Many women have a hysterectomy. It’s more common for women aged 40 to 50. For some, those who suffer from heavy periods, having a hysterectomy comes as a welcome relief.
A hysterectomy is an operation to remove a woman’s uterus. The uterus is where a baby grows when a woman is pregnant. After a hysterectomy, you no longer have menstrual periods and can’t become pregnant.
A total hysterectomy means both the uterus and the cervix are removed. A total hysterectomy does not mean the ovaries are removed.
If the ovaries are also removed with uterus then this is called hysterectomy with oophorectomy (removal of the ovaries).
Why women have a hysterectomy?
Gynaecologists in Pune says hysterectomies are carried out to treat health problems that affect the female reproductive system.
One may need a hysterectomy if they have one of the following:
– Uterine fibroids
Uterine fibroids are noncancerous growths in the wall of the uterus. In some women, they cause pain or heavy bleeding.
– Heavy or unusual vaginal bleeding
Changes in hormone levels, infection, cancer, or fibroids can cause heavy, prolonged bleeding.
– Uterine prolapse
This is when the uterus slips from its usual place down into the vagina. This is more common in women who had several vaginal births, but it can also happen after menopause or because of obesity. Prolapse can lead to urinary and bowel problems and pelvic pressure.
ALSO READ: Uterine Prolapse – Exercises For Its Rescue!
Endometriosis happens when the tissue that normally lines the uterus grows outside of the uterus on the ovaries where it doesn’t belong. This can cause severe pain and bleeding between periods.
In this condition, the tissue that lines the uterus grows inside the walls of the uterus where it doesn’t belong. The uterine walls thicken and cause severe pain and heavy bleeding.
– Cancer (or precancer) of the uterus, ovary, cervix, or endometrium (the lining of the uterus)
Hysterectomy may be the best option if you have cancer in one of these areas. Other treatment options may include chemotherapy and radiation.
A hysterectomy is a major operation with long recovery time and is only considered after less invasive treatments have been tried.
How is a hysterectomy performed?
A hysterectomy can be done in several different ways depending on the surgeon’s experience, the reason for the hysterectomy, and a woman’s overall health. The hysterectomy technique will partly determine healing time and the kind of scar, if any, that remains after the operation.
As per Gynaecologists in Viman Nagar, there are four ways a hysterectomy may be performed
– Abdominal hysterectomy
Your doctor makes a cut, usually horizontally across the lower abdomen and vertically down the midline of the abdomen
– Vaginal hysterectomy
This is done through the vagina by making small cut in it.
– Laparoscopic hysterectomy
Laparoscopic hysterectomy is a keyhole surgery during which the uterus is removed through the small cuts made in either your abdomen or your vagina.
– Robotic surgery
In this surgery, your doctor guides a robotic arm to do the surgery through small cuts in your lower abdomen, like a laparoscopic hysterectomy.
Hysterectomy Side Effects
The side effects you can experience after a hysterectomy are dependent upon the type of hysterectomy you receive.
Short-term effects of hysterectomy are usually mild, minimal, and occur in the first 30 days after surgery. They may include:
– Blood loss and the risk of blood transfusion
– Damage to surrounding areas, like the bladder, urethra, blood vessels, and nerves
– Blood clots in the legs or lungs
Hysterectomy has a rare long-term risk of pelvic prolapse, which is the stretching or dropping of pelvic organs into an abnormal position. Women with many prior abdominal surgeries or a history of pelvic prolapse or pelvic relaxation may be at higher risk for developing pelvic prolapse again.
After a hysterectomy, you may experience a range of menopausal symptoms, such as:
– Hot flashes
– Mood swings
– Decreased libido
– Vaginal dryness
– Night Sweats
The trend of hysterectomy is on the rise nowadays. Hysterectomy is the most frequently performed major surgical intervention in gynecology. Although surgically removing the uterus is invasive, it represents the most definitive treatment option for heavy menstrual bleeding. The abdominal route is the preferred route, with a tendency to remove the uterus along with the cervix in a planned surgery. But in an emergency, subtotal hysterectomy is being opted more and more.