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I am not interested in having children. What alternatives to hysterectomy are available?
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That's a serious decision at this age. And hysterectomy just to avoid pregnancy is far too severe a solution. If you can afford ? 5000, best is a Mirena intrauterine device. It will give good contraceptive benefit and other positive health effects for the next 5 years. Effects are reversible on removal at any time. Copper T will cost lesser than ? 1000 but last 3 years, with mild side effects. After 5 years if you are still convinced not to conceive at all, go for laparoscopic Fallope ring application. This will block the tubes and cause permanent (but not absolute) sterilisation without loss of hormonal health. That's all.
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