What are the physical and emotional side effects of a hysterectomy. How long does recovery typically take after different types of hysterectomy procedures. What are the potential long-term consequences of uterus removal on a woman’s body and life.

Understanding Hysterectomy: Types and Approaches

A hysterectomy is a surgical procedure to remove the uterus. This major operation can be performed for various medical reasons and comes with both short-term and long-term side effects. Before delving into these effects, it’s crucial to understand the different types of hysterectomies and surgical approaches.

Types of Hysterectomy

• Partial hysterectomy: Removes some or all of the uterus, leaving the cervix intact
• Total hysterectomy: Removes both the uterus and cervix
• Total hysterectomy with salpingo-oophorectomy: Removes the uterus, cervix, and one or both ovaries and fallopian tubes

Surgical Approaches

Hysterectomies can be performed through:

• Abdominal incision
• Vaginal approach
• Laparoscopic surgery
• Robot-assisted technology

The chosen approach can influence the side effects and recovery time experienced post-surgery.

Immediate Post-Operative Effects and Recovery Time

After a hysterectomy, patients may need to stay in the hospital for a day or two, depending on the type of surgery. Pain medication is typically administered to manage discomfort during the initial healing process.

Can you return to normal activities immediately after a hysterectomy. No, recovery time varies based on the type of procedure:

• Abdominal hysterectomy: Usually requires about six weeks for full recovery
• Vaginal hysterectomy: Typically allows return to usual activities within three to four weeks
• Laparoscopic hysterectomy: May not require a hospital stay and often has a shorter recovery period

Short-Term Physical Side Effects of Hysterectomy

In the days and weeks following a hysterectomy, women may experience several physical side effects as their body heals from the surgery.

Common Short-Term Physical Effects

• Bloody vaginal discharge
• Pain at the incision sites
• Swelling, redness, or bruising around incisions
• Burning or itching sensation near the incision
• Numbness near the incision or down the leg

Are these side effects normal. Yes, these effects are typically part of the normal healing process. However, if symptoms worsen or persist, it’s important to consult with your healthcare provider.

Emotional Impact and Psychological Side Effects

The emotional and psychological effects of a hysterectomy can be as significant as the physical ones. Many women experience a range of feelings following the procedure.

Potential Emotional Responses

• Sense of loss or grief
• Relief from previous symptoms
• Conflicting emotions about femininity and identity
• Anxiety about the inability to bear children
• Mood swings related to hormonal changes

How can women cope with the emotional impact of a hysterectomy. Seeking support through organizations like HysterSisters, discussing feelings with a therapist, and joining support groups can be beneficial. It’s important to acknowledge and process these emotions as part of the recovery journey.

Long-Term Effects on Reproductive Health and Menstruation

A hysterectomy results in permanent changes to a woman’s reproductive system and menstrual cycle.

Permanent Effects

• Cessation of menstrual periods
• Inability to become pregnant
• Potential early onset of menopause (if ovaries are removed)

Do all types of hysterectomies lead to immediate menopause. No, only a total hysterectomy with bilateral oophorectomy (removal of both ovaries) results in immediate surgical menopause. If the ovaries are left intact, they may continue to produce hormones for some time, though menopause may occur earlier than expected.

Potential Complications: Organ Prolapse and Urinary Issues

One of the potential long-term complications following a hysterectomy is organ prolapse. This occurs when pelvic organs shift from their normal position due to the absence of the uterus.

Organ Prolapse Statistics and Effects

A 2014 study of over 150,000 patient records found that 12 percent of hysterectomy patients required subsequent pelvic organ prolapse surgery. Prolapse can lead to:

• Vaginal telescoping or bulging
• Bowel or bladder displacement
• Urinary problems

How can women reduce the risk of prolapse after hysterectomy. Engaging in pelvic floor exercises, such as Kegel exercises, before and after surgery can help strengthen the muscles supporting internal organs, potentially reducing the risk of prolapse.

Impact on Sexual Health and Intimacy

A hysterectomy, particularly one that includes removal of the ovaries, can have significant effects on a woman’s sexual health and intimacy.

Potential Sexual Side Effects

• Vaginal dryness
• Pain during intercourse
• Decreased libido
• Changes in orgasm sensation

Are these sexual side effects permanent. Not necessarily. Many women report satisfying sexual experiences after hysterectomy. However, some may need to explore treatments such as hormone replacement therapy or lubricants to address specific issues.

Hormonal Changes and Menopausal Symptoms

If the ovaries are removed during a hysterectomy, or if the surgery triggers early menopause, women may experience a range of menopausal symptoms.

Common Menopausal Symptoms

• Hot flashes
• Night sweats
• Mood swings
• Insomnia
• Vaginal dryness
• Changes in skin and hair texture

How long do menopausal symptoms last after a hysterectomy. The duration can vary, but symptoms may persist for several years. Hormone replacement therapy is one option for managing these symptoms, though it’s important to discuss the benefits and risks with a healthcare provider.

While a hysterectomy can be a life-changing and often necessary procedure for many women, it’s crucial to understand and prepare for the potential side effects and long-term impacts. By being informed and proactive, women can better navigate their recovery and adjust to life after hysterectomy. Regular follow-ups with healthcare providers, engaging in supportive communities, and maintaining open communication about concerns and symptoms are key to ensuring optimal health and well-being post-surgery.

Short- and Long-Term, Questions to Ask

A hysterectomy is a surgery to remove the uterus, which may be necessary to help treat certain conditions. It can cause short- and long-term side effects, and like any major surgery, it also carries some immediate risks.

There a several types of hysterectomy, depending on what’s removed:

• A partial hysterectomy removes some or all of the uterus but leaves the cervix intact.
• A total hysterectomy removes both uterus and cervix.
• A total hysterectomy with salpingo-oophorectomy removes the uterus, cervix, and one or both ovaries and fallopian tubes.

Hysterectomies are performed through either the abdomen or the vagina. Some can be done laparoscopically or with robot-assisted technology. The approach your doctor uses can play a role in the side effects you might experience after surgery.

Read on to learn more about hysterectomy side effects.

Having a hysterectomy can cause several short-term physical side effects. Some may also experience emotional side effects during the recovery process.

Physical side effects

Following a hysterectomy, you may need to stay in the hospital for a day or two. During your stay, you’ll likely be given medication to help with any pain as your body heals. A laparoscopic hysterectomy sometimes doesn’t require a hospital stay.

As you recover, you’ll likely notice some bloody vaginal discharge in the days or weeks after the procedure. This is completely normal. You may find that wearing a pad during this part of recovery helps.

The actual amount of time you’ll need to recover depends on the type of surgery you have and how active you are. Most people can return to their usual activity level about six weeks after an abdominal hysterectomy.

If you have a vaginal hysterectomy, your recovery time is typically shorter. You should be able to return to your usual activities within three or four weeks.

In the weeks following your hysterectomy, you may notice:

• pain at the incision site
• swelling, redness, or bruising at the incision site
• burning or itching near the incision
• a numb feeling near the incision or down your leg

Keep in mind that if you have a total hysterectomy that removes your ovaries, you’ll immediately begin menopause. This can cause:

• hot flashes
• vaginal dryness
• night sweats
• insomnia

Emotional side effects

The uterus is a crucial organ for pregnancy. Removing it means that you won’t be able to get pregnant, which can be a hard adjustment for some. You’ll also stop menstruating after having a hysterectomy. For some, this is a huge relief. But even if you’re feeling relieved, you can still experience a sense of loss.

For some, pregnancy and menstruation are crucial aspects of femininity. Losing the capacity for both in a single procedure can be a lot to process for some people. Even if you’re excited by the prospect of not having to worry about pregnancy or menstruation, conflicting feelings can come up after the procedure.

Before you have a hysterectomy, consider checking out HysterSisters, an organization dedicated to providing information and support to those considering a hysterectomy.

Here’s one woman’s take on the emotional aspects of having a hysterectomy.

Following any type of hysterectomy, you’ll no longer have your period. You also can’t get pregnant. These are permanent effects of having a hysterectomy.

Problems with organ prolapse can happen after a hysterectomy. A 2014 study of more than 150,000 patient records reported that 12 percent of hysterectomy patients required pelvic organ prolapse surgery.

In some organ prolapse cases, the vagina is no longer connected to the uterus and cervix. The vagina can telescope down on itself, or even bulge outside the body.

Other organs such as the bowel or the bladder can prolapse down to where the uterus used to be and push on the vagina. If the bladder is involved, this can lead to urinary problems. Surgery can correct these issues.

Most women do not experience prolapse after hysterectomy. To prevent prolapse problems, if you know you are going to have a hysterectomy, consider doing pelvic floor exercises to strengthen the muscles supporting your internal organs. Kegel exercises can be done anytime and anywhere.

If you have your ovaries removed during the procedure, your menopause symptoms can last for several years. If you don’t have your ovaries removed and haven’t gone through menopause yet, you may begin menopause sooner than expected.

If you have your ovaries removed and go into menopause, some of your symptoms may impact your sex life. Sexual side effects of menopause can include:

• vaginal dryness
• pain during sex
• decreased sex drive

These are all due to the change in estrogen produced by your body. There are several things you can consider to counteract these effects, such as hormone replacement therapy.

However, many women who have a hysterectomy do not experience a negative impact on their sex life. In some cases, relief from chronic pain and bleeding improves sex drive.

Learn more about sex after a hysterectomy.

Hysterectomy is a major surgery. Like all surgeries, it comes with a number of immediate risks. These risks include:

• major blood loss
• damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves
• blood clots
• infection
• anesthesia side effects
• bowel blockage

These types of risks accompany most surgeries and don’t mean that having a hysterectomy isn’t safe. Your doctor should go over these risks with you before the procedure and inform you about steps they’ll take to minimize your risks of more serious side effects.

If they don’t go over this with you, don’t feel uncomfortable asking. If they can’t provide this information or answer your questions, they may not be the doctor for you.

A hysterectomy can be a life-changing procedure with major benefits and some potential risks. That’s why it’s so important to find a doctor that you trust and feel comfortable talking to before having the procedure.

A good doctor will set aside time to listen to your questions and concerns before surgery. While you should bring up any questions on your mind, here are some specific questions to consider asking:

• Are there any nonsurgical treatments that may improve my symptoms?
• Which type of hysterectomy do you recommend and why?
• What are the risks of leaving my ovaries, fallopian tubes, or cervix in place?
• Which approach to surgery will you take and why?
• Am I a good candidate for vaginal hysterectomy, laparoscopic surgery, or robotic surgery?
• Do you use the latest surgical techniques?
• Is there any new research related to my condition?
• Will I continue to need Pap smears after my hysterectomy?
• If you remove my ovaries, would you recommend hormone replacement therapy?
• Is general anesthesia always necessary?
• How long will I need to be hospitalized after my surgery?
• What is the standard at-home recovery time?
• Will I have scars, and where?

Hysterectomies can cause several short- and long-term side effects. They can also help to alleviate excruciating pain, heavy bleeding, and other frustrating symptoms. Work with your doctor to weigh the benefits and risks of the procedure and get a better idea of what to expect after surgery.

Short- and Long-Term, Questions to Ask

A hysterectomy is a surgery to remove the uterus, which may be necessary to help treat certain conditions. It can cause short- and long-term side effects, and like any major surgery, it also carries some immediate risks.

There a several types of hysterectomy, depending on what’s removed:

• A partial hysterectomy removes some or all of the uterus but leaves the cervix intact.
• A total hysterectomy removes both uterus and cervix.
• A total hysterectomy with salpingo-oophorectomy removes the uterus, cervix, and one or both ovaries and fallopian tubes.

Hysterectomies are performed through either the abdomen or the vagina. Some can be done laparoscopically or with robot-assisted technology. The approach your doctor uses can play a role in the side effects you might experience after surgery.

Read on to learn more about hysterectomy side effects.

Having a hysterectomy can cause several short-term physical side effects. Some may also experience emotional side effects during the recovery process.

Physical side effects

Following a hysterectomy, you may need to stay in the hospital for a day or two. During your stay, you’ll likely be given medication to help with any pain as your body heals. A laparoscopic hysterectomy sometimes doesn’t require a hospital stay.

As you recover, you’ll likely notice some bloody vaginal discharge in the days or weeks after the procedure. This is completely normal. You may find that wearing a pad during this part of recovery helps.

The actual amount of time you’ll need to recover depends on the type of surgery you have and how active you are. Most people can return to their usual activity level about six weeks after an abdominal hysterectomy.

If you have a vaginal hysterectomy, your recovery time is typically shorter. You should be able to return to your usual activities within three or four weeks.

In the weeks following your hysterectomy, you may notice:

• pain at the incision site
• swelling, redness, or bruising at the incision site
• burning or itching near the incision
• a numb feeling near the incision or down your leg

Keep in mind that if you have a total hysterectomy that removes your ovaries, you’ll immediately begin menopause. This can cause:

• hot flashes
• vaginal dryness
• night sweats
• insomnia

Emotional side effects

The uterus is a crucial organ for pregnancy. Removing it means that you won’t be able to get pregnant, which can be a hard adjustment for some. You’ll also stop menstruating after having a hysterectomy. For some, this is a huge relief. But even if you’re feeling relieved, you can still experience a sense of loss.

For some, pregnancy and menstruation are crucial aspects of femininity. Losing the capacity for both in a single procedure can be a lot to process for some people. Even if you’re excited by the prospect of not having to worry about pregnancy or menstruation, conflicting feelings can come up after the procedure.

Before you have a hysterectomy, consider checking out HysterSisters, an organization dedicated to providing information and support to those considering a hysterectomy.

Here’s one woman’s take on the emotional aspects of having a hysterectomy.

Following any type of hysterectomy, you’ll no longer have your period. You also can’t get pregnant. These are permanent effects of having a hysterectomy.

Problems with organ prolapse can happen after a hysterectomy. A 2014 study of more than 150,000 patient records reported that 12 percent of hysterectomy patients required pelvic organ prolapse surgery.

In some organ prolapse cases, the vagina is no longer connected to the uterus and cervix. The vagina can telescope down on itself, or even bulge outside the body.

Other organs such as the bowel or the bladder can prolapse down to where the uterus used to be and push on the vagina. If the bladder is involved, this can lead to urinary problems. Surgery can correct these issues.

Most women do not experience prolapse after hysterectomy. To prevent prolapse problems, if you know you are going to have a hysterectomy, consider doing pelvic floor exercises to strengthen the muscles supporting your internal organs. Kegel exercises can be done anytime and anywhere.

If you have your ovaries removed during the procedure, your menopause symptoms can last for several years. If you don’t have your ovaries removed and haven’t gone through menopause yet, you may begin menopause sooner than expected.

If you have your ovaries removed and go into menopause, some of your symptoms may impact your sex life. Sexual side effects of menopause can include:

• vaginal dryness
• pain during sex
• decreased sex drive

These are all due to the change in estrogen produced by your body. There are several things you can consider to counteract these effects, such as hormone replacement therapy.

However, many women who have a hysterectomy do not experience a negative impact on their sex life. In some cases, relief from chronic pain and bleeding improves sex drive.

Learn more about sex after a hysterectomy.

Hysterectomy is a major surgery. Like all surgeries, it comes with a number of immediate risks. These risks include:

• major blood loss
• damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves
• blood clots
• infection
• anesthesia side effects
• bowel blockage

These types of risks accompany most surgeries and don’t mean that having a hysterectomy isn’t safe. Your doctor should go over these risks with you before the procedure and inform you about steps they’ll take to minimize your risks of more serious side effects.

If they don’t go over this with you, don’t feel uncomfortable asking. If they can’t provide this information or answer your questions, they may not be the doctor for you.

A hysterectomy can be a life-changing procedure with major benefits and some potential risks. That’s why it’s so important to find a doctor that you trust and feel comfortable talking to before having the procedure.

A good doctor will set aside time to listen to your questions and concerns before surgery. While you should bring up any questions on your mind, here are some specific questions to consider asking:

• Are there any nonsurgical treatments that may improve my symptoms?
• Which type of hysterectomy do you recommend and why?
• What are the risks of leaving my ovaries, fallopian tubes, or cervix in place?
• Which approach to surgery will you take and why?
• Am I a good candidate for vaginal hysterectomy, laparoscopic surgery, or robotic surgery?
• Do you use the latest surgical techniques?
• Is there any new research related to my condition?
• Will I continue to need Pap smears after my hysterectomy?
• If you remove my ovaries, would you recommend hormone replacement therapy?
• Is general anesthesia always necessary?
• How long will I need to be hospitalized after my surgery?
• What is the standard at-home recovery time?
• Will I have scars, and where?

Hysterectomies can cause several short- and long-term side effects. They can also help to alleviate excruciating pain, heavy bleeding, and other frustrating symptoms. Work with your doctor to weigh the benefits and risks of the procedure and get a better idea of what to expect after surgery.

Should the uterus be removed in case of uterine myoma?

Obviously, there are no women who would gladly accept the news that they are about to have an operation to remove the uterus. And why, in fact, explain to a woman why it is not necessary to remove the uterus, if the gynecologist has already examined her, examined her, and said that it is definitely necessary? This question may even seem absurd, but, unfortunately, only at first glance.

Every year about a million women in Russia undergo hysterectomy, and in most cases the indication for this is uterine fibroids. The average age of women undergoing this operation is 41; by modern standards, this is the most active and rich age of a woman. It is striking that at 90% of these women could be cured without hysterectomy. In other words, they had an extra operation.

“Preserving an organ (or part of it) is the surgeon’s noble task. The complete removal of organs that have functional significance and play a certain role in the balance of the body is a crippling, disfiguring operation “
S. B. Golubchin, MD professor, obstetrician-gynecologist, 1958.

And the most shocking thing: from Vladivostok to Kaliningrad, year after year, like a spell, the same words of gynecologists who send women to remove the uterus sound:

• Why do you need a uterus, why did you cling to it so much?!
• You have already given birth – why do you need to walk around with this bag of knots?
• This is a simple operation – you’ll see, you won’t even notice anything but relief.
• You have no choice: other treatments are ineffective!
• You can, of course, try it, but you will still return to us – and we will cut it out for you.

These words, alas, have an effect, and as a result, according to statistics, we have about a million removed queens a year . ..

Maybe they are right? And removal of the uterus is actually a reasonable method of treating this disease and there are no consequences from such treatment? How many gynecologists can’t be wrong!

Unfortunately, they can.

Why do many gynecologists recommend removal of the uterus in case of fibroids?

The main reason for such a long dominance of therapeutic radicalism in the treatment of uterine fibroids is that for too long uterine fibroids seemed to be a benign, but tumor process, and the tumor, as the canons of surgery say, must be removed. Indeed, there is a list of organs without which a person can more or less exist. And from the point of view of many gynecologists, in this list, the uterus is almost in the first place.

For some reason, it is believed that, having realized her reproductive function, a woman can completely painlessly part with the uterus, that is, a kind of monofunctional attitude has been developed towards this organ. Wrong attitude. At the same time, it is quite obvious that there are no superfluous organs in the body, and the uterus, in addition to the reproductive function, also has others, some of which are clear to us, and some are still not fully understood. Simplifying, we can say that, being integrated into a holistic organism, the uterus maintains a natural physiological balance.

A person can exist without one kidney, lung, part of the intestine, but everyone understands that this existence is no longer a fully-fledged person, so why is a woman without a uterus in the minds of a number of doctors perceived from a healthy position? And indeed, it has been known for many years that the removal of the uterus entails the development of the so-called post-hysterectomy syndrome – a symptom complex of disorders of the endocrine, nervous, cardiovascular and other systems that occurs after the removal of the uterus and is associated with this removal by a direct causal relationship.

A separate place is occupied by psychological consequences – the presence of a uterus is a subconscious element of femininity, belonging to the female sex. The presence of a uterus gives a woman a constant inner confidence that she can give birth to a child. And even if she definitely does not want to have more children, the permanent deprivation of this function may be emotionally unacceptable for her.

Some studies looking at the functions of the uterus show interesting results. For example, in 2018, scientists from the University of Arizona (USA) conducted an experiment on rats: some animals had their ovaries removed, others had their uterus, and others were not operated on, and their uterus and ovaries continued to function. Animals whose uterus was removed were worse at orienting themselves in labyrinths.

At the same time, other studies show that women after a hysterectomy have an increased risk of developing dementia. The uterus somehow influences the work of the nervous system, and these relationships have yet to be studied.

In addition, during the experiment, it turned out that the hormonal background in the body changed in rats that underwent hysterectomy. And this, as you know, can potentially create a number of health risks. This suggests that the uterus is needed not only during pregnancy. When a woman is not pregnant, the uterus does not “sleep”, is not at rest. It performs some functions that are yet to be explored in more detail.

The results of such studies are a strong argument against hysterectomy in cases where there is no really justified indication for this.

Consequences of hysterectomy

From a medical point of view, hysterectomy can have a number of rather serious consequences.

According to a large study carried out in Sweden (for several decades, a rigorous analysis of the case histories of more than 800 thousand (!) women who underwent hysterectomy was carried out), a significant increase in the risk of developing cardiovascular diseases (heart attacks and strokes) was noted, if the uterus was removed before the age of 50. This study was very large, as the analysis of the consequences over a period of more than 30 years was carried out.

In other words, the removal of the uterus entails serious health problems and increases the risk of diseases that can lead to disability and even death. It is important that both doctors and patients do not associate the appearance of these diseases with the removal of the uterus, since these complications do not develop immediately after the operation, but a year or later.

Here is a list of possible negative consequences after removal of the uterus:

• Cardiovascular disease. At the same time, it was found that the risk of developing diseases can be both in the case of removal of the ovaries, and when they are preserved, but it was noted that when the ovaries are removed, the severity of serious consequences for the heart and blood vessels increases. See more.
• After removal of the uterus, the risk of developing kidney, breast and thyroid cancers increases. See more.
• There is depression, irritability, insomnia, memory impairment, flushes of heat to the face.
• There is increased fatigue.
• Urinary disturbances (frequent urination, urinary incontinence) may occur.
• Some women report pain in the joints.
• The risk of fractures increases due to the possible development of osteoporosis.
• Increasing frequency of problems in sexual life (decreased libido, pain during sexual activity, disappearance of vaginal orgasm, decreased intensity of orgasm, vaginal dryness).
• Vaginal prolapse is more likely to occur.
• Possible weight gain (development of metabolic syndrome, development of endocrine diseases).
• Hair loss may occur.

Operational risks

In addition to the long-term consequences of hysterectomy, it is necessary to know about the possible consequences of the surgical intervention itself:

• Narcotic complications.
• Injury to neighboring organs and main vessels during entry into the abdomen (especially typical for laparoscopic operations) and the operation itself.
• Intraoperative bleeding, or delayed bleeding from a postoperative wound.
• Inflammatory complications.
• Intestinal obstruction (dangerous complication – reoperation required).
• Peritonitis.
• Thromboembolism of the pulmonary artery.

After such a surgical procedure, a rehabilitation period is required, which often lasts up to two months. This is what the “simple surgery” to remove the uterus really looks like, so easily offered by doctors to women with uterine fibroids.

Many patients whose friends or relatives have had hysterectomy usually do not need to be explained. They themselves often say the following phrase: “I categorically will not remove the uterus! I saw what my mother (friend, sister, colleague) had become. I don’t need this!”

Of course, there are exceptions when women are happy that they had their uterus removed. Most often, these are women who had significant problems before the removal of the uterus (profuse prolonged bleeding, pain, frequent urination, etc. ). After the removal of the uterus, they got rid of these symptoms, and “in contrast” it seems to them that everything has changed for the better. Sometimes they simply do not pay attention to the developing changes in their body, and most often they simply do not associate them with the removal of the uterus.

In a small proportion of women, all of the listed symptoms may not be so pronounced that a woman pays attention to it. Perhaps this is due to the fact that the ovaries retained sufficient blood supply, and there was no pronounced drop in hormone levels.

Remove the uterus and save the ovaries?

Here it is necessary to point out one more cunning of gynecologists, who propose to remove the uterus as soon as possible. Often they emphasize the fact that the ovaries after the operation will remain and continue to function fully, only the uterus is removed – “no longer the necessary bag for carrying children, stuffed with knots.” It is not true! In the process of removing the uterus, in any case, the blood supply to the ovaries is disturbed, since one of the important pathways for the blood supply to the ovary, the branch of the uterine artery, is crossed.

After the operation, the ovaries try to compensate for the missing blood supply, but in most cases this fails, and in the absence of blood supply, dystrophic processes begin in the ovary, leading to a decrease in hormone production.

In general, one can continue advocating advocacy of the uterus indefinitely, but I would like to express the main idea: the doctor has no right to decide for the patient which organs she needs, and without which, in principle, she can do without, guided only by the consideration own benefit and misleading it.

The doctor’s lack of knowledge about all currently available methods of treating the disease is his great shortcoming, from which his patients suffer, while concealing or knowingly falsely informing the patient about alternative methods of treatment should be considered nothing less than a crime.

Remember that in modern conditions, in the vast majority of cases, uterine fibroids can be treated without removal of the uterus. Only the presence of serious concomitant gynecological diseases can justify the removal of the uterus, in all other cases it is not necessary to remove this organ.

And as a conclusion

Below we would like to quote from the monograph “Surgical Treatment of Uterine Fibromyomas” by the outstanding gynecologist M.S. Aleksandrov, which was published – attention! — back in 1958*.

In our striving to preserve an organ, we proceed from the physiological teachings of IP Pavlov, that a violation of the function of any one organ cannot but affect the entire organism as a whole, causing various changes and disturbances in it. Thus, the premature cessation of ovarian-menstrual function in young and middle-aged women adversely affects metabolism, inevitably causes precipitation and premature aging of the body, M.K. Petrova proved that dysfunction of the endocrine glands is inextricably linked with the state of the nervous system and leads to often to pronounced nervous disorders and severe mental illness.

Ovarian-menstrual function is necessary for the normal state of the body. We believe that premature, and even more so artificial cessation of menstruation in connection with the removal of the uterus, has a very hard effect on the woman’s body in general and on her nervous system in particular.

No less important for a woman is her childbearing function. There are many examples when a woman suffering from primary or secondary infertility is ready to undergo any operation to restore her childbearing function. Infertility often brings discord into family life.

Unfortunately, we must state that operations for benign tumors are usually performed radically, with the removal of the entire organ, even if only part of it is affected by the tumor. This provision is based on the assumptions about the possibility of degeneration of a benign tumor into a malignant neoplasm and about the independent occurrence of a malignant tumor in the remaining part of the organ. Therefore, some surgeons, even at the present time, when removing cystic ovarian tumors, do not take enough care of the ovarian tissue, excising the latter as much as possible, and sometimes even remove the ovary completely. Removing most of the ovarian tissue along with the tumor causes irreparable harm to the woman, disrupting normal hormonal function, causing the absence of menstruation and depriving the woman of the opportunity to become pregnant.

During operations for fibroids, it is usually customary to remove the uterus, regardless of the age of the operated person, which deprives the woman of ovarian-menstrual and childbearing functions. Unfortunately, only some obstetrician-gynecologists recognize the expediency of using conservative operations.

The etiology of cancer has not yet been clarified, and we believe that the radicalism of the operation performed cannot protect organs that have not been completely changed before from subsequent damage to cancer. Therefore, is there any common sense in categorically refusing to use conservative methods of surgical intervention, preferring radical ones when removing benign tumors? We believe that it is not, and we see no reason to operate only radically for benign tumors and thereby deprive women of their inherent physiological functions, dooming them to subsequent suffering. This is especially true for young and middle-aged women.

We can state with full responsibility that during operations for benign tumors they should be removed radically, and in terms of preserving the organ itself, maximum conservatism should be exercised.

We believe that one of the main provisions of modern gynecology should be reconstructive reconstructive surgery. “Modern operative gynecology should be based on the principles of therapy that fully or partially preserves the organ and its function, and this necessitates the clarification of indications and contraindications for surgical treatment, the development of methods of reconstructive surgery in gynecology” (A. B. Gillyarson).

_______

*Quoted from M.S. Alexandrov. Surgical treatment of uterine fibroids, – State publishing house of medical literature “Medgiz”, – 1958, Moscow.

Let us emphasize once again that this text was written fifty years ago, and, as you understand, comprehended even earlier. It is sad to admit that during this time practically nothing has changed, that the same huge army of gynecologists obsessed with surgical radicalism remains, and the voices of doctors insisting on preserving the organ are practically not heard or are forgotten just as quickly as it happened with the work of M. And Alexandrova. And this despite the fact that right now in our arsenal there are excellent methods of organ-preserving treatment of uterine fibroids!

Years go by, and every year about a million women in our country undergo hysterectomy for fibroids, the percentage of operations decreases very slowly. Sad, isn’t it?

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Expert advice

Health effects of hysterectomy for women: real testimonials and consequences

Content

• 1 Effects of hysterectomy: real testimonials from women
  • 1.1 What happens to a woman after a hysterectomy?
  • 1.2 Hormonal changes: how does it affect the body?
  • 1. 3 Pregnancy prospects after hysterectomy
  • 1.4 Impact of hysterectomy on sexual life
  • 1.5 Depression and emotional consequences after hysterectomy
  • 1.6 Risks and possible complications after hysterectomy
  • 1.7 Doctors’ opinion on the consequences of hysterectomy uterus
  • 1.8 Real testimonials from women after hysterectomy
  • 1.9 Alternatives to hysterectomy: what methods can replace surgery
  • 1.10 How to avoid hysterectomy: preventive measures
  • 1.11 Removal of the uterus: how is it performed?
    • 1.11.1 Surgical access
    • 1.11.2 Removal of the uterus
    • 1.11.3 Access closure and sutures
    • 1.11.4 Follow-up care and monitoring
  • 1.11.4 12 Preparation for removal of the uterus: important steps
  • 1.13 Surgery for removal of the uterus Q: How is the rehabilitation going?
  • 1.14 Cost of hysterectomy: what factors influence the price?
  • 1.15 Surgery abroad: what are the risks?
  • 1. 16 Where can I get a free consultation before hysterectomy?
  • 1.17 Helpful tips for women after hysterectomy
    • 1.17.1 1. Follow your doctor’s advice
    • 1.17.2 2. Review your diet
    • 1.17.3 3. Rest and exercise with care
    • 1.17.4 4. Pay attention to your emotional state
    • 1.17.5 5. Conduct regular check-ups
  • 1.18 Related videos:
  • 1.19 Q&A:
    • • 1.19.0.1 What are the consequences after hysterectomy?
      • 1.19.0.2 Can hysterectomy be replaced by another procedure?
      • 1.19.0.3 Does hysterectomy affect sexual life?
      • 1.19.0.4 When can I start working after hysterectomy?
      • 1.19.0.5 How often should I be examined after hysterectomy?
      • 1.19.0.6 What are the care needs after hysterectomy?

Get a firsthand look at the major health effects of hysterectomy on a woman. Read reviews of women about life after gynecological surgery on our website.

The decision to remove the uterus can be extremely difficult and serious for any woman. The reason for this decision may be a different pathology, but the procedure has its consequences and many women are afraid of this operation. Removal of the uterus is an operation that can change a woman’s life, her health and even her personality.

Some experts believe that hysterectomy can remove some of the risks associated with women’s diseases such as uterine cancer, but there are others who have doubts about this procedure, especially if the woman is not in a transformation or if the procedure is performed without strong testimony.

In this article, we have collected feedback from women who are faced with a choice: removal or preservation of the uterus. They will share their thoughts and real-life results of the procedure in order to help other women who are experiencing a similar problem.

What happens to a woman after a hysterectomy?

Removal of the uterus is a major operation that can affect a woman’s health throughout her life. One of the main results of hysterectomy is infertility. Women who have their uterus removed can no longer conceive and have a baby naturally. However, if the egg is still maturing, then the woman may still be able to conceive a child through artificial insemination methods.

A woman may also experience some physical changes after having her uterus removed. For example, many women complain of pelvic pain, intestinal spasms, urinary problems, and other gastrointestinal problems.

In addition, women may experience changes in their psychological and emotional life. Removing the uterus can cause depression, anxiety, and feelings of loneliness. Women may also experience a loss of femininity and feel incomplete.

• Changes in hormonal balance: After removal of the uterus, a woman stops producing hormones associated with monthly cycles and pregnancy. This can lead to early menopause or other problems in hormonal balance.
• Possible complications of the operation: As with any surgical operation, removal of the uterus can lead to complications such as bleeding, infections, and damage to blood vessels and other organs.
• Increased risk of cardiovascular disease: Removal of the uterus may increase the risk of cardiovascular disease, such as stroke and heart attack, in older women.

Hormonal changes: how does it affect the body?

Removal of the uterus is a serious intervention in the female body, which can lead to significant changes in the hormonal background. In fact, the removal of the uterus means that the woman will no longer have menstrual cycles, as she is removed along with the uterus. This can lead to significant changes in hormone levels in the body.

One of the most significant changes is the loss of estrogen, which is produced by the ovaries and regulates menstrual cycles. In the absence of this hormone, a woman may experience symptoms such as sleep disturbance, hair loss, dry skin and mucous membranes, as well as an increased risk of osteoporosis and cardiovascular disease.

Some women may also experience changes in the levels of the hormone progesterone. This hormone is responsible for regulating the menstrual cycle and preparing the body for pregnancy. When the uterus is removed, progesterone levels decrease, which can lead to impaired milk production during breastfeeding, as well as impaired thyroid function.

In addition, women who have had their uterus removed may experience a deterioration in their general well-being and emotional state, as hormonal changes can affect their psychological health.

Pregnancy prospects after removal of the uterus

After removal of the uterus, the possibility of becoming pregnant disappears, but alternative options remain. A woman who has had her uterus removed may consider surrogacy or adoption options. However, if only the uterus is removed while preserving the appendages, then the possibility of pregnancy remains. In this case, a woman can evaluate the risks associated with pregnancy after removal of the uterus.

If a woman plans to keep her appendages and keep her pregnancy possible, she should see a doctor and get advice on how to proceed. In some cases, pregnancy complications are possible, such as premature rupture of the bladder or uterine bleeding. However, modern medicine provides many methods that can alleviate such complications and optimize the chances of a successful pregnancy.

It should also be noted that the decision to retain the adnexa rather than to remove the entire uterus must be made on a case-by-case basis. At the same time, the doctor must conduct all the necessary studies and discussions with the patient in order to decide which path will be the safest and best for her and her health in general.

In any case, a woman who has had her uterus or adnexa removed should communicate with her doctor and receive recommendations for further action, taking into account her individual characteristics and state of health.

Impact of hysterectomy on sexual life

Removal of the uterus is a major operation that can affect a woman’s life after the procedure. Changes in sexual function may be one of these consequences.

Removing the uterus, a woman will lose the hormonal balance of the body, which can adversely affect her sexual life. In addition, her vagina may become shorter, which can cause pain during sex and other sexual health problems.

After the removal of the uterus, a woman may also experience a lower level of libido, which may lead to a decrease in interest in sex. Some women may also lose the ability to reach orgasm or experience pain during orgasm.

However, not all women experience problems after hysterectomy and can continue to have a healthy sex life. There are also treatments that can help women deal with health issues after having their uterus removed.

Depression and emotional consequences after hysterectomy

The hysterectomy can have a significant impact on a woman’s psychological state. One of the most common emotional consequences is depression. A woman may feel sadness, anxiety and despair. She may lose interest in life and not find pleasure in previously loved activities. There may also be problems with sleep and appetite.

Other complications may be feelings of guilt and blaming herself for not being able to keep her womb. It can be difficult for a woman to accept the loss of one of the organs that she considered important for her femininity and motherhood.

To reduce the risk of depression and emotional consequences, a woman should be prepared for surgery and have realistic expectations. It is important to get reliable information about the consequences of the operation, as well as support from family, friends and medical staff.

• A woman should accept her feelings and not be ashamed of them.
• Relaxation and meditation techniques can help you deal with stress.
• Seeking professional help, such as counseling from a psychologist or psychotherapist, can be an effective treatment for depression.

It is important to understand that the emotional consequences after hysterectomy are normal and quite common. With the right support and treatment, a woman can get through this transition and start a new phase of her life.

Risks and possible complications after removal of the uterus

Removal of the uterus (hysterectomy) is a serious procedure that can be accompanied by various risks and complications:

• bleeding : Bleeding may occur during the operation or in the first few days after it.
• infection : surgery increases the risk of infection at the incision site and uterine cavity.
• bladder or bowel injury: some women may experience potential bladder or bowel injury as a result of the procedure. This is possible due to the proximity of these organs to the uterus.
• vaginal prolapse : removal of the uterus can lead to vaginal prolapse due to a decrease in supporting pressure on the pelvic organs.
• body appearance changes: removal of the uterus may result in appearance changes such as hot flashes, changes in the skin, hair and nails.

After the removal of the uterus, it is important to carefully monitor your condition and promptly seek medical attention if any unpleasant symptoms or complications appear.

Doctors’ opinion about the consequences of hysterectomy

Removal of the uterus is a serious step that can affect a woman’s health. But in some cases, this is the only way to solve the problems associated with diseases of this organ.

The opinion of doctors about the consequences of hysterectomy is ambiguous. On the one hand, it allows you to get rid of many diseases, such as uterine fibroids, endometriosis, cancer, and others. In such cases, removal of the uterus can save lives or prevent the development of dangerous diseases.

On the other hand, the removal of the uterus can lead to a number of health consequences for the woman. For example, it can lead to hormonal imbalance, which in turn can lead to various health problems. In addition, in some cases, the removal of the uterus can complicate pregnancy and childbirth, so women who are planning a pregnancy in the future should think carefully about their choice.

However, each case is unique, and the decision on whether to remove the uterus is made only after a thorough examination and diagnosis. Only a doctor can evaluate the risks and side effects and decide in favor of the most effective method of treatment.

It is important to remember that the removal of the uterus is a serious step that should be considered and taken only after consultation with a qualified doctor.

Real reviews of women after removal of the uterus

Lena, 45 years old: I removed the uterus two years ago because of a cyst on the ovary. The procedure was not difficult, and I moved away from it quickly. But then problems started – I started having hot flashes, my sleep was disturbed, there was severe pain. Although I understood that these were the consequences of hormonal changes, it was very difficult.

Anya, 37: I had my uterus removed after my third child was born. I knew that such a step could lead to consequences, but I hoped that everything would be fine with me. It turned out that I began to get sick often, lost weight, and was constantly tired. Several months passed before my life returned to normal.

Maria, 57: I had my uterus removed because of cancer. The operation was successful, but after it there were complications with the bladder. I needed many doctor visits and a few additional procedures. But I would do the same if given the choice.

Natasha, aged 31: I recently had my uterus removed due to a miscarriage. I was depressed and just could not find life from the word. But within a few weeks after the operation, I was at ease like never before. I don’t know yet what the consequences will be in the future, but at the moment I am very grateful that my life is back on track.

Alternatives to hysterectomy: what methods can replace surgery

Removal of the uterus is a serious decision and can entail many consequences. In some cases, surgery may be unavoidable, but before making such a decision, it is worth considering alternative methods that can replace the operation.

One such method is endometrial ablation. This is a procedure during which the inner layer of the uterus, the endometrium, is removed. It can help with uterine bleeding and problems with heavy periods. After the procedure, a woman can forget about the problems associated with the menstrual cycle.

Another alternative method is myomectomy. This is an operation in which only tumors are removed, and not the entire uterus. This method may be successful for women who are unwilling or unable to have a hysterectomy. This decision allows you to save the possibility of pregnancy.

In addition, there are some non-surgical treatments, such as hormone therapy and drugs, that can provide relief from a number of uterine disorders.

It must be understood that each case is individual and before deciding to remove the uterus, a woman should always consult a specialist and consider all alternative methods of treatment.

How to avoid hysterectomy: preventive measures

Removal of the uterus is a serious operation that can lead to significant health consequences for the woman. In this regard, it is necessary to take measures to prevent such situations. The following are preventive measures to avoid hysterectomy:

1. Regular gynecological examinations. It is important to undergo regular preventive examinations by a gynecologist in order to detect possible diseases of the uterus in the early stages and prevent their development.
2. Genital hygiene. Genital hygiene is recommended to prevent infections and other conditions that may lead to hysterectomy.
3. Proper treatment of diseases. In the event of uterine diseases, you should immediately consult a doctor and properly treat the disease in order to avoid its transition to a more serious stage.
4. Maintaining a healthy lifestyle. It is important to maintain a healthy lifestyle, including eating well and exercising regularly, to stay healthy.
5. Use of contraception. The use of contraception helps to prevent unwanted pregnancies, which can lead to the removal of the uterus in case of complications.

By following these preventive measures, you can reduce the risk of hysterectomy and keep the female reproductive system healthy.

Uterine removal surgery: how is it performed?

Surgical approach

Before starting the hysterectomy, the surgeon can choose different surgical approaches. This may be a traditional approach through the abdomen or the use of laparoscopy to remove the uterus through small incisions in the abdominal wall.

Removal of the uterus

After determining the surgical approach, the surgeon proceeds to remove the uterus. Usually, after cutting out the uterus, the surgeon also removes the ovaries and tubes of the uterus. If necessary, including in the presence of ovarian diseases, these organs can be saved.

Access closure and sutures

After the uterus and other organs have been removed, the surgeon closes the surgical access and applies sutures to close the incisions. Depending on the surgical approach, the duration of the operation and the recovery period may be different.

Follow-up care and follow-up

After the removal of the uterus, the woman continues to be under medical supervision. Depending on the complexity of the operation and the woman’s condition, she may be discharged from the hospital within 24 hours or stay for a longer recovery period. Recommendations for further treatment and follow-up are discussed with the patient individually.

Preparation for hysterectomy: important steps

Removal of the uterus is a complex and serious operation, so it is necessary to prepare for it responsibly. Every woman must undergo a certain series of diagnostic and medical procedures. Only proper preparation will help to avoid possible complications and speed up the rehabilitation process.

• Consultation with a doctor is the first and most important step. Order a consultation with a qualified doctor, discuss all possible risks and consequences, get recommendations on preparation and postoperative period.
• Examination – This is a necessary step in which a series of examinations must be completed. This will help to identify possible contraindications for surgery and clarify the diagnosis. As a rule, the examination includes a smear and analysis for tumor markers, ultrasound of the pelvic organs, hysteroscopy, biopsy, etc.
• Preparation for surgery – observance of special conditions before surgery. Your doctor may suggest bowel cleansing, an adequate diet, and quitting smoking.

Compliance with all doctor’s recommendations will help reduce the risk of complications during and after surgery, as well as speed up the rehabilitation process. We must not forget that you should discuss all possible questions and fears with your doctor in order to avoid unpleasant consequences.

Uterine removal surgery: how is the rehabilitation?

After hysterectomy, a woman must expect a recovery period, which can take several weeks. It is necessary to follow some rules in order to reduce the risk of possible complications and fully recover.

• Rest . The most important means of postoperative rehabilitation is rest. At the same time, it must be emphasized that the concept of rest may vary slightly depending on the individual case.
• Exercise . It is important to monitor physical activity and gradually increase the load. It is recommended to start with light exercise such as walking. But before full-fledged training it is still too early, as they can be harmful.
• Power supply . A healthy, vitamin- and mineral-rich diet is important for overall health and also helps the body recover from surgery.
• Medicines . Medicines should only be taken as prescribed by a doctor. You may be given painkillers and anti-inflammatory medications at first, and then gradually taper off as your condition improves.

All these actions are important for timely and complete rehabilitation in order to return oneself to a fast and full lifestyle. Most importantly, follow your healthcare provider’s recommendations to reduce the risk of complications and make your road to recovery as efficient and enjoyable as possible.

Cost of hysterectomy: what factors influence the price?

Removal of the uterus (hysterectomy) is a major operation, the cost of which may vary depending on a number of factors.

One of the main factors is the removal method. There are several methods, including open hysterectomy through an incision in the abdomen, vaginal hysterectomy through the vagina, and laparoscopic or robotic hysterectomy, which can be more expensive.

Another factor that affects the price is the experience and qualifications of the surgeon. This can increase the cost of the procedure, but it can also result in safer and more efficient hysterectomy.

Also keep in mind that the cost is not limited to just the operation. The cost of hospitalization, examinations and general medical care may be added to it.

Finally, the cost of hysterectomy may vary depending on the region and facility where the procedure is performed.

However, it is important to remember that cost should not be the only deciding factor in deciding to have surgery. Quality and safety must come first.

Uterine removal abroad: what are the risks?

In some cases, women seek hysterectomy abroad. However, this choice carries certain risks.

• Lack of ability to control the process and qualifications of medical personnel. In some countries, medical standards may differ significantly from those adopted in Russia.
• Possibility of receiving low-quality medical care. In foreign clinics that have not been tested by patients, outdated methods and technologies may be used.
• Cost difference. Removal of the uterus abroad may have a low price, but this may be due to the use of cheap solutions or a decrease in the quality of services provided.
• Postoperative period. In the event of complications, a woman will have to seek medical help and recover in a place that is not convenient for her.
• Violation of therapeutic protocols. In foreign countries, there may be a different system of drug therapy and medical support.

In general, the risks and side effects must be weighed before deciding to have a uterus removed abroad. It is important to read the reviews of other patients and get professional advice before traveling abroad.

Where can I get a free consultation before a hysterectomy?

Removal of the uterus is a major operation that can have a significant impact on a woman’s health. Before making such a decision, it is necessary to obtain the most complete information about the upcoming operation, its consequences and possible risks.

A free pre-surgery consultation is available at many medical institutions, including municipal and state hospitals, polyclinics and centers for various medical specialties. You can also get a free consultation from the best experts on this issue in specialized clinics and centers.

You can also consult your gynecologist or the National Center for Reproductive Health and Family Planning. By requesting a free consultation, you will receive answers to all questions related to the removal of the uterus, and you can make an informed decision.

However, keep in mind that a free consultation does not always give a complete picture, and in some cases it will be necessary to pay for additional examinations and consultations with specialists.

In any case, before removing the uterus, it is necessary to carefully approach the issue and obtain the most complete information about the upcoming operation and its consequences.

Helpful tips for women after a hysterectomy

1. Follow your doctor’s advice

After your hysterectomy, your doctor will give you advice on how to take care of yourself. It is important to follow them in order to quickly return to a full life. Also, if you have any questions or problems during the rehabilitation period, do not hesitate to contact your doctor for help.

2. Review your diet

Removal of the uterus can affect the body’s metabolism. Women are encouraged to review their diet and include more fruits, vegetables and proteins. It is also necessary to limit the consumption of fatty and fried foods.

3. Rest and exercise with care

In the first few weeks after surgery, limit physical activity and allow more time for rest. After that, you can start doing light exercises, such as yoga or Pilates. However, before starting sports, you should consult your doctor.

4. Pay attention to your emotional state

Removal of the uterus can be a serious stress for a woman. Therefore, it is important to pay attention to your emotional state and, if necessary, seek help from specialists.

5. Get regular check-ups

After hysterectomy, a woman needs regular check-ups to monitor her health. Examinations will help make sure there are no complications and increase the chances of full wound healing.

Related videos:

Q&A:

What are the consequences after hysterectomy?

After the removal of the uterus, various consequences may occur, such as hormonal imbalance, impaired urination, pain in the lower abdomen, difficulties in starting or following a pregnancy, may be associated with the woman’s age and her general health.

Is it possible to replace the removal of the uterus with another procedure?

Sometimes other treatments, such as hormonal therapy, uterine artery embolization, or laparoscopic organ-sparing surgery, can be used instead of hysterectomy. However, in each case, it is necessary to discuss with the doctor all possible methods of treatment and choose the best option for a particular woman.

Does hysterectomy affect sexual life?

Removal of the uterus can affect a woman’s sex life, as in some cases it can lead to a decrease in libido, pain during sex, or changes in sensation. However, in each case, it is necessary to discuss with the doctor all the possible risks and consequences of this procedure in relation to sexual life.

When can I start working after hysterectomy?

Recovery time after hysterectomy depends on the individual woman and the method used for removal. On average, a woman can start working 2 to 4 weeks after surgery, but in some cases it may take longer.

How often should I be examined after a hysterectomy?

After the removal of the uterus, a woman needs to undergo regular examinations by a gynecologist in order to monitor her well-being and health in general.