What Women Need to Know Before Going for a Hysterectomy

Hysterectomies are one of the most common surgeries among women today, and it’s important to understand what they involve before making the decision to go ahead with the procedure. Here, we’ll discuss what you need to know before embarking on the hysterectomy.

 

What is a Hysterectomy?

A hysterectomy is a surgical procedure that involves removing some or all of the uterus. It may be done as part of cancer treatment or for other medical reasons, such as endometriosis or uterine fibroids. The goal of removing the uterus is to stop certain symptoms from occurring or prevent further damage from happening.

 

What are the benefits of a hysterectomy?

• Relief from symptoms like heavy menstrual bleeding, pelvic pain, and irregular periods
• Prevention or treatment of uterine cancer
• Decreased risk of endometrial cancer
• Lower risk for pelvic organ prolapse
• Decreased risk for ovarian cancer if ovaries are also removed
• Improved sexual performance due to reduced anxiety over pregnancy concerns
• Decreased vaginal dryness due to regular hormones being taken out along with the uterus

 

How is a hysterectomy performed?

A hysterectomy is typically performed in a hospital setting and can be done as an open surgery or laparoscopically. The method used varies depending on the type of hysterectomy being performed, and your doctor will discuss the available options with you before proceeding. Open surgery involves making an incision in the abdomen and the use of a laparoscope to view inside the abdominal cavity.

 

During this procedure, either part or all of the uterus is removed through the incision. Laparoscopic surgery uses several small incisions in the abdomen and a special camera that is inserted into one of these incisions to allow doctors to see inside while they work. A variety of instruments are then used to remove part or all of the uterus through one of the small incisions.

 

Depending on the type of hysterectomy being performed, other organs may also be removed during surgery. This could include the fallopian tubes, ovaries, and nearby lymph nodes. In some cases, the cervix is left intact to allow for improved pelvic support. Following a hysterectomy, you may experience some side effects such as pain and cramping. Talk to your doctor about any potential complications that could arise after your procedure.

 

Is hysterectomy safe?

Generally, hysterectomies are considered safe procedures with very low risk. Complications can occur, however, and your doctor will discuss the potential side effects and risks before proceeding with the procedure. Additionally, some lifestyle changes may be necessary following a hysterectomy; patients should consult their doctor on how exercise and sexual activity can be resumed safely.

 

How does a hysterectomy affect the body?

A hysterectomy can affect a person’s body in various ways, depending on the type of procedure they had. Generally speaking, the loss of reproductive organs may lead to changes in hormones, leading to symptoms of menopause such as hot flashes and night sweats. It may also cause a decrease in libido and vaginal dryness. Additionally, it can also result in feelings of sadness or depression due to the loss of fertility and/or changes to one’s body.

 

Will a woman get severe menopause symptoms after a hysterectomy?

Menopause symptoms may be more severe in some women following a hysterectomy due to the sudden drop in estrogen levels. Hot flashes, night sweats, vaginal dryness and other symptoms may be more intense and last longer than expected. Additionally, some women may experience depression or anxiety related to the changes that come about from having a hysterectomy. In these cases, medical intervention may be necessary.

What are the common reasons for a hysterectomy?

The most common reasons for a hysterectomy are:

• Uterine fibroids
• Endometriosis
• Pelvic inflammatory disease (PID)
• Abnormal vaginal bleeding
• Adenomyosis
• Uterine prolapse
• Cervical or ovarian cancer

 

Is hysterectomy a common procedure?

Hysterectomies are actually one of the most commonly performed surgeries in the United States. Over 600,000 hysterectomies are performed in the U.S. each year, with 90-95% of them being elective (non-emergency) procedures. Of those, 80% are performed to treat non-cancerous conditions such as fibroids or endometriosis.

 

Are hysterectomies painful?

Hysterectomy is a major operation and may cause some pain during your recovery. However, the amount of discomfort experienced varies from person to person. To help manage any pain associated with a hysterectomy, doctors usually prescribe medication and recommend different forms of therapy such as physical therapy, relaxation techniques, and lifestyle changes.

 

How long is the hysterectomy procedure?

The length of the hysterectomy procedure depends on the type of procedure being performed. Abdominal hysterectomies typically take 1-2 hours to complete, whereas laparoscopic and robotic procedures take around 45 minutes. After surgery, you can expect to stay in the hospital for 1-3 days, depending on your overall health.

 

Is there a scar after a hysterectomy?

Depending on the technique used, there may be a scar following a hysterectomy. With an abdominal hysterectomy, you may have a scar in your lower abdomen that is usually hidden by clothing. Laparoscopic and robotic techniques often leave just small scars around the belly button.

 

What are the types of hysterectomies?

There are several types of hysterectomies:

• Abdominal Hysterectomy – This is the most common type, which involves an incision in the abdomen.
• Laparoscopic Hysterectomy – This type uses a small incision with a laparoscope, which is a telescope-like device that allows for visualization and removal of the uterus.
• Robotic Hysterectomy – This type uses robotic arms to perform the procedure. The surgeon controls the robotic arms using a computer console in the operating room.
• Vaginal Hysterectomy – This type involves removing the uterus without any external incisions.

 

What is the safest form of hysterectomy?

Vaginal hysterectomy is generally considered to be the safest form of hysterectomy. It is minimally invasive, resulting in fewer complications and a quicker recovery time than other types of hysterectomies.

 

Are hysterectomies reversible?

Generally, hysterectomies are not reversible. Once the uterus is removed, it cannot be put back in place as the tissue and surrounding organs have been altered.

 

Do I need to stay in the hospital after a hysterectomy?

It depends on the type of hysterectomy and the patient’s overall health. Generally speaking, patients may need to stay in the hospital for one or two days after a hysterectomy, but it is not always necessary.

 

Are there any side effects of hysterectomy?

The side effects of a hysterectomy vary depending on the type of procedure and the health of the individual prior to the surgery. In addition to increased risk of incontinence, blood clots, infection, and emotional changes, women may also experience:

• Change in hormone levels due to removal of ovaries
• Uterine prolapse (when the uterus moves out of its normal position)
• Weakness or numbness in legs caused by nerve damage during surgery
• Weight gain due to decreased metabolism
• Depression or anxiety related to hormonal changes.

 

How old do you have to be to get a hysterectomy?

Generally speaking, the recommended age for a hysterectomy is between ages 45 and 55. However, this procedure may be performed on women of any age if it is medically necessary. The patient’s doctor will consider many factors when determining whether or not a hysterectomy is appropriate, including the patient’s age, overall health condition, and medical history.

 

Can I still get orgasms after a hysterectomy?

Generally speaking, women can still experience orgasms after a hysterectomy. In some cases, it is even possible to have orgasms of greater intensity or quality than before the procedure. Additionally, many women report an improved sense of intimacy and connection with their partner after the procedure. However, it is important to note that everyone experiences things differently and each person’s body will respond in its own individual way.

How long is the recovery period after a hysterectomy?

Most women report that pain and discomfort due to the procedure resolve within a few days, with some feeling back to normal after two weeks. Though it is important to take care of yourself during this period, typically most women are able to resume their usual activities such as work or exercise after four weeks.

 

It is also normal for your menstrual cycle to be irregular for several months following a hysterectomy. This symptom should improve over time, although in some cases additional medications may be necessary. Additionally, you may experience hot flashes, night sweats, mood changes or other related symptoms that should also improve with time.

 

Advice for husbands after their wives get a hysterectomy

Caring for a spouse who has had a hysterectomy can be challenging, but with the right support, it can also be an incredibly rewarding experience. Here are some tips for husbands on how to best help their wives through recovery:

 

Offer emotional and physical support

Be there to listen and provide comfort during this difficult time. Try to make sure your wife’s needs, such as getting plenty of rest and taking medications, are met as needed.

Educate yourself

Take the time to learn more about hysterectomies, so that you can better understand the process and any potential complications or changes in lifestyle your wife may experience afterward.

Help out around the house

Lighten your wife’s load by taking on extra chores or activities that may be difficult for her during recovery.

Encourage self-care

Remind your partner to take care of themselves during recovery by eating healthy meals, exercising regularly and attending follow-up appointments with their doctor, if necessary.

Celebrate accomplishments

Even small victories should be celebrated together! Rejoice in every step forward your partner takes and remind them of how much progress they have already made since their procedure.

 

Conclusion

If you’re experiencing symptoms that may warrant a hysterectomy or if you have been diagnosed with a condition like endometriosis or uterine fibroids, it’s important to consult with a medical professional to discuss your options.

 

A hysterectomy is a serious surgery, but it can be an effective treatment for certain conditions. Dr. Eric Pulsfus, MD FACOG is a leading expert in minimally-invasive gynecologic surgery and has helped many women treat their conditions. To learn more about whether or not a hysterectomy may be right for you, book a telemedicine appointment with Dr. Pulsfus today.