laparoscopic hysterectomy , or through your vagina vaginal hysterectomy.
Abdominal hysterectomy For an abdominal hysterectomy, the surgeon usually makes a horizontal cut along your pubic hairline your pubic hair may have been shaved around the incision. Laparoscopic hysterectomy For a laparoscopic hysterectomy, the surgeon inserts a telescope laparoscope to see your pelvic organs through a small incision in your navel, and makes another three or four small incisions through which other instruments are used.
This type of hysterectomy may be performed with the aid of a robot. Vaginal hysterectomy A vaginal hysterectomy is performed through an incision at the top of the vagina.
After a hysterectomy Immediately after a hysterectomy operation, you can expect to: wake up in the recovery room feel some soreness around the operation site — you will be given pain-relieving medication to enable you to maintain some mobility experience wind pain for a few days have the intravenous IV tube removed from your arm sometime during the first few days, depending on the procedure and your condition have the catheter drainage tube removed from your bladder within 24 hours of surgery, unless your bladder was traumatised during surgery, then it will remain in longer be encouraged to get out of bed and go for short walks around the hospital ward as soon as possible for this reason, adequate pain relief is very important stay in hospital for two to four days, depending on the type of surgery, sometimes longer.
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