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Hysterectomy - Treatment, Procedure And Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

The word 'Hysterectomy' is derived from its Greek root 'Hysteria' which means the womb and 'Ektomia' implying to cut out of. A Hysterectomy surgery concerns the surgical removal of a woman's uterus. It can also mean the surgical removal of the uterus, ovaries and the cervix. So technically, a Hysterectomy surgery means that the woman can never be a biological mother again.

This type of a surgery, which is one of the most common gynaecological procedures performed, does become important in certain scenarios. It can either be a total (removal of the uterus along with the cervix) or a partial (removal of the uterus but not the cervix).

A Hysterectomy surgery can be carried out for the following reasons: uterine fibroids (the common non-cancerous growths on the uterus muscles), uterine prolapse (a benign condition wherein the uterus drops into the vagina from its usual spot), endometriosis (a condition characterized by the growth of the uterus lining tissues outside the uterus), cancer and hyperplasia ( thickening of the uterus lining resulting in bleeding).

Other reasons include pelvic pain that is chronic, chronic PID (Pelvic Inflammatory Disease) and heavy, persistent bleeding.

How is the treatment done?

A Hysterectomy Surgery usually takes about two hours at the maximum. General anesthesia is administered after which, an IV catheter will be inserted to supply medications and other fluids.

The process of hysterectomy depends on the type of the surgery. In the case of abdominal hysterectomy, first, an incision (either transverse or vertical) of about 7 inches is made in the lower abdomen. The supportive tissues and the blood vessels around the uterus are excised and then the uterus is taken out through the incision. Finally, the incision is closed. A major advantage of this type is that hysterectomy can be performed even if there is scarring or presence of large fibroids. In the case of vaginal hysterectomy, an incision is made around the top of the woman's vagina. After the ligaments, fallopian tubes and the blood vessels are cut off, the uterus is taken out through the vagina. The advantage here is that scarring is minimal with almost no operative pain. The patient can resume normal activities within a month. However, the chances of complications are more in the case of a vaginal hysterectomy. In the case of Laparoscopically assisted vaginal Hysterectomy, the same procedure is followed with a laparoscope assisting the doctor.

Who is eligible for the treatment? (When is the treatment done?)

The Hysterectomy surgery is opted for only if other methods haven't been able to provide results. The most common eligibility criteria include:

  • Heavy periods: Often caused by the presence of fibroids, heavy periods can pose other problems such as menstrual cramps, irritability and nausea.
  • Uterine prolapse: This is characterized by the uterus dropping into the vagina as a result of the weakening of the supportive ligaments and tissues.
  • Pelvic pain: This can be because of endometriosis, adenomyosis, incomplete treatment of PIDs and/or fibroids.
  • Cervical or ovarian cancer

Who is not eligible for the treatment?

There are no non-eligibility criteria as such, however:

  • The woman should talk it out with the doctor regarding her sex life post hysterectomy as a woman's libido could take a beating and also suffer from sexual dysfunction.
  • Also, if the woman is running a temperature, the surgery should not be carried out.

Are there any side effects?

The possible side effects include:

  • Damage to the surrounding organs
  • Problems related to anesthesia, such as heart or breathing problems
  • Formation of blood clots in the lungs or legs
  • Heavy bleeding
  • Infections
  • Premature menopause in case the ovaries have been removed as well
  • Pain during engaging in sexual intercourse

What are the post-treatment guidelines?

The basic post-operative guidelines are:

  • The woman should avoid lifting any heavy weight post surgery.
  • The woman must also avoid bathing in tubs for a period of about 5-6 weeks post surgery.

How long does it take to recover?

For an abdominal hysterectomy, complete recovery can take about a month to 8 weeks. However, for vaginal/laparoscopically assisted vaginal hysterectomies, the downtime is much shorter; about 1-2 weeks.

What is the price of the treatment in India?

The price of hysterectomy in India will range between Rs.1,82,000 to Rs.2,40,000.

Are the results of the treatment permanent?

Yes, a Hysterectomy surgery offers a permanent solution to the treatment of fibroids.

What are the alternatives to the treatment?

Some of the alternatives to Hysterectomy include embolization, endometrial ablation, and myomectomy.

Popular Questions & Answers

I had surgery to remove the uterus because the lining of the uterus is thick and that was about a year ago and I suffer from pressure and diabetes and now I am taking medicines such as ulgar 1 g, motilium, micardis80/12.5 and nexium40 and this rash appeared in my stomach and accompanied by fever, stomach fluctuations, and the second day, all of this went away and the rash remained. I am 47 years old, my weight is 110 kg and my height is 150 cm.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist,
Rash is because of the fever. If there is no itching and if the rash is not increasing then do not worry. It should subside within 2 to 3 days. If it does not then you should seek medical advice. As uterus has been removed be careful about your di...

Hii, my usg report tell me that one tube blocked one is partial. Doctor suggest m to take placentrex (10) injection.this can open my tubes or not.

MBBS, DGO, Fellowship in Infertility
IVF Specialist, Bangalore
Hi, This will heal pelvic infection but not open tubes. laparoscopy can be tried. if does not work get ivf treatment

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MBBS Bachelor of Medicine and Bachelor of Surgery,Diploma In Gynaecology & Obstetrics,DGO,DNB - Obstetrics & Gynecology
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