Hysterectomy

A hysterectomy is one of the most common surgeries performed on women. A hysterectomy involves the removal of the uterus and cervix. Sometimes the ovaries and fallopian tubes are also removed during the surgery, and this is referred to as a total or complete hysterectomy.

Hysterectomy can be done either through the vagina (vaginal hysterectomy); or through a surgical incision in the lower belly (abdominal hysterectomy). The method chosen differs according to the patients needs.

Who needs the hysterectomy?

Women with any of the following conditions normally require a hysterectomy.

Uterine cancer

Ovarian cancer

Fallopian tube cancer

Cervical cancer

There are other reasons why a woman may choose to have a hysterectomy, amongst them;

Heavy abnormal vaginal bleeding

Fibroids (benign tumors on the walls of the uterus)

Adenomyosis (growth of abnormal benign tissue within the muscle wall of the uterus)

Endometriosis (endometrial tissue grows in abnormal places in the abdomen)

Chronic pelvic pain

Pelvis inflammatory disease

Uterine prolapse (descent of the uterus into the vagina)

What are the implications of a hysterectomy?

There are several implications that one has to keep in mind when considering a hysterectomy. Amongst the most serious are;

Possible castration - Most of the hysterectomies leave women infertile.

Higher risk of heart disease, osteoporosis, bone, joint and muscle pain.

Possible incontinence.

Loss of sexual interest and sensation. Some women also report painful intercourse

Change in hormone levels, causing the need for natural hormone replacement therapy (HRT).

If your doctor or gynecologist has recommended you a hysterectomy, make sure you really need to do it. Don't undergo surgery unless it is really necessary. Get a second and if possible a third opinion. Remember that gynecologists, hospitals and drug companies earn their living from hysterectomies and castrations.

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Disclaimer:This web site is intended for educational purposes only and should not substitute for the care of a medically trained physician.

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