Hysterectomy is a ob gyn surgical procedure that’s employed to remove the uterus (womb). This has become a very common procedure in the US and is done for a multitude of reasons, one of the most common being abnormal bleeding or fibroids.
A hysterectomy is the removal of your uterus, which can also be combined with removing your fallopian tubes, ovaries, and cervix, based on your specific situation. After removing the uterus, it is impossible to conceive.
Why You May Need the Procedures
If you are young enough and would like to have more children (or even your first child), then it’s usually recommended that you undergo a myomectomy first to try to relieve your symptoms. In a myomectomy, the uterus is actually left intact and attempts are made to only remove the fibroids (myomas or muscular growths). Hysterectomies and myomectomies are discussed for several of the following reasons:
- Chronic constipation
- Heavier than normal menstrual cycles
- Bleeding during your periods that lasts longer than a week
- Pelvic pain or pressure
- Leg pain or backaches
- Urinating more frequently
- Difficulty starting a urine stream
On the other hand, a hysterectomy may be the best form of treatment for more serious conditions, such as:
- Cancer, including ovarian, cervical or endometrial
- Uterine prolapse, when your uterus falls out of place
- Adenomyosis, when endometrial tissue moves outside of your uterus
- Severe endometriosis that hasn’t responded to other treatments
- Uncontrolled bleeding while giving birth
- Chronic pelvic pain
- Vaginal bleeding that continues despite various treatments
- Fibroids that are too large and have irreparable changed the structure of the uterus
All symptoms should always be evaluated with a thorough consultation and examination by your local NYC gynecologist Dr. Fernando Mariz for an accurate diagnosis and treatment plan to exclude any underlying serious condition.
Hysterectomy is the second most common surgery performed in the U.S., accounting for about half a million surgeries per year. Depending on your age, severity of your symptoms and future lifestyle plans, you and your ob gyn in NYC can decide which hysterectomy option is best for you. Some options are:
- A radical hysterectomy removes all of your reproductive organs. It’s usually performed when you’ve been diagnosed with cervical or endometrial cancer.
- During a partial hysterectomy, only your uterus is taken out. A laparoscopic myomectomy may be performed on the rest of your organs to remove fibroids.
- A total or simple hysterectomy removes just your uterus and cervix. It’s ideal for women with fibroids who don’t want to lose their ovaries.
- Laparoscopic or robot assisted laparoscopic hysterectomy is the most minimally invasive procedure.
Hysterectomy Procedure and Risks
There are a number of avenues your surgeon may take to perform your hysterectomy, depending on your goals, as well as your gynecologist’s preferences. Removing your reproductive organs may be done by:
- A cut made surgically in your vagina
- Three or four smaller incisions made through your belly, usually reserved for robotic hysterectomy
- A larger cut made in your abdomen
- Smaller cuts around your navel for laparoscopic removal
In addition to the normal risks associated with any surgical procedure, hysterectomy complications can include:
- Sex after hysterectomy can be painful
- Bladder or ureter injuries
- A loss of sexual interest or appetite
- Menopausal symptoms if your ovaries were removed
- Higher risk of heart disease if your ovaries are removed before natural menopause
Manhattan Women's Health & Wellness
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